This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Undefined Physician type providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 103% in 2021
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $444.59 | $186.66 | 2.38x | $257.93 | $410.4K | 1.9K | 1.7K |
| 2015 | $419.07 | $181.20 | 2.31x | $237.87 | $427.5K | 1.9K | 1.6K |
| 2016 | $416.92 | $178.70 | 2.33x | $238.22 | $491.7K | 2.3K | 2.0K |
| 2017 | $383.63 | $158.92 | 2.41x | $224.71 | $455.1K | 2.2K | 1.9K |
| 2018 | $387.12 | $168.14 | 2.30x | $218.98 | $435.7K | 2.1K | 1.7K |
| 2019 | $410.47 | $181.26 | 2.26x | $229.21 | $490.6K | 2.0K | 1.8K |
| 2020 | $429.33 | $145.52 | 2.95x | $283.81 | $293.6K | 1.2K | 1.1K |
| 2021 | $507.20 | $155.84 | 3.25x | $351.36 | $597.2K | 2.4K | 2.0K |
| 2022 | $518.99 | $160.99 | 3.22x | $358.00 | $449.0K | 1.7K | 1.5K |
| 2023 | $537.36 | $160.57 | 3.35x | $376.79 | $594.7K | 2.1K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17311 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) | 5.1K | $2.3M | $455.62 | 2.12x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 1.6K | $475.6K | $297.64 | 2.06x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 2.6K | $468.1K | $180.95 | 4.31x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 794 | $365.6K | $460.40 | 2.32x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 1.0K | $175.6K | $170.36 | 4.12x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 237 | $135.0K | $569.42 | 1.90x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 680 | $128.9K | $189.53 | 4.27x |
| 14061 | Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of eyelids, nose, ears, and/or lips | 132 | $98.4K | $745.45 | 1.97x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 318 | $57.5K | $180.73 | 2.40x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs (additional stage, up to 5 tissue blocks) | 177 | $52.6K | $297.27 | 2.50x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 799 | $40.9K | $51.13 | 2.43x |
| 17000 | Destruction of skin growth | 1.2K | $38.7K | $33.34 | 3.43x |
| 13101 | Repair of wound (2.6 to 7.5 centimeters) of trunk | 161 | $30.9K | $191.85 | 4.03x |
| 88331 | Pathology examination of tissue during surgery | 419 | $30.2K | $71.97 | 1.97x |
| 11100 | Biopsy of single growth of skin and/or tissue | 637 | $30.0K | $47.04 | 2.99x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 814 | $26.8K | $32.87 | 2.57x |
| 17262 | Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs | 302 | $25.0K | $82.73 | 2.84x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 154 | $19.0K | $123.44 | 3.23x |
| 11102 | Tangential biopsy of single skin lesion | 311 | $17.2K | $55.44 | 3.03x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 112 | $13.6K | $121.27 | 3.07x |
This provider submits charges 2.55 times higher than what Medicare actually pays.
A markup ratio of 2.55x means for every $100 Medicare pays, this provider initially charges $255. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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