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.

Jose Peraza (NPI 1033289020)

Field	Value
Entity Type	Individual
Organization	Jose Peraza
Address	252 Broad St
City	Claremont
State	NH
ZIP	03743
Taxonomy	Dermatology Physician
NPI Enumerated	November 8, 2006

Payer Source	Total Paid
Medicare	$378.5K
Medicaid	$0

Key Findings

This provider’s Medicare activity is the only public-payer footprint on file: total Medicare revenue is $378.5K and there is "none below" for Medicaid, so the provider effectively operates as a single-payer (Medicare) public-billing entity. The NPI was enumerated on 2006-11-08 (~20 years ago), indicating long tenure in the Medicare program.

Revenue is highly concentrated: the precomputed top three Medicare codes account for 72.9% of the provider’s total Medicare revenue, with 88305 contributing 57.9% of Medicare dollars, 99213 contributing 10.9%, and 11102 contributing 4.0%. This concentration indicates the bulk of public revenue depends on a very small set of services.

The code mix points to a practice model centered on specimen-based dermatopathology combined with routine office dermatology procedures. High-revenue pathology and lab interpretation codes such as 88305, 88342, and 88312 appear alongside outpatient E/M codes (99213, 99212) and skin procedure codes (11102, 17000, 17110), suggesting most revenue derives from processing and interpreting surgical skin specimens plus follow-up office care and lesion treatments.

On competitive standing, 88305 is a dominant revenue driver and shows a high national rank (#835 of 14580, 94th percentile) while the dataset characterizes that volume as "typical, unremarkable" for the code; 99213 ranks #14748 of 457151 (97th percentile) and is labeled "notably above typical national volume," indicating unusually strong production of mid-level E/M visits relative to national peers. These high-percentile ranks for the two largest codes imply this provider is a major producer of those specific services even if overall Medicare revenue is modest.

Secondary pathology/lab codes reinforce the pathology emphasis: 88342 accounts for $15K (4.0% of Medicare revenue) and 88312 accounts for $7.7K (2.0% of Medicare revenue), each described as "typical, unremarkable" volume at their national percentiles. The presence of multiple staining and interpretation codes indicates routine in-house or associated lab work is a meaningful part of billed services beyond the principal surgical pathology code.

There is a small but notable set of radiation planning and dosimetry codes in the billing mix (77280: $5.7K, 1.5%; 77290: $5.1K, 1.4%; 77300: $880, 0.2%; 77261: $812, 0.2%), though these items are low-volume relative to the pathology and dermatology procedure lines and carry low national percentiles (for example, 77290 is at the 7th percentile and 77300 at the 1st percentile). These entries merit attention for coding context but do not materially drive revenue.

From a payer/contracting perspective, the combination of a single public payer (Medicare only), long tenure (~20 years), and heavy revenue concentration (72.9% from the top three codes) signals that pricing or policy changes affecting surgical pathology (88305) or mid-level E/M visits (99213) would disproportionately affect the provider’s Medicare revenue. Analysts should prioritize review of surgical pathology billing patterns and E/M volumes when assessing clinical alignment, utilization, or network value.

Operationally, the dataset shows a modest absolute Medicare revenue base ($378.5K) but strong relative production in targeted services: high-percentile ranks for 88305 and 99213 alongside multiple ancillary pathology codes. For competitive benchmarking this suggests the provider is a specialized, procedure- and specimen-focused practitioner within dermatology rather than a broadly diversified ambulatory practice across many Medicare service lines.

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,900	$60	$218.6K
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…	690	$60	$41.3K
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.	220	$70	$15.2K
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,…	180	$80	$15K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	320	$40	$12K
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,…	200	$40	$8.4K
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…	100	$80	$8K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	100	$80	$7.7K
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…	90	$70	$6.6K
77280	The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.	30	$230	$5.7K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Jose Peraza — 2 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

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	5	70	770	$30	$54.9K
99214	2,135	3,150	110	$80	$13.2K
77401	2	10	140	$30	$12.9K
17000	42	120	190	$40	$11.4K
11102	27	100	120	$60	$9.6K
17110	57	110	110	$70	$9.4K
88341	58	60	260	$30	$8.4K
99213	44	2,900	70	$50	$6.9K
88342	22	70	150	$40	$6.9K
17004	40	50	30	$110	$6.4K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Peraza	NH	Dermatology Physician	$1.1M	$0
Matthew Zipoli	MA	MOHS-Micrographic Surgery Physician	$1.1M	$0
Jose E Peraza Md PLLC	NH	Dermatology Physician	$0	$870.9K
Windsor Hospital Corporation	VT	Internal Medicine Physician	$0	$524.3K
Gregory Aprilliano	NH	Certified Registered Nurse Anesthetist	$0	$478K
Jose E. Peraza	NH	Dermatology Physician	$0	$186.6K
David Lawlor	NH	Ophthalmology Physician	$180.1K	$5.1K
Caleb Howard	NH	Medical Physician Assistant	$167K	$0
Ashwin Kumar	NH	Medical Physician Assistant	$166.5K	$0
Lauren Pallet	VT	Optometrist	$0	$166.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Developmental Services Of Sullivan County, Inc.	NH	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$139.4M
Valley Regional Hospital Inc.	NH	Critical Access Hospital	$0	$10M
Colin B Boswell Dds PC	NH	Pediatric Dentistry	$0	$5.2M
Golden Cross Ambulance Inc	NH	Ambulance	$1.2M	$3.5M
Claremont School District	NH	Local Education Agency (LEA)	$0	$3M
Sullivan County Oral Health Collaborative	NH	Dental Clinic/Center	$0	$892.1K
Valley Regional Hospital, Inc.	NH	Urgent Care Clinic/Center	$0	$875.8K
Valley Regional Hospital, Inc	NH	Family Medicine Physician	$0	$782K
Samuel Giveen	NH	Optometrist	$120.2K	$544.2K
Tlc Family Resource Center	NH	Public Health or Welfare Agency	$0	$611.6K

Jose Peraza — Billing Profile & Reimbursement Data

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Jose Peraza — 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