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<p>Mohs micrographic surgery (MMS) is a specialized skin-sparing technique used to treat high-risk skin cancers and those in cosmetically sensitive areas. While MMS is considered the gold-standard for skin cancer treatment, access to MMS providers across the United States is inconsistent. The present study utilizes data from the Medicare Physician &amp; Other Practitioners – by Provider and Service (MPOP), which provides publicly available information about services and procedures performed by medical professionals for Medicare Part B beneficiaries, to characterize the geographic distribution of and factors associated with access to MMS care across the United States. Our findings identify a complex relationship between urban and rural MMS access, and higher median household incomes and lower unemployment rates in counties with a higher density of Mohs providers. Taken together, our study provides an initial atlas characterizing geographic and demographic variation in MMS procedures and will be complemented by future studies with additional data.</p>

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Geographic disparities and demographic influences in Mohs micrographic surgery: a county-level analysis of access and utilization in the U.S.

  • 期刊论文

  • 发表日期：

    2026年1月14日

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  • Swathi Holla,
  • Anna Catinis,
  • Nicole Nyamongo,
  • Vikram Shaw,
  • Jennifer S. Ranario,
  • Ikue Shimizu

摘要

Mohs micrographic surgery (MMS) is a specialized skin-sparing technique used to treat high-risk skin cancers and those in cosmetically sensitive areas. While MMS is considered the gold-standard for skin cancer treatment, access to MMS providers across the United States is inconsistent. The present study utilizes data from the Medicare Physician & Other Practitioners – by Provider and Service (MPOP), which provides publicly available information about services and procedures performed by medical professionals for Medicare Part B beneficiaries, to characterize the geographic distribution of and factors associated with access to MMS care across the United States. Our findings identify a complex relationship between urban and rural MMS access, and higher median household incomes and lower unemployment rates in counties with a higher density of Mohs providers. Taken together, our study provides an initial atlas characterizing geographic and demographic variation in MMS procedures and will be complemented by future studies with additional data.