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

Why is the Medicaid comparison limited to New Hampshire 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 Hampshire (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.

James Dinulos (NPI 1023037579)

Field	Value
Entity Type	Individual
Organization	James Dinulos
Address	330 Borthwick Ave
City	Portsmouth
State	NH
ZIP	03801
Taxonomy	Dermatology Physician
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicare	$736.5K
Medicaid	$0

Key Findings

This provider’s Medicare revenue is concentrated in procedural, surgical dermatology activity: the top three Medicare codes are 17311 ($262.9K, 38.4%), 17313 ($74.1K, 10.8%), and 12032 ($44.2K, 6.5%), and those three codes together account for 55.7% of the provider’s total Medicare revenue. The mix of high‑revenue Mohs codes (17311, 17313) alongside intermediate repair code 12032 indicates a practice oriented toward skin cancer excision with on‑site reconstruction rather than primarily medical dermatology.

The provider reported $736.5K in total Medicare revenue and has no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in the claims data. Absence of any Medicaid revenue means payer‑mix analyses should treat this entity as Medicare‑dominant rather than dual‑payer when modeling access or reimbursement exposure.

Competitive standing on Mohs is solid but not dominant nationally: 17311 ranks #473 of 2969 providers (84th percentile; typical, unremarkable volume) and 17313 ranks #317 of 2300 providers (86th percentile; typical, unremarkable volume). At the same time, the related Mohs add‑on 17312 sits lower at rank #1580 of 2770 providers (43th percentile; typical, unremarkable volume), showing some variation in Mohs case mix versus national peers.

The provider is an extreme outlier on intermediate wound repair relative to national peers: 12032 (235 claims, $44.2K revenue) ranks #84 of 6420 providers (99th percentile; extreme outlier, far above typical national volume for this code), and 12034 (62 claims, $11.7K revenue) ranks #6 of 633 providers (99th percentile; extreme outlier, far above typical national volume for this code). Those unusually high repair volumes suggest substantial reconstructive workload that likely follows excisions or trauma, positioning the provider as a regional hub for procedural closures.

Reconstructive and graft procedures also contribute meaningfully: 15220 produced $21.7K (3.2% of Medicare revenue) and ranks #17 of 133 providers (86th percentile; typical, unremarkable volume), while 15260 generated $18.9K (2.8%). Together with high repair codes, these graft codes corroborate a practice profile focused on surgical reconstruction and tissue transfer after excisions.

Ancillary procedural services and therapies are present but represent smaller shares of revenue: J7308 (aminolevulinic acid) produced $13.2K (1.9%), and photodynamic therapy code 96574 accounted for $8.9K (1.3%). These code lines indicate the provider offers non‑surgical lesion treatments in addition to a surgical base, broadening the service mix offered to Medicare beneficiaries.

Office visit volume supports the procedural throughput: 99213 generated $21.5K (3.1%) with 390 claims (rank #40616 of 457151, 91th percentile; typical, unremarkable volume) and 99212 generated $12.4K (1.8%) with 281 claims (rank #3240 of 99011, 97th percentile; notably above typical national volume for this code). The relatively high E/M ranks suggest steady outpatient follow‑up and patient management capacity that complements the procedural workload.

The provider has long tenure in Medicare enrollment (NPI enumerated 2006-07-18 (~20 years ago)), which, combined with the concentrated surgical code mix and several extreme outlier repair codes, is consistent with an established surgical dermatology practice that has sustained referral or patient volume for procedural care over many years.

Medicare: Complete Services Breakdown

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

47 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…	540	$490	$262.9K
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.	150	$510	$74.1K
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.	240	$190	$44.2K
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…	220	$200	$43.6K
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.	100	$340	$35.7K
15220	This CPT code is for a free full–thickness skin graft of the scalp, arms, and/or legs that is 20 cm2 or less in size.	40	$620	$21.7K
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…	390	$60	$21.4K
15260	This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.	20	$820	$18.9K
17262	The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to 2.0 cm in…	130	$130	$16.6K
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.	20	$760	$14.4K

Showing 1–10 of 47

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 47 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

James Dinulos — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

47 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	3	10	350	$380	$144.3K
17312	12	10	160	$270	$58.3K
14061	3	10	20	$740	$33.9K
17313	2	10	80	$430	$32.4K
15260	4	10	20	$720	$31.5K
14301	4	10	10	$840	$27.7K
14041	4	10	20	$700	$27.2K
15220	1	10	40	$620	$21.7K
13132	1	20	60	$190	$16K
99214	2,189	3,150	110	$80	$13.2K

Showing 1–10 of 47

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kevin O'bryan	KY	Dermatology Physician	$446.1K	$0
Margaret Moye	KY	Dermatology Physician	$398.1K	$0
Andrew Werchniak	NH	Dermatology Physician	$284.9K	$0
Jeffrey Richardson	KY	Dermatology Physician	$254.6K	$0
Chad Brown	KY	Dermatology Physician	$254.3K	$0
Nicola Levasseur	NH	Nurse Practitioner	$150.7K	$0
Megan Metheny	NH	Nurse Practitioner	$148.6K	$0
Rebecca Laliberte	NH	Physician Assistant	$146.1K	$0
Jonathan Glass	NH	Dermatology Physician	$145.4K	$0
Ashton Lokar	RI	Family Nurse Practitioner	$131.1K	$5.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region Viii, One Sky Community Services Inc.	NH	Case Management Agency	$0	$192.2M
Novocure Inc.	NH	Durable Medical Equipment & Medical Supplies	$0	$113.1M
Seacoast Mental Health Center, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$74.2M
Hca Health Services Of New Hampshire Inc	NH	General Acute Care Hospital	$0	$18.8M
Pmc Medical Group, LLC	NH	General Practice Physician	$392K	$11.2M
Greater Seacoast Community Health	NH	Federally Qualified Health Center (FQHC)	$0	$6.6M
Kinley Beck	NH	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Portsmouth School Department	NH	Local Education Agency (LEA)	$0	$2.6M
Preferred Home Health Care And Nursing Services	NH	Durable Medical Equipment & Medical Supplies	$0	$2.3M
Watterworth Orthodontics, PA	NH	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.3M

James Dinulos — 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