Dermatology

Revenue benchmarks for Dermatology practices. E&M coding optimization, procedure documentation, and emerging care management.

$53K

Avg Missed/Year

14K

US Providers

550

Avg Patients

1.8

Avg Chronic Dx

Specialty Overview

Dermatology has the highest patient volume (550 avg Medicare patients) but the lowest per-patient revenue and care management adoption rates. The primary opportunity is E&M coding optimization — dermatology visits for complex conditions like skin cancer management and chronic dermatitis support higher coding levels than commonly billed.

Key Insight: Dermatology sees the highest patient volume but has the widest E&M coding gap. With 550 Medicare patients, shifting 99213→99214 for just 10% of visits adds $23,000+ annually.

E&M Coding Distribution

National benchmark for Dermatology E&M code distribution. Compare your practice against these targets to identify coding optimization opportunities.

99213

40%

$92/visit

99214

42%

$130/visit

99215

18%

$176/visit

Revenue Gap Breakdown

#1

E&M Coding Gap

$32.4K/yr

40% 99213 usage — the highest of any specialty. Skin cancer management, biopsy follow-ups, and complex medication management support 99214+.

#2

CCM (99490)

$8.4K/yr

3% adoption. Patients with psoriasis plus another chronic condition qualify.

#3

AWV (G0438/G0439)

$5.2K/yr

6% AWV rate is the lowest of any specialty. Skin cancer screening can be incorporated into AWV workflow.

#4

RPM (99453-99458)

$3.8K/yr

Wound care monitoring is an emerging RPM application for dermatology. 2% adoption.

#5

BHI (99484)

$3.0K/yr

12% depression prevalence. Chronic skin conditions significantly impact quality of life.

Care Management Adoption Rates

CCM

3%

Target: 15%

RPM

2%

Target: 10%

BHI

2%

Target: 10%

AWV

6%

Target: 70%

Common Chronic Conditions

Hypertension (42%)Diabetes (20%)Depression (12%)COPD (6%)Heart Failure (6%)

Recommended Billing Guides

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