Average Medicaid Skin Biopsy & Lesion Removal Payments in Santa Rosa, CA: $97.17
Avg. Paid
$97.17
Range
$12.19 – $119.94
Total Claims
4,281
Providers
11
Typical Payment Range
Typical Medicaid Skin Biopsy & Lesion Removal payments fall between $32.45 and $71.73 per claim (median: $49.92). The top 10% of payments exceed $92.79.
Based on per-provider averages across all Medicaid claims in this category.
Removal and microscopic examination of skin tissue to diagnose skin conditions, including suspicious moles, rashes, and potential skin cancers.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Skin Biopsy & Lesion Removal in Santa Rosa, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Jeffrey Louis Sugarman
2725 Mendocino Ave |
$116.79 | 2,005 | 1,705 |
|
Judith Hong Groves
2725 Mendocino Ave |
$84.64 | 813 | 762 |
|
Henry Eric Degroot
196 Wikiup Dr |
$104.86 | 575 | 480 |
|
Ligaya Francis Park
2725 Mendocino Ave |
$101.38 | 361 | 361 |
|
Northern California Medical Assoc Inc
2725 Mendocino Ave |
$23.55 | 252 | 252 |
|
William Francis Kivett
1140 Sonoma Ave Ste 1A |
$12.19 | 185 | 184 |
|
Jennifer Hayes
3562 Round Barn Circle |
$119.94 | 39 | 39 |
|
Bonnie Jean Kerr
3883 Airway Dr Ste 203 |
$102.15 | 15 | 14 |
|
Brianne Zechlinski Dickey
2725 Mendocino Ave |
$92.40 | 12 | 12 |
|
Angela Abboud
2725 Mendocino Ave |
$25.35 | 12 | 12 |
|
Jennifer Danielle Bleck
2725 Mendocino Ave |
$23.73 | 12 | 12 |
What to Expect: Skin Biopsy & Lesion Removal
A skin biopsy takes 15-30 minutes. The area is cleaned and numbed with local anesthetic. The doctor removes a small sample of skin tissue using one of several methods: shave, punch, or excisional biopsy. A few stitches may be needed. Mild discomfort and a small scar are common. Results from the pathology lab typically take 1-2 weeks.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 11102 | Tangential biopsy addl lesion | $64.91 | 704,767 | 2,299 |
| 11104 | Punch biopsy 1st lesion | $109.54 | 82,461 | 368 |
| 11103 | Tangential biopsy each addl | $40.87 | 73,076 | 350 |
| 11305 | Shave removal lesion scalp 0.5 | $21.83 | 56,499 | 132 |
| 11306 | Shave removal scalp 0.6-1cm | $32.90 | 39,363 | 105 |
| 11106 | Incisional biopsy 1st lesion | $105.07 | 25,288 | 19 |
| 11301 | Shave removal lesion 0.6-1cm | $42.64 | 22,135 | 118 |
| 11402 | Excision lesion trunk 1.1-2cm | $53.66 | 17,120 | 39 |
| 11606 | Excision malig trunk >4cm | $0.00 | 16,922 | 27 |
| 11307 | Shave removal scalp 1.1-2cm | $37.22 | 15,819 | 69 |
| 11422 | Excision lesion scalp 1.1-2cm | $48.13 | 13,892 | 20 |
| 11300 | Shave removal lesion 0.5cm | $33.39 | 12,390 | 73 |
| 11105 | Punch biopsy each addl | $31.01 | 12,216 | 62 |
| 11442 | Excision lesion face 1.1-2cm | $44.09 | 12,140 | 5 |
| 11302 | Shave removal lesion 1.1-2cm | $44.06 | 10,863 | 30 |
| 11443 | Excision lesion face 2.1-3cm | $62.47 | 8,948 | 3 |
| 11441 | Excision lesion face 0.6-1cm | $38.84 | 8,352 | 4 |
| 11421 | Excision lesion scalp 0.6-1cm | $26.78 | 7,801 | 20 |
| 11403 | Excision lesion trunk 2.1-3cm | $48.99 | 7,210 | 18 |
| 11423 | Excision lesion scalp 2.1-3cm | $48.14 | 5,611 | 9 |
| 11107 | Incisional biopsy each addl | $58.28 | 4,575 | 6 |
| 11420 | Excision lesion scalp 0.5cm | $24.13 | 4,525 | 20 |
| 11401 | Excision lesion trunk 0.6-1cm | $60.91 | 3,339 | 20 |
| 11312 | Shave removal face 1.1-2cm | $44.31 | 2,223 | 12 |
| 11311 | Shave removal face 0.6-1cm | $43.07 | 1,422 | 23 |
| 11424 | Excision lesion scalp 3.1-4cm | $55.23 | 1,307 | 4 |
| 11310 | Shave removal lesion face 0.5 | $40.00 | 1,131 | 17 |
| 11446 | Excision lesion face >4cm | $0.94 | 1,069 | 1 |
| 11440 | Excision lesion face 0.5cm | $45.25 | 964 | 4 |
| 11404 | Excision lesion trunk 3.1-4cm | $63.28 | 743 | 4 |
| 11426 | Excision lesion scalp >4cm | $28.15 | 658 | 4 |
| 11400 | Excision lesion trunk 0.5cm | $64.77 | 217 | 6 |
| 11603 | Excision malig trunk 2.1-3cm | $78.92 | 206 | 2 |
| 11406 | Excision lesion trunk >4cm | $65.23 | 186 | 3 |
| 11444 | Excision lesion face 3.1-4cm | $124.66 | 148 | 1 |
| 11602 | Excision malig trunk 1.1-2cm | $68.68 | 134 | 1 |
| 11600 | Excision malig lesion trunk 0.5 | $0.00 | 50 | 2 |
| 11604 | Excision malig trunk 3.1-4cm | $37.84 | 40 | 1 |
| 11601 | Excision malig trunk 0.6-1cm | — | — | — |
| 11620 | Excision malig scalp 0.5cm | — | — | — |
| 11621 | Excision malig scalp 0.6-1cm | — | — | — |
| 11622 | Excision malig scalp 1.1-2cm | — | — | — |
| 11623 | Excision malig scalp 2.1-3cm | — | — | — |
| 11624 | Excision malig scalp 3.1-4cm | — | — | — |
| 11626 | Excision malig scalp >4cm | — | — | — |
| 11640 | Excision malig face 0.5cm | — | — | — |
| 11641 | Excision malig face 0.6-1cm | — | — | — |
| 11642 | Excision malig face 1.1-2cm | — | — | — |
| 11643 | Excision malig face 2.1-3cm | — | — | — |
| 11644 | Excision malig face 3.1-4cm | — | — | — |
| 11646 | Excision malig face >4cm | — | — | — |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Skin Biopsy & Lesion Removal cost in Santa Rosa, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Skin Biopsy & Lesion Removal in Santa Rosa, CA is $97.17 per claim, based on 4,281 claims from 11 providers. Typical payments fall between $32.45 and $71.73. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Skin Biopsy & Lesion Removal in Santa Rosa, CA?
There are 11 Medicaid providers offering Skin Biopsy & Lesion Removal related services in Santa Rosa, CA according to public payment data.
What is the price range for Skin Biopsy & Lesion Removal in Santa Rosa, CA?
Medicaid reimbursement for Skin Biopsy & Lesion Removal in Santa Rosa, CA ranges from $12.19 to $119.94 per claim, with an average of $97.17. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Skin Biopsy & Lesion Removal in Other Cities
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