Medicare Enrolled
Dr. Carlos Paz, MD, PHD
Procedural Dermatology Physician · Fresno, CA
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Paz from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Paz
Dr. Carlos Paz is a procedural dermatology physician in Fresno, CA, with 13 years of NPI registration. Based on federal Medicare data, Dr. Paz performed 12,801 Medicare services across 7,119 unique beneficiaries.
Between the years covered by Open Payments, Dr. Paz received a total of $1,077 from 17 pharmaceutical and/or device companies across 45 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in procedural dermatology physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Paz is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 13 years in practice
▲ Top 12% volume in CA
$1,077 industry payments
Medicare Practice Summary
Medicare Utilization ↗12,801
Medicare services
Top 12% in CA for procedural dermatology physician
7,119
Unique beneficiaries
$135
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~985 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Destruction of precancerous skin growths, 2-14 This procedure involves the removal or destruction of two to fourteen precancerous skin lesions. It is performed to eliminate abnormal skin cells that have the potential to develop into cancer. |
2,927 | $5 | $9 |
| Tissue pathology examination, moderate complexity A laboratory test where a pathologist examines tissue samples under a microscope to analyze cellular details. This intermediate complexity procedure involves specialized techniques to identify abnormalities in the tissue. |
2,159 | $53 | $88 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
1,519 | $63 | $121 |
| Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 959 | $339 | $566 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
677 | $39 | $92 |
| Skin growth removal and lab exam, 1-5 blocks This procedure involves the removal of a growth from the head, neck, hands, feet, or genitals. The removed tissue is then examined under a microscope in the laboratory. |
626 | $280 | $928 |
| Destruction of skin growths (warts/lesions), 1-14 This procedure involves the removal or destruction of one to fourteen skin growths. It is a minor surgical intervention performed on the skin surface. |
542 | $85 | $158 |
| Skin biopsy, tangential A procedure to remove a sample of the first identified skin growth for laboratory examination. |
492 | $69 | $141 |
| Additional Mohs surgery stage with microscopic exam This procedure involves the removal and microscopic examination of an additional stage of tissue from the trunk, arms, or legs. It is performed in stages to ensure complete removal of the growth. |
406 | $326 | $543 |
| Skin growth removal and lab exam, 1-5 blocks A procedure to remove a growth from the trunk, arms, or legs and send 1 to 5 tissue samples to a laboratory for microscopic examination. |
328 | $414 | $873 |
| Additional skin growth biopsy Removal of a sample of an additional skin growth for laboratory examination. This code is used for each extra lesion biopsied during the same session. |
294 | $41 | $69 |
| Skin graft repair, 10 sq cm or less A surgical procedure to repair a wound by transferring a small piece of skin to the affected area. The graft covers wounds on the face, neck, hands, feet, or other specified body parts. |
281 | $597 | $1,026 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
165 | $94 | $171 |
| Skin graft repair, 10.1-30 sq cm A surgical procedure to repair wounds on the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin. The graft covers an area between 10.1 and 30.0 square centimeters. |
148 | $741 | $1,243 |
| New patient office visit (30-44 min) An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range. |
142 | $74 | $149 |
| Complicated wound repair, scalp/arms/legs, 2.6-7.5 cm A complex surgical procedure to close a wound on the scalp, arms, or legs that measures between 2.6 and 7.5 centimeters in length. |
139 | $187 | $583 |
| Destruction of 15 or more precancerous skin growths This procedure involves the removal or destruction of fifteen or more precancerous skin lesions. It is performed to treat abnormal skin cells that have the potential to develop into cancer. |
131 | $133 | $232 |
| Skin graft repair, 10 sq cm or less A surgical procedure to repair a wound on the scalp, arms, or legs by transferring a small piece of skin, 10 square centimeters or less, to the affected area. |
123 | $551 | $953 |
| Complicated wound repair of trunk, 2.6-7.5 cm A surgical procedure to close a complex wound on the trunk that measures between 2.6 and 7.5 centimeters in length. |
118 | $208 | $545 |
| Skin graft for scalp, arm, or leg wound, 10.1-30 sq cm This procedure involves repairing a wound on the scalp, arms, or legs by transferring skin from another area to cover the defect. The graft size is between 10.1 and 30.0 square centimeters. |
