Loading...
NPI 1053846691 · Orchard Park, NY · Dermatology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Paul Wirth is a dermatology physician provider located in Orchard Park, New York. This profile covers 19 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Paul Wirth |
| Address | 3900 N Buffalo St |
| City | Orchard Park |
| State | NY |
| ZIP | 14127 |
| Taxonomy | Dermatology Physician |
| NPI Enumerated | April 20, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $199.7K |
| Medicaid | $300 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 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… | 120 | $490 | $56.7K |
| 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 | $200 | $46.6K |
| 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. | 40 | $470 | $17.3K |
| 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. | 50 | $310 | $16.3K |
| 11602 | The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs. | 160 | $90 | $14.9K |
| 12031 | 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 2.5 cm or less in size. | 50 | $170 | $8.3K |
| 12052 | This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size. | 50 | $120 | $6.3K |
| 11603 | The provider excises a cancerous (malignant) lesion, including margins, of 2.1 to 3.0 cm in diameter, from the skin of the trunk, arms, or legs. | 40 | $100 | $4K |
| 11604 | The provider excises a cancerous (malignant) lesion, including margins, of 3.1 to 4.0 cm in diameter, from the skin of the trunk, arms, or legs. | 20 | $200 | $3.8K |
| 11402 | The provider excises a noncancerous lesion, excluding a skin tag, of 1.1 to 2.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs. | 60 | $70 | $3.7K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 17311 | 105 | 150 | 200 | $520 | $136.2K |
| 17312 | 105 | 140 | 140 | $360 | $65.3K |
| 17313 | 96 | 120 | 80 | $510 | $50.8K |
| 11102 | 707 | 1,270 | 80 | $80 | $11.1K |
| 17000 | 1,029 | 1,300 | 120 | $40 | $8.7K |
| 12032 | 2 | 210 | 30 | $200 | $7.4K |
| 12052 | 13 | 50 | 30 | $150 | $5.9K |
| 17262 | 123 | 250 | 20 | $140 | $4.6K |
| 11103 | 372 | 770 | 40 | $40 | $4.5K |
| 12051 | 21 | 30 | 30 | $160 | $4.4K |
Showing 1–10 of 19
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 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… | 10 | $20 | $290 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 17,550 | 19,110 | 360 | $70 | $321K |
Other providers in the same ZIP code as Paul Wirth, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Aketa, Inc. | NY | In Home Supportive Care Agency | $0 | $48.6M |
| Linda Burns | NY | Internal Medicine Physician | $1.1M | $16.1K |
| Amar Oza | NY | Rheumatology Physician | $903.1K | $11.9K |
| Joseph Grisanti | NY | Specialist | $762.3K | $590 |
| Brummitte Wilson | NY | MOHS-Micrographic Surgery Physician | $195.1K | $0 |
| Sterling Surgical Center, LLC | NY | Ambulatory Surgical Clinic/Center | $169K | $18.5K |
| Laura Ford-mukkamala | NY | Cardiovascular Disease Physician | $94.6K | $6.2K |
| Peter Accetta | NY | Dermatology Physician | $89.9K | $0 |
| Henry Meltser | NY | Cardiovascular Disease Physician | $77.9K | $2.4K |
| David O'keeffe | NY | Family Medicine Physician | $50.8K | $0 |
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.