This provider averages 52 services per working day
Based on 130.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.8M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.
Averaging 52 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 278% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1484% in 2023
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 | $150.40 | $67.04 | 2.24x | $83.36 | $875.8K | 13.1K | 38 |
| 2015 | $232.36 | $112.99 | 2.06x | $119.37 | $841.6K | 7.4K | 35 |
| 2016 | $267.06 | $109.09 | 2.45x | $157.97 | $818.0K | 7.5K | 38 |
| 2017 | $314.05 | $96.00 | 3.27x | $218.05 | $945.9K | 9.9K | 33 |
| 2018 | $185.46 | $53.91 | 3.44x | $131.55 | $1.3M | 24.6K | 40 |
| 2019 | $193.21 | $52.78 | 3.66x | $140.43 | $1.3M | 25.0K | 48 |
| 2020 | $197.02 | $52.12 | 3.78x | $144.90 | $713.4K | 13.7K | 35 |
| 2021 | $365.72 | $102.05 | 3.58x | $263.67 | $423.6K | 4.2K | 28 |
| 2022 | $256.55 | $66.90 | 3.83x | $189.65 | $209.1K | 3.1K | 23 |
| 2023 | $504.01 | $150.47 | 3.35x | $353.54 | $3.3M | 22.0K | 43 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 2.1K | $1.0M | $479.07 | 3.08x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 17.4K | $1.0M | $57.71 | 3.03x |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 3.6K | $840.5K | $235.32 | 3.19x |
| 77600 | Use of externally generated heat to increase temperature of cancer cell, heating to depths 4.0 cm or less | 1.8K | $819.0K | $465.89 | 3.13x |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 4.8K | $604.0K | $126.01 | 3.18x |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 1.7K | $542.5K | $319.47 | 2.73x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 2.9K | $464.1K | $158.14 | 3.18x |
| 0394T | High dose rate electronic brachytherapy, external | 3.4K | $455.2K | $133.40 | 3.15x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 4.2K | $353.2K | $83.94 | 3.32x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 4.0K | $307.5K | $76.45 | 3.26x |
| 0182T | High dose rate electronic brachytherapy | 204 | $298.2K | $1.5K | 1.71x |
| 17110 | Destruction of skin growth, 1-14 growths | 3.4K | $277.6K | $82.31 | 3.48x |
| Q4131 | Epifix or epicord, per square centimeter | 2.1K | $268.7K | $126.42 | 2.75x |
| 17000 | Destruction of precancer skin growth, 1 growth | 6.6K | $257.1K | $38.99 | 4.15x |
| 11102 | Biopsy of related skin growth, first growth | 3.7K | $242.0K | $65.63 | 4.13x |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 951 | $231.7K | $243.61 | 3.80x |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 472 | $219.0K | $463.93 | 2.71x |
| 11100 | Biopsy of single growth of skin and/or tissue | 3.1K | $216.0K | $69.46 | 3.17x |
| 13101 | Complicated repair of wound of trunk, 2.6-7.5 cm | 632 | $164.6K | $260.50 | 3.12x |
| 11301 | Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm | 2.3K | $157.0K | $69.01 | 3.60x |
This provider submits charges 3.18 times higher than what Medicare actually pays.
A markup ratio of 3.18x means for every $100 Medicare pays, this provider initially charges $318. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Dermatology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Artur Henke, MD | Roseville, CA | $35.6M | ✓ Clear |
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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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