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 Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware 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. Delaware (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.

Sara Moghaddam (NPI 1013203462)

Key Findings

Field	Value
Entity Type	Individual
Organization	Sara Moghaddam
Address	39394 Dupont Blvd
City	Selbyville
State	DE
ZIP	19175
Taxonomy	Dermatology Physician
NPI Enumerated	June 23, 2011

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

This provider is effectively a single‑payer Medicare practice: lifetime Medicare revenue is $1.1M and there is no Medicaid billing on file. The absence of any Medicaid claims suggests the provider’s patient mix and revenue exposure are concentrated on Medicare rather than a dual‑payer model.

Revenue concentration is high: the top three Medicare codes account for 52.4% of this provider’s total Medicare revenue. Those top codes are 17311 ($297.1K, 28.7%), Q4197 ($170.4K, 16.4%), and 99214 ($75.6K, 7.3%), indicating a small set of services drives the majority of Medicare dollars.

The code mix points to a surgical dermatology and Mohs-focused practice with significant reconstructive work. High‑revenue Mohs procedure codes appear (17311 $297.1K; 17312 $66K; 17313 $33.9K) alongside reconstructive/complex repair codes such as 13132 ($52.7K) and 13121 ($34.7K), and flap/graft codes like 14040 ($31.3K), which together indicate regular excisions with immediate reconstruction.

There is substantial use of an advanced wound product: Q4197 (Puraply xt) appears as a top revenue driver with 1.3K claims and $170.4K in revenue, reflecting routine billing for a per‑square‑centimeter wound matrix add‑on in surgical or wound care procedures. This product mix, combined with multiple destruction and biopsy codes (17000, 17003, 11102), suggests integrated operative treatment plus post‑procedure wound management.

Office-based evaluation and management activity is robust: 99214 has 840 claims and $75.6K revenue and ranks in the 96th percentile as "notably above typical national volume," while 99213 has 823 claims and $54.3K revenue and ranks in the 98th percentile as "notably above typical national volume." These volumes indicate a steady panel of established patients and frequent follow‑up visits supporting the surgical workload.

Competitive standing is mixed by service line: for Mohs (17311) the provider’s ranking is described as "typical, unremarkable volume" (ranks #320 of 2969, 89th percentile), and for Q4197 the ranking is also typical (ranks #46 of 82, 44th percentile), but several reconstruction and support codes are nationally strong — for example, 13132 (95th percentile, "notably above typical") and 88331 (98th percentile, "notably above typical"). This pattern describes a provider who is not an outlier for primary Mohs volume nationally but is comparatively high‑volume in specific reconstructive and pathology services.

Operational and payer‑risk implication: with $1.1M in Medicare revenue and no Medicaid billing on file, the practice has concentrated exposure to Medicare reimbursement patterns and regulations. That concentration may simplify payer contracting and billing workflows but increases sensitivity to Medicare policy changes affecting the specific high‑revenue codes (17311, Q4197, 99214).

The provider’s NPI tenure suggests an established practice footprint: NPI enumerated 2011-06-23 (~15 years ago). This longevity, combined with the mix of high‑volume E/M visits, Mohs procedures, and reconstructive codes, is consistent with an ongoing, procedural dermatology practice that has built a sustained Medicare revenue profile over time.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	620	$480	$297.1K
Q4197	Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)	1,330	$130	$170.4K
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…	840	$90	$75.6K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	200	$330	$66K
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…	820	$70	$54.3K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	260	$200	$52.7K
13121	This is for a complex repair of a wound to the scalp, arms, and/or legs. This wound should be 2.6 to 7.5 cm in size.	150	$230	$34.7K
17313	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	70	$500	$33.9K
14040	The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…	50	$600	$31.3K
88331	Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…	340	$80	$27.8K

Showing 1–10 of 38

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Atlantic General Hospital Corporation	MD	Family Medicine Physician	$0	$5.4M
Rabindra Paul	MD	Infectious Disease Physician	$2.1M	$0
Curtis Asbury	DE	Dermatology Physician	$1.1M	$0
David Chung	MD	Diagnostic Ultrasound Physician	$1.1M	$0
Osamuyimen Igbinosa	DC	Internal Medicine Physician	$278.3K	$641.7K
Mark Treuth	MD	Interventional Cardiology Physician	$905.6K	$0
Manoj Jain	MD	Radiation Oncology Physician	$695.5K	$0
Gerard Hogan	MD	Body Imaging Physician	$631.9K	$0
Daniel Cason	MD	Diagnostic Radiology Physician	$614.6K	$0
Stephan Pavlos	MD	Cardiovascular Disease Physician	$608.6K	$0

Sara Moghaddam — Billing Profile & Reimbursement Data

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Sara Moghaddam — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4197	1	10	1,330	$130	$170.5K
17311	2	10	300	$470	$164.4K
17312	3	10	140	$330	$55.2K
17313	6	10	80	$480	$51.3K
14041	8	10	40	$630	$42.1K
14040	3	10	40	$540	$28K
99214	160	1,830	150	$80	$25.5K
14060	12	20	30	$560	$22.2K
13121	3	20	50	$240	$19.2K
11102	18	50	180	$60	$17.7K