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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Dorsey
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    Robert Dorsey — Billing Profile & Reimbursement Data

    NPI 1013905520 · Lady Lake, FL · Surgery Physician

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    Robert Dorsey is a surgery physician provider located in Lady Lake, Florida. This profile covers 19 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Dorsey
    Address809 Cr Highway 466, Ste 201c
    CityLady Lake
    StateFL
    ZIP32159
    TaxonomySurgery Physician
    NPI EnumeratedOctober 10, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$4.3M
    Medicaid$0

    Key Findings

    This provider’s Medicare business is highly concentrated: top 3 Medicare codes by revenue account for 92.1% of this provider's total Medicare revenue, with Q4217 alone contributing $3.6M (84.8% of Medicare revenue) and an average paid of $906 avg paid/claim. That concentration indicates the practice’s volume and revenue are overwhelmingly driven by a single wound-care add‑on service.

    The code mix signals a wound-care and adjunctive therapy operation rather than a general surgery clinic. Q4217 (wound dressings/biologic per cm2), 11042 (surgical debridement to subcutaneous layer), and G0277 (hyperbaric oxygen per 30 minute interval) dominate the portfolio, and additional codes for skin substitutes (15271, 15275), ultrasound (93925/93970), and low‑frequency ultrasound therapy (97610) point to integrated wound center services that combine debridement, advanced dressings/skin substitutes, and hyperbaric therapy.

    This provider is effectively single‑payer in observed claims: Total Medicare revenue is $4.3M while Total Medicaid revenue is none (no Medicaid billing on file), so Medicare represents the entire payor footprint in the available claims data. That payer mix means financial exposure and growth opportunity depend almost entirely on Medicare referrals and reimbursement for wound‑care services.

    Competitive standing varies by code. For the volume-driving wound dressing code Q4217 the provider ranks #12 of 65 nationally (83th percentile; typical, unremarkable volume for this code), indicating respectable but not dominant share among peers for that specific add‑on product. By contrast, the provider’s 11042 volume ranks #69 of 10712 (99th percentile; extreme outlier, far above typical national volume), identifying unusually high national activity for debridement compared with peers.

    Several codes are flagged as statistical outliers, underscoring specialty intensity rather than broad practice breadth. The 11042 debridement code is labeled an “extreme outlier, far above typical national volume,” and 99213 (office established visit) also appears as an extreme outlier at the national level, which together suggest both high procedure throughput and a heavy volume of routine follow‑ups tied to wound-care episodes.

    Reimbursement profile reinforces service intensity: Q4217 is paid at $906 avg paid/claim and generates $3.6M of the $4.3M Medicare revenue total, while G0277 is paid at $127 avg paid/claim for $180.7K revenue and 11042 at $93 avg paid/claim for $131.3K. The disparity in avg paid/claim and revenue share shows reliance on a high‑unit‑value add‑on item (Q4217) plus high volumes of lower‑unit‑value procedures (11042) to produce the Medicare revenue mix.

    Tenure and market presence are well established from an enrollment perspective: the provider’s NPI was enumerated 2005-10-10 (~21 years ago), indicating long‑standing participation in Medicare which can support sustained referral relationships and programmatic wound‑care operations. That longevity combined with concentrated code usage suggests an entrenched niche practice rather than a recently diversified service line.

    Outside the top three, the provider shows a typical distribution of adjunct wound‑care services and diagnostics rather than broad ambulatory specialty breadth. Codes such as 97610 (low‑frequency ultrasound therapy), 15271 (skin substitute trunk/limb), and hyperbaric supervision 99183 appear at modest revenue shares and percentiles described as typical or unremarkable, consistent with an integrated wound center that supplements core debridement and biologic dressing activity rather than offering a wide array of unrelated surgical services.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4217Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)4,020$910$3.6M
    G0277Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval1,420$130$180.7K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.1,410$90$131.3K
    97610The provider uses a low–frequency ultrasound device to try to improve wound healing.300$330$98.2K
    99213The 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…1,240$70$85.7K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.270$120$32.5K
    99183In this procedure, the provider attends and supervises the administration of hyperbaric oxygen therapy to a patient to treat specific conditions, such as decompression sickness in deep sea divers,…360$90$30.3K
    99214The 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…280$100$27.7K
    99204The 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…150$120$18.4K
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…440$30$13.5K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q4217120600$1,020$2.2M
    G02771102,770$130$337.1K
    110439310200$160$60.7K
    97610130100$310$51.4K
    992141,82432,760140$90$25K
    11044212060$210$20K
    99183170150$90$19.6K
    1104221,000100$70$17.4K
    992134330,01080$60$12K
    17250422090$40$9.4K

    Showing 1–10 of 19

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Robert Dorsey, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lester E Cox Medical CentersMOGeneral Acute Care Hospital$0$112.3M
    Skaggs Community Hospital AssociationMOGeneral Acute Care Hospital$0$18.8M
    Poplar Bluff Hma Physician Management, LLCMOFamily Medicine Physician$0$9.9M
    Lester E Cox Medical CentersMOGeneral Practice Physician$0$9.2M
    Levent AkdumanMOOphthalmology Physician$3.1M$1.4M
    Farah Dawood-farahMIEndocrinology, Diabetes & Metabolism Physician$533.3K$0
    Erin BrunkanMONurse Practitioner$433.3K$0
    Frederick EmgeIDPediatric Cardiology Physician$0$422.8K
    Mindy VespermanMONurse Practitioner$375.1K$0
    Ibrahim AbdallaMORadiation Oncology Physician$352.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Robert Dorsey, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maen HusseinFLMedical Oncology Physician$3.2M$0
    Rakesh RohatgiFLMedical Oncology Physician$2.5M$0
    Georg CouturierFLCardiovascular Disease Physician$2.2M$0
    Sachin KamathFLRadiation Oncology Physician$2M$0
    Jennifer CultreraFLMedical Oncology Physician$1.9M$0
    Johnny GurgenFLDermatology Physician$1.6M$0
    Tlc Asc, LLCFLAmbulatory Surgical Clinic/Center$1.5M$12.1K
    Nitza Alvarez TorresFLCardiovascular Disease Physician$1.5M$0
    National Surgical Centers Of America LLCFLAmbulatory Surgical Clinic/Center$1.4M$0
    Pablo ReyesFLMedical Oncology Physician$1.3M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Robert Dorsey — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida