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

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

Krystal Massey (NPI 1043630619)

Field	Value
Entity Type	Individual
Organization	Krystal Massey
Address	123 Western Hills Blvd
City	Cheyenne
State	WY
ZIP	82009
Taxonomy	Dermatology Physician
NPI Enumerated	April 23, 2014

Payer Source	Total Paid
Medicare	$248.3K
Medicaid	$0

Key Findings

This is an office-based dermatology practice by taxonomy and code mix: the provider's top Medicare codes include pathology (88305), established patient E/M visits (99214, 99213), procedural biopsies (11102, 11103) and lesion destruction/shave procedures (11301, 17000). The presence of J7308 (aminolevulinic acid) and photodynamic therapy codes 96573/96574 indicates that in-office PDT is offered in addition to surgical and diagnostic skin procedures. These coded services together define a typical outpatient dermatology service line focused on biopsy-driven diagnosis and lesion-directed treatments.

Revenue is highly concentrated in a small set of Medicare codes: the precomputed top-3 Medicare codes account for 64.4% of this provider's total Medicare revenue, with 88305 alone accounting for $99.9K (40.3% of Medicare revenue) and both 99214 and 99213 each contributing $29.8K (12.0% each). That concentration means a large share of lifetime Medicare billing is driven by pathology reads and mid-level-office visits rather than a broad mix of low-value ancillary codes.

Payer mix is effectively single-payer within the public programs: Total Medicare revenue is $248.3K while there is none for Medicaid (“no Medicaid billing on file”), indicating the provider either bills no Medicaid patients or does not participate in Medicaid; operational exposure and contract negotiations should be assessed with Medicare-centered performance in mind. Absence of Medicaid billing may limit patient-mix diversity and downstream referral patterns tied to state programs.

Competitive standing on key codes shows above-average national activity for certain services but is characterized in the source data as within expected ranges. For surgical pathology, the provider ranks #1778 of 14580 nationally (88th percentile) for 88305 and the data labels this as "typical, unremarkable volume for this code," suggesting stronger-than-average pathology revenue yet not an extreme outlier. For E/M visits, 99213 ranks #28257 of 457151 (94th percentile) and 99214 ranks #86593 of 479517 (82th percentile), both likewise described as "typical, unremarkable volume for this code," indicating steady office-visit volumes versus national peers.

The mix of biopsy and pathology codes reinforces that specimen-driven services are a primary revenue engine: 11102 (single lesion biopsy) generated $9.3K and 11103 (additional lesion) generated $2.5K, while the presence of 88304 ($2.3K) and 88305 ($99.9K) shows a pipeline from in-office biopsy to billed pathology interpretation. This operational pairing implies either regular submission of specimens to external pathology or integrated diagnostic workflows that produce substantial Medicare billable pathology revenue.

Photodynamic therapy and topical photosensitizer use are meaningful secondary service lines: J7308 produced $16.3K (6.6% of Medicare revenue) and PDT codes 96573 ($5.5K) and 96574 ($5.4K) are present, with 96573 ranked #213 of 580 (62th percentile) and 96574 ranked #660 of 1099 (37th percentile). These entries indicate the provider offers procedural treatment for precancerous lesions beyond simple destruction/shave techniques, which differentiates the practice mix from clinicians who bill only excisions and cryotherapy.

The provider has an established Medicare billing history dating to NPI enumeration on 2014-04-23 (~12 years ago), which supports a multi-year operating footprint in the market and a cumulative Medicare revenue of $248.3K over that lifetime. That tenure combined with concentrated pathology and E/M revenue suggests a stable, small-to-midsize dermatology practice with a sustained focus on diagnostic services rather than high-volume minor-procedure throughput.

Given the concentration of Medicare revenue in a few codes—notably 88305 at $99.9K (40.3% of Medicare revenue)—the practice's reimbursement and revenue outlook may be sensitive to changes in pathology or E/M valuation and utilization. The lack of Medicaid billing removes a potential volume buffer from state payer shifts; analysts should prioritize Medicare fee schedule and utilization trends for these specific codes when modeling future revenue or negotiating network arrangements.

Medicare: Complete Services Breakdown

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

24 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…	1,920	$50	$99.9K
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…	340	$90	$29.8K
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…	490	$60	$29.8K
J7308	Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)	60	$300	$16.3K
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.	150	$60	$9.3K
11301	The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the trunk, arms, or legs.	100	$80	$7.4K
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.	180	$40	$7.3K
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	$80	$6.8K
96573	The provider applies a photosensitizing drug to a lesion and exposes it to a specific wavelength of light, depending on how far into the body the light needs to penetrate. The procedure is performed…	30	$180	$5.5K
96574	This code is used to report removal of hyperkeratotic (hardened, dry, scaly) skin lesions that appear precancerous followed by photodynamic therapy that exposes a lesion treated with a…	20	$220	$5.4K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Krystal Massey — 0 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	3	20	600	$40	$43.1K
J7308	8	10	70	$300	$26.5K
99214	124	780	100	$80	$14.8K
96574	12	10	40	$190	$13K
99213	59	850	110	$60	$9.9K
11102	19	40	130	$60	$9.6K
17110	25	30	100	$70	$8.7K
17000	23	50	120	$30	$8.6K
11301	8	10	160	$70	$8.5K
11311	8	10	100	$90	$7.3K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Cary Chisholm	TX	Anatomic Pathology & Clinical Pathology Physician	$2.5M	$24.7K
Matthew Asano	CO	Ophthalmology Physician	$2M	$0
Peter Hovland	CO	Ophthalmology Physician	$1.8M	$0
James Levine	CO	Rheumatology Physician	$1.7M	$0
Navid Moradshahi	CA	Diagnostic Radiology Physician	$1.2M	$0
Angelo Santiago	WY	Specialist	$1.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Dentistry LLC	WY	Pediatric Dentistry	$0	$8M
Emg Cheyenne Sh LLC	WY	Assisted Living Facility	$0	$5.8M
Liv In-home Counseling & Care Management, LLC	WY	Primary Care Clinic/Center	$0	$5.7M
Lucy Russell	WY	Developmentally Disabled Services Day Training Agency	$0	$5.4M
Pediatric Dentistry LLC	WY	Pediatric Dentistry	$0	$4.1M
Bridges Of Wyoming, Inc	WY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$2.2M
Renee Dreher	WY	Clinical Social Worker	$0	$817.9K
Breanna Barnes	WY	Pediatric Dentistry	$0	$794.4K
College Drive Urgent Care LLC	WY	Urgent Care Clinic/Center	$0	$770.4K
Sandra Surbrugg	WY	Dermatology Physician	$664.9K	$0

Krystal Massey — 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