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

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

Specialists In Dermatology, PLLC (NPI 1073662946)

Specialists In Dermatology, PLLC is a specialist provider located in Tucson, Arizona. This profile covers 0 Medicare and 40 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Specialists In Dermatology, PLLC
Address	2732 N Alvernon Way
City	Tucson
State	AZ
ZIP	85712
Taxonomy	Specialist
NPI Enumerated	January 9, 2007

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	20,230	$60	$1.3M
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…	22,810	$40	$821.2K
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…	12,390	$60	$706.4K
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…	2,480	$250	$630.4K
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…	8,520	$70	$621.7K
99204	The provider sees a new 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 provider…	6,470	$90	$582.3K
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…	8,240	$60	$502.3K
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.	1,750	$230	$410.2K
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.	6,470	$60	$355.9K
13121	This is for a complex repair of a wound to the scalp, arms, and/or legs. This wound should be 2.6 to 7.5 cm in size.	1,350	$250	$337.5K

Showing 1–10 of 40

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.

Claims Volume vs. Arizona Distribution

Specialists In Dermatology, PLLC — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	29	140	1,460	$60	$422.5K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	353	400	200	$120	$403K
96910	The provider applies tar or petrolatum to the skin and exposes the area to ultraviolet B, or UVB, rays to treat certain skin diseases such as psoriasis.	2	10	4,500	$90	$388.6K
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…	199	3,040	750	$50	$343.9K
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…	149	2,780	600	$50	$267K
96920	The provider uses an excimer (ultraviolet) laser to treat the skin disease psoriasis. Use this code for a total treatment area of less than 250 sq cm.	2	10	1,260	$140	$180.5K
13101	This is for a complex repair of a wound to the trunk. This wound should be 2.6 to 7.5 cm in size.	1	10	640	$270	$173.9K
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…	1	10	720	$240	$172.3K
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…	2	60	160	$80	$144.7K
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…	30	1,030	130	$70	$134.1K

Showing 1–10 of 40

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Weimin Hu	AZ	Dermatology Physician	$1.3M	$0
Lynndoh Valmores	AZ	Family Nurse Practitioner	$153.1K	$0
John Sharkey	CA	Physician Assistant	$144.6K	$0
Rebecca Harper	AZ	Adult Psychiatric/Mental Health Registered Nurse	$50.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tucson Medical Center	AZ	General Acute Care Hospital	$0	$127.3M
Codac Health Recovery And Wellness	AZ	Community/Behavioral Health Agency	$0	$97.8M
Children's Clinics For Rehabilitative Services	AZ	Multi-Specialty Clinic/Center	$0	$58.8M
Nsi-nursing Service Inc.	AZ	Home Health Agency	$0	$29.8M
Tmc Medical Network	AZ	Multi-Specialty Clinic/Center	$0	$20.3M
Arlene Bautista	AZ	Family Nurse Practitioner	$16.8M	$0
I-groupsmedicaltransportaion@wheelchair	AZ	Non-emergency Medical Transport (VAN)	$0	$15.5M
Bodycentral Physical Therapy P C	AZ	Physical Therapy Clinic/Center	$0	$14.5M
Arizona Oncology Associates PC	AZ	Specialist	$0	$13.9M
Child & Family Support Services, Inc	AZ	Community/Behavioral Health Agency	$0	$13.4M

Specialists In Dermatology, PLLC — Billing Profile & Reimbursement Data

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Specialists In Dermatology, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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