This provider averages 52 services per working day
Based on 129.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $21.5M 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 6132% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 318% 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 | $152.84 | $66.53 | 2.30x | $86.31 | $201.8K | 3.0K | 19 |
| 2015 | $152.67 | $71.53 | 2.13x | $81.14 | $312.9K | 4.4K | 19 |
| 2016 | $271.81 | $114.73 | 2.37x | $157.08 | $496.0K | 4.3K | 21 |
| 2017 | $262.43 | $109.71 | 2.39x | $152.72 | $590.0K | 5.4K | 24 |
| 2018 | $234.10 | $102.25 | 2.29x | $131.85 | $575.3K | 5.6K | 26 |
| 2019 | $275.32 | $123.07 | 2.24x | $152.25 | $764.2K | 6.2K | 21 |
| 2020 | $304.55 | $147.66 | 2.06x | $156.89 | $1.1M | 7.7K | 24 |
| 2021 | $241.55 | $130.67 | 1.85x | $110.88 | $1.8M | 14.0K | 30 |
| 2022 | $211.22 | $118.24 | 1.79x | $92.98 | $3.0M | 25.5K | 31 |
| 2023 | $481.21 | $235.62 | 2.04x | $245.59 | $12.6M | 53.4K | 33 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4234 | Xcellerate, per square centimeter | 14.5K | $8.2M | $563.84 | 2.17x |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 6.2K | $2.3M | $361.55 | 1.80x |
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 3.8K | $1.9M | $509.11 | 2.12x |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 16.0K | $1.3M | $81.86 | 1.69x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 10.4K | $1.1M | $104.59 | 1.70x |
| 88344 | Special stained specimen slides to examine tissue, each multiplex procedure | 6.4K | $1.0M | $158.81 | 1.68x |
| 88360 | Microscopic genetic analysis of tumor, manual | 6.1K | $666.6K | $109.62 | 1.70x |
| 17314 | Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks | 1.8K | $612.4K | $349.36 | 1.79x |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 6.0K | $563.0K | $93.85 | 1.69x |
| 17313 | Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 1.1K | $526.5K | $486.14 | 2.08x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 6.4K | $485.1K | $76.08 | 1.71x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 4.0K | $345.9K | $87.19 | 2.08x |
| 17110 | Destruction of skin growth, 1-14 growths | 2.9K | $261.5K | $89.35 | 2.07x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 3.9K | $256.8K | $65.94 | 1.93x |
| 17000 | Destruction of precancer skin growth, 1 growth | 5.8K | $223.0K | $38.51 | 2.86x |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 868 | $185.7K | $213.95 | 3.67x |
| 13121 | Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 636 | $151.0K | $237.47 | 2.99x |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 1.0K | $139.2K | $135.92 | 1.92x |
| 11102 | Biopsy of related skin growth, first growth | 2.0K | $131.2K | $66.11 | 2.48x |
| 14041 | Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm | 141 | $112.2K | $795.56 | 1.88x |
This provider submits charges 2.03 times higher than what Medicare actually pays.
A markup ratio of 2.03x means for every $100 Medicare pays, this provider initially charges $203. 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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