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

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

Orville Hartford (NPI 1053437780)

Field	Value
Entity Type	Individual
Organization	Orville Hartford
Address	381 Main St
City	Orono
State	ME
ZIP	04473
Taxonomy	Dermatology Physician
NPI Enumerated	March 22, 2007

Payer Source	Total Paid
Medicare	$272.4K
Medicaid	$0

Key Findings

This provider’s Medicare activity is concentrated in outpatient dermatology office visits and lesion procedures: the single largest Medicare code is 99213 (1.6K claims, $57 avg paid/claim, $91.3K revenue, 33.5% of Medicare revenue), supplemented by frequent lesion destruction codes 17110 (370 claims, $73 avg paid/claim, $27K revenue) and 17004 (235 claims, $113 avg paid/claim, $26.6K revenue). The mix of high-volume E/M and multiple destruction/biopsy codes (including 11102 and 17000/17003) is consistent with an office-based procedural dermatology practice focused on diagnosis and non-melanoma lesion treatment rather than major surgical oncology procedures.

Revenue is highly concentrated: the precomputed top three Medicare CPTs (99213, 17110, 17004) account for 53.2% of the provider’s total Medicare revenue, and 99213 alone represents 33.5% ($91.3K) of Medicare revenue. That concentration indicates that changes in E/M reimbursement or utilization patterns for minor lesion treatment would meaningfully affect overall Medicare receipts.

This provider has $272.4K in lifetime Medicare revenue and no Medicaid billing on file, so the practice operates effectively as single‑payer Medicare in the available data. Absence of Medicaid billing suggests limited or no participation in state Medicaid programs during the reporting window, concentrating payer risk and patient access considerations on Medicare.

The provider’s competitive standing is bifurcated: for 99213 the provider ranks #1773 of 457151 (100th percentile; extreme outlier), indicating nationally exceptional volume of established-patient office visits relative to peers. By contrast, major procedural codes such as 17110 (rank #1607 of 19650, 92th percentile) and 17004 (rank #609 of 9638, 94th percentile) sit at high but more typical percentiles, so the practice appears nationally dominant for routine E/M volume while being a strong but not singular leader on common procedural codes.

Several codes show distributional and operational detail that affect revenue composition: 17003 appears with 2.1K claims but a low $5 avg paid/claim and $10.5K revenue (3.9% of Medicare revenue), reflecting many low‑value add‑on units billed for additional lesions. This pattern—high claim counts with low per-claim payment for add-on lesion destruction—suggests frequent multiple-lesion treatments per encounter that amplify claim volume but not necessarily per-encounter revenue.

The provider delivers a breadth of minor procedural services beyond destruction and E/M, including biopsies (11102: 347 claims, $61 avg paid/claim, $21.2K revenue) and intermediate wound repair (12032: 37 claims, $225 avg paid/claim, $8.3K revenue). More complex excision codes (e.g., 11603, 11602) appear at much lower volumes and percentiles, indicating occasional surgical excisions but a clinical focus weighted toward diagnostics and minimally invasive lesion management.

The NPI tenure is long-standing: enumerated 2007-03-22 (~19 years ago), which aligns with an established local practice footprint in Orono, ME and helps explain sustained Medicare billing patterns. Long tenure combined with the extreme national outlier status on 99213 suggests a stable referral and follow-up population driving high E/M volumes over time.

Medicare: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,600	$60	$91.3K
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…	370	$70	$27K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	240	$110	$26.6K
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.	350	$60	$21.2K
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.	580	$40	$20.4K
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…	200	$80	$16K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	2,100	$10	$10.5K
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…	80	$120	$8.8K
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…	160	$60	$8.6K
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.	40	$230	$8.3K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Orville Hartford — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11102	9	70	90	$60	$9.3K
17000	5	90	140	$40	$7.5K
17004	2	20	30	$110	$7.4K
99214	391	2,500	70	$70	$7.2K
17110	1	70	70	$70	$6.6K
12032	6	20	30	$180	$6.4K
17262	6	30	30	$110	$5K
99213	2	2,350	50	$50	$4.3K
17282	2	10	20	$140	$3.8K
99204	328	810	30	$100	$3.6K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Faith Whalen	ME	Dermatology Physician	$493.5K	$0
Samantha Mitchell	ME	Dermatology Physician	$120.5K	$0
Holly Haeberlein	ME	Dermatology Physician	$99.7K	$0
Douglas Rhoda	ME	Physician Assistant	$53.2K	$0
Alana Silverman	ME	Surgical Physician Assistant	$51.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iam-3rivers	ME	Intellectual Disabilities Intermediate Care Facility	$0	$8M
Earth Angels Home Care LLC	ME	In Home Supportive Care Agency	$0	$980.5K
Town Of Orono	ME	Land Ambulance	$117.7K	$468.5K
Asha Shrestha	ME	Rheumatology Physician	$545.4K	$0
Kristen Whitney	ME	Gerontology Nurse Practitioner	$55.9K	$0
Randy Cyr	ME	Physical Therapist	$51.7K	$0
Walter Doerfler	ME	Family Medicine Physician	$41.5K	$0

Orville Hartford — 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