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

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

Lionel Handler (NPI 1013988260)

Field	Value
Entity Type	Individual
Organization	Lionel Handler
Address	10105 Banburry Cross Dr
City	Las Vegas
State	NV
ZIP	89144
Taxonomy	Dermatology Physician
NPI Enumerated	January 27, 2006

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Key Findings

This provider is effectively a single‑payer Medicare practice: lifetime Medicare revenue is $1.2M and there is no Medicaid billing on file. The absence of any Medicaid claims suggests the provider’s patient mix and payer relationships are concentrated on Medicare beneficiaries rather than dual- or Medicaid-covered populations.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes by revenue account for 55.1% of this provider's total Medicare revenue. Those top three codes are 17004 ($291.4K, 24.8% of total Medicare revenue), 99213 ($189.7K, 16.1%), and 17311 ($167K, 14.2%), indicating that a majority of dollars flow through lesion destruction, routine office visits, and Mohs surgery.

The CPT mix indicates a surgical dermatology practice with a heavy emphasis on lesion destruction and high‑volume office care: 17004 (destruction of 15 or more premalignant lesions) is the single largest revenue driver and 99213 (established office visit) is the second largest. In addition, substantial Mohs surgery billing (17311 and 17313) alongside numerous shave excision and closure codes (11311, 11302, 14041) demonstrates both procedural and follow‑up outpatient evaluation components to the business.

Competitive standing is nationally exceptional for several lesion and E/M codes: 17004 ranks #4 of 9638 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code) and 99213 ranks #166 of 457151 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). These rankings mark the provider as a major national outlier in volume for premalignant‑lesion destruction and routine E/M services, rather than a modest local participant.

While some surgical specialties like Mohs show strong activity, they are less extreme than the lesion‑destruction volumes: 17311 (Mohs) generated $167K (14.2% of Medicare revenue) and ranks #758 of 2969 providers nationally (74th percentile; typical, unremarkable volume for this code), while 17313 produced $84.8K (7.2%) and ranks #155 of 2300 providers nationally (93th percentile; typical, unremarkable volume for this code). This pattern suggests Mohs is an important but not uniquely dominant revenue stream compared with the unusually high 17004 volumes.

High throughput of minor procedure codes is another distinctive feature: 11311 produced $37.4K (3.2% of Medicare revenue) and ranks #11 of 1315 providers nationally (99th percentile; extreme outlier), and 11302 produced $34.5K (2.9%) and ranks #17 of 1546 providers nationally (99th percentile; extreme outlier). Those placements underscore a consistent, above‑typical procedural workload for shave excisions across both exposed and trunk/extremity sites.

Ancillary and reconstructive services are present and contribute meaningfully to revenue and care complexity: pathology code 88305 appears with 719 claims for $19.4K (1.6% of Medicare revenue), and reconstructive/closure codes such as 14041 ($48.4K, 4.1%) and 14061 ($35.2K, 3.0%) show the provider performs medium‑sized flap closures and tissue reconstruction. The combination of pathology billing and layered closure codes aligns with a practice that not only removes lesions but also performs subsequent reconstruction and submits specimens for histologic analysis.

This is an established practice with long tenure: the provider’s NPI was enumerated on 2006-01-27 (~20 years ago), and the lifetime Medicare total of $1.2M combined with sustained high ranks on multiple procedure codes indicates a long‑standing, Medicare‑focused surgical dermatology operation. Given the zero Medicaid billing on file, payer contracting and network engagement strategies appear concentrated on Medicare reimbursement rather than Medicaid participation.

Medicare: Complete Services Breakdown

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

34 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	2,330	$130	$291.4K
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…	3,110	$60	$189.7K
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…	430	$390	$167K
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.	200	$430	$84.8K
14041	The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…	70	$730	$48.4K
11311	The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.	460	$80	$37.4K
14061	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.	50	$780	$35.2K
11302	The provider shaves off a single epidermal or dermal lesion of 1.1 to 2.0 cm in diameter from the skin of the trunk, arms, or legs.	400	$90	$34.5K
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…	350	$90	$31.6K
14060	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.	50	$610	$27.3K

Showing 1–10 of 34

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nevada Distribution

Lionel Handler — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. state median

34 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	8	30	220	$450	$109K
88305	30	80	500	$40	$59.3K
17312	22	30	150	$320	$56.1K
17313	1	20	60	$450	$33.4K
14060	2	20	40	$570	$20.6K
99214	739	3,610	110	$80	$19K
14061	1	10	20	$780	$17.9K
13132	15	40	50	$210	$17.6K
17004	2	110	60	$120	$17.3K
14041	1	10	20	$690	$16.6K

Showing 1–10 of 34

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Strimling	NV	Dermatology Physician	$597.2K	$0
Alyssa Caparelli	NV	Medical Physician Assistant	$11.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pokroy Medical Group Of Nevada, Ltd.	NV	Neonatal-Perinatal Medicine Physician	$0	$33.7M
Summerlin Hospital Medical Center L L C	NV	General Acute Care Hospital	$0	$30.3M
Shelin Agrawal And Hyer PLLC	NV	Diagnostic Radiology Physician	$0	$20.4M
Reliant Physicians (kumar) PLLC	NV	Hospitalist Physician	$0	$16.8M
Desert Valley Pediatrics, LLP	NV	Pediatrics Physician	$0	$9.7M
Sunshine Valley Health Care-wesley J. Robertson M.d. Prof. Corp.	NV	Pediatrics Physician	$0	$6.3M
Orthopedic Motion, Inc	NV	Specialist	$0	$3.2M
Amir Z Qureshi Md Ltd	NV	Internal Medicine Physician	$0	$2.4M
Greater Las Vegas Dialysis LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.2M
Retina Consultants Of Nevada LLP	NV	Ophthalmology Physician	$0	$2M

Lionel Handler — 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

Nearby Providers

Frequently Asked Questions

References