96 | $695 | $1,169 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
91 | $1 | $15 |
| Destruction of skin growth, 15 or more growths | 86 | $97 | $184 |
| Full thickness skin graft to nose, ears, eyelids, or lips, 20 sq cm or less A surgical procedure where a full layer of skin is taken from a donor site and transplanted to the nose, ears, eyelids, or lips. The graft covers an area of 20 square centimeters or less. |
79 | $782 | $1,349 |
| Pathology tissue examination, moderate complexity A laboratory test where a pathologist examines tissue samples under a microscope to identify abnormalities. This specific level indicates a moderate degree of complexity in the analysis. |
71 | $30 | $50 |
| Skin graft repair of eyelid, nose, ear, or lip, 10 sq cm or less A surgical procedure to repair a wound on the eyelid, nose, ear, or lip by transferring a small piece of skin. The transferred skin covers an area of 10 square centimeters or less. |
50 | $603 | $1,030 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
30 | $123 | $222 |
| Ear tissue biopsy A procedure to remove a small sample of tissue from the ear for laboratory examination. |
28 | $48 | $132 |
| Removal of noncancer skin growth, 2.1-3.0 cm This procedure involves the surgical removal of a benign skin growth located on the body, arms, or legs. The excised tissue measures between 2.1 and 3.0 centimeters in diameter. |
24 | $82 | $269 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
24 | $9 | $19 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
22 | $44 | $76 |
| Complicated wound repair, trunk, each additional 5 cm or less This procedure involves a complex repair of a wound on the trunk, performed in addition to the primary repair. It covers each additional 5.0 cm or less of wound length. |
12 | $96 | $156 |
| Complicated wound repair, each additional 5 cm or less This code covers the additional work for a complex surgical repair of a wound on the scalp, arms, or legs when the repair extends beyond the initial measurement. It is billed for each incremental 5-centimeter segment added to the primary procedure. |
12 | $105 | $171 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
3.2% high complexity
7.3% medium
89.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$1,077
Total received (2018-2024)
Avg $154/year across 7 years
Bottom 37% in CA for procedural dermatology physician
17
Companies
45
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,035 (96.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$42 (3.9%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$193
2023
$26
2022
$14
2021
$104
2020
$127
2019
$174
2018
$439
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
REVANCE THERAPEUTICS, INC.
$118
GENZYME CORPORATION
$30
ABBVIE INC.
$28
Incyte Corporation
$17
Top 3 companies account for 91.0% of 2024 payments
All-time payments by company (2018-2024) ›
GENZYME CORPORATION
$217
Galderma Laboratories, L.P.
$185
Novartis Pharmaceuticals Corporation
$137
REVANCE THERAPEUTICS, INC.
$118
LEO Pharma Inc.
$54
Lilly USA, LLC
$53
Biofrontera Inc.
$51
AbbVie Inc.
$45
Janssen Biotech, Inc.
$36
PFIZER INC.
$36
Allergan Inc.
$28
ABBVIE INC.
$28
SANOFI-AVENTIS U.S. LLC
$21
UCB, Inc.
$19
Incyte Corporation
$17
AbbVie, Inc.
$16
Allergan, Inc.
$14
Top 3 companies account for 50.0% of all-time payments
Associated products mentioned in payments ›
AMELUZ · Ameluz · BOTOX · COSENTYX · Cimzia · DAXXIFY · DERMATITIS - DISEASE · DUPIXENT · ENSTILAR · EPIDUO FORTE · EUCRISA · HUMIRA · Humira · OPZELURA · ORACEA · PICATO · REMICADE · SKYRIZI · SOOLANTRA · TALTZ · TREMFYA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (96%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Procedural dermatology physicians within 10 mi
4
Per 100K population
0.4
County median income
$71,434
Nearest hospital
SAINT AGNES MEDICAL CENTER
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Paz is a mixed practice specialist, with above-average Medicare volume (top 12% in CA), with low-engagement industry engagement.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Paz experienced with destruction of precancerous skin growths, 2-14?
Based on Medicare claims data, Dr. Paz performed 2,927 destruction of precancerous skin growths, 2-14 services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Paz receive payments from pharmaceutical companies?
Yes. Dr. Paz received a total of $1,077 from 17 companies across 45 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Paz's costs compare to other procedural dermatology physicians in Fresno?
Dr. Paz's average Medicare payment per service is $135. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Paz) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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