This provider averages 105 services per working day
Based on 261.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.2M in total Medicare payments ranks in the 98th percentile of Micrographic Dermatologic Surgery providers nationally.
Averaging 105 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 994% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1353% in 2016
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 | $804.44 | $299.45 | 2.69x | $504.99 | $300.6K | 1.0K | 12 |
| 2015 | $851.16 | $291.29 | 2.92x | $559.87 | $11.1K | 38 | 2 |
| 2016 | $257.55 | $78.15 | 3.30x | $179.40 | $160.8K | 2.1K | 15 |
| 2017 | $230.25 | $77.00 | 2.99x | $153.25 | $697.6K | 9.1K | 38 |
| 2018 | $142.55 | $50.63 | 2.82x | $91.92 | $1.2M | 24.4K | 34 |
| 2019 | $200.91 | $74.64 | 2.69x | $126.27 | $1.1M | 14.5K | 30 |
| 2020 | $183.72 | $68.06 | 2.70x | $115.66 | $1.1M | 15.6K | 28 |
| 2021 | $105.11 | $39.53 | 2.66x | $65.58 | $1.5M | 38.3K | 43 |
| 2022 | $60.83 | $22.68 | 2.68x | $38.15 | $1.9M | 82.4K | 43 |
| 2023 | $100.81 | $44.15 | 2.28x | $56.66 | $3.3M | 74.5K | 42 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 11.9K | $2.6M | $215.93 | 2.51x |
| Q4180 | Revita, per square centimeter | 2.4K | $1.2M | $495.76 | 1.77x |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 1.2K | $586.0K | $474.90 | 2.71x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 6.7K | $544.0K | $81.38 | 2.93x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 8.7K | $496.2K | $56.76 | 2.83x |
| 77290 | Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | 994 | $378.5K | $380.83 | 2.51x |
| 17110 | Destruction of skin growth, 1-14 growths | 4.0K | $314.1K | $77.87 | 2.88x |
| 77285 | Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas | 857 | $306.1K | $357.16 | 2.48x |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 2.5K | $295.1K | $118.16 | 2.69x |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 10.1K | $264.4K | $26.26 | 2.49x |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 525 | $251.7K | $479.49 | 2.57x |
| Q4131 | Epifix or epicord, per square centimeter | 2.0K | $248.9K | $127.39 | 3.03x |
| 17000 | Destruction of precancer skin growth, 1 growth | 6.3K | $236.0K | $37.70 | 3.59x |
| Q4186 | Epifix, per square centimeter | 1.8K | $222.2K | $120.95 | 2.55x |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 709 | $213.7K | $301.34 | 2.54x |
| Q4229 | Cogenex amniotic membrane, per square centimeter | 1.3K | $210.9K | $166.85 | 2.52x |
| Q4231 | Corplex p, per cc | 186 | $200.0K | $1.1K | 2.67x |
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 147.4K | $186.0K | $1.26 | 3.25x |
| 96574 | Application of light with debridement to destroy precancer skin growth | 865 | $184.2K | $213.00 | 2.27x |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 581 | $169.5K | $291.74 | 3.37x |
This provider submits charges 2.61 times higher than what Medicare actually pays.
A markup ratio of 2.61x means for every $100 Medicare pays, this provider initially charges $261. 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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