A memory controller interfaces with a dynamic random access memory (DRAM). The memory controller selectively places memory commands in a memory interface queue and transmits the memory commands from the memory interface queue to a memory channel coupled to at least one dynamic random access memory (DRAM). An activate counter is maintained related to a number of activate commands sent over the memory channel to a memory region of the DRAM. In response to the activate counter being at or above a designated threshold, an arbiter is signaled that a refresh command should be sent to the memory region. In response to a designated condition, a value of the activate counter is adjusted by a total number based on a first fixed number and second varying number selected with one of random selection and pseudo-random selection.