This provider's $5.6M 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.
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 | $370.47 | $122.97 | 3.01x | $247.50 | $538.5K | 3.7K | 3.3K |
| 2015 | $410.89 | $137.38 | 2.99x | $273.51 | $566.5K | 2.9K | 2.6K |
| 2016 | $481.30 | $147.49 | 3.26x | $333.81 | $558.3K | 2.3K | 2.2K |
| 2017 | $515.32 | $156.10 | 3.30x | $359.22 | $642.8K | 2.5K | 2.3K |
| 2018 | $543.55 | $156.50 | 3.47x | $387.05 | $595.4K | 2.2K | 2.0K |
| 2019 | $568.84 | $159.19 | 3.57x | $409.65 | $639.4K | 2.3K | 2.1K |
| 2020 | $625.16 | $184.85 | 3.38x | $440.31 | $531.0K | 1.8K | 1.7K |
| 2021 | $633.82 | $200.89 | 3.16x | $432.93 | $550.1K | 1.8K | 1.7K |
| 2022 | $688.48 | $207.81 | 3.31x | $480.67 | $541.1K | 1.8K | 1.7K |
| 2023 | $620.95 | $181.38 | 3.42x | $439.57 | $451.5K | 1.6K | 1.5K |
| 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) | 6.6K | $2.8M | $423.19 | 2.62x |
| 17312 | Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals | 3.5K | $1.0M | $291.04 | 2.16x |
| 14060 | Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips | 663 | $372.5K | $561.78 | 2.39x |
| 17313 | Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) | 724 | $288.0K | $397.85 | 2.74x |
| 13132 | Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet | 1.1K | $198.1K | $177.48 | 5.88x |
| 12052 | Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth | 1.1K | $126.7K | $113.53 | 4.92x |
| 13121 | Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs | 573 | $95.8K | $167.17 | 4.73x |
| 17314 | Removal and microscopic examination of growth of the trunk, arms, or legs | 260 | $72.7K | $279.81 | 2.08x |
| J7308 | Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) | 263 | $65.2K | $247.78 | 1.63x |
| 13151 | Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips | 395 | $61.1K | $154.64 | 4.16x |
| 13152 | Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips | 293 | $55.4K | $189.00 | 5.85x |
| 12051 | Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth | 544 | $54.3K | $99.85 | 4.90x |
| 12032 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs | 351 | $42.8K | $122.06 | 4.54x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 669 | $33.2K | $49.56 | 3.47x |
| 11100 | Biopsy of single growth of skin and/or tissue | 558 | $32.8K | $58.74 | 2.74x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 642 | $32.6K | $50.74 | 2.15x |
| 12042 | Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals | 226 | $25.4K | $112.53 | 4.73x |
| 17000 | Destruction of skin growth | 682 | $24.3K | $35.56 | 3.25x |
| 96567 | Application of light to aid destruction of premalignant and/or malignant skin growths, each session | 254 | $23.8K | $93.65 | 2.62x |
| 88331 | Pathology examination of tissue during surgery | 290 | $21.2K | $73.09 | 2.94x |
This provider submits charges 2.83 times higher than what Medicare actually pays.
A markup ratio of 2.83x means for every $100 Medicare pays, this provider initially charges $283. 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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