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    OpenPayerNPI Medicare & MedicaidMichael Mccall
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    Michael Mccall — Billing Profile & Reimbursement Data

    NPI 1073837845 · Louisville, KY · Dermatology Physician

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    Michael Mccall is a dermatology physician provider located in Louisville, Kentucky. This profile covers 41 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Mccall
    Address3810 Springhurst Blvd
    CityLouisville
    StateKY
    ZIP40241
    TaxonomyDermatology Physician
    NPI EnumeratedMarch 22, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$938.6K
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-focused surgical dermatologist: lifetime Medicare revenue is $938.6K and there is no Medicaid billing on file, so payer exposure is concentrated in the federal program rather than the state program. The absence of any Medicaid claims means this practice has little to no direct billing footprint with Kentucky Medicaid and operates as a single-payer (Medicare) billing profile in the available data.

    Revenue is highly concentrated in Mohs surgery: the top three Medicare codes (17311, 17312, 17313) together account for 51.5% of this provider's total Medicare revenue. Individually 17311 generates $258.9K (28.3% of Medicare revenue), 17312 generates $147.8K (16.2%), and 17313 generates