Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Nj Certified Dermatology PC (NPI 1003263807)

Nj Certified Dermatology PC is a dermatology physician provider located in Neptune, New Jersey. This profile covers 0 Medicare and 35 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Nj Certified Dermatology PC
Address	26 Highway 35 N
City	Neptune
State	NJ
ZIP	07753
Taxonomy	Dermatology Physician
NPI Enumerated	May 21, 2016

Payer Source	Total Paid
Medicaid	$14.9M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

35 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	109,030	$50	$5.3M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	35,980	$70	$2.7M
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	29,710	$50	$1.6M
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	15,340	$80	$1.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	14,010	$80	$1.1M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	35,770	$30	$1M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	8,650	$40	$380.5K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	6,060	$60	$357.3K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	3,470	$70	$236.2K
11900	This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…	6,180	$40	$222.5K

Showing 1–10 of 35

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Nj Certified Dermatology PC — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

35 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88344	The lab analyst applies a single multiplex antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	3	10	3,230	$60	$529.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	38	210	1,660	$60	$347.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	26	4,450	740	$40	$229.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	152	3,790	580	$60	$204K
12032	This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.	1	10	530	$220	$117.9K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	5	1,460	150	$80	$97.8K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	2	60	150	$60	$89.1K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	153	1,160	110	$110	$79.7K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	29	130	800	$30	$72.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	12	1,520	260	$40	$71.9K

Showing 1–10 of 35

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
NPI 1316943053	—	—	$1.8M	$0
Joseph Tan	MI	Ophthalmology Physician	$1.1M	$0
Peter Lapis	NJ	Anatomic Pathology & Clinical Pathology Physician	$794.1K	$0
James Lewis	PA	Ophthalmology Physician	$530.8K	$0
A'sha Brown	PA	Retina Specialist (Ophthalmology) Physician	$497.7K	$0
Conrad Benedetto	PA	MOHS-Micrographic Surgery Physician	$462.3K	$0
Cristan Arena	PA	Ophthalmology Physician	$460.2K	$0
Rami Geffner	NJ	Dermatology Physician	$443.5K	$0
Solomon Luo	PA	Ophthalmology Physician	$390.9K	$31.1K
Manhong Ma	NJ	Dermatology Physician	$354.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$128.2M
Children's Center Programs, LLC	NJ	Developmentally Disabled Services Day Training Agency	$0	$44.6M
Coastal Ear Nose And Throat, LLC	NJ	Otolaryngology Physician	$0	$13.3M
Preferred Home Healthcare & Nursing Services, Inc.	NJ	Home Health Agency	$0	$13M
Jsas Healthcare, Inc.	NJ	Methadone Clinic	$480K	$12.3M
Neptune Adult Day Health Center, Inc.	NJ	Adult Day Care Clinic/Center	$0	$12.5M
Meridian Hospitals Corporation	NJ	General Acute Care Hospital	$0	$11.8M
Morning Glory Behavioral Health Partial Care Program LLC	NJ	Adult Mental Health Clinic/Center	$0	$10M
Alternative Counseling Method LLC	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.9M
Aba Solutions LLC	NJ	Behavior Analyst	$0	$8.8M

Nj Certified Dermatology PC — Billing Profile & Reimbursement Data

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Nj Certified Dermatology PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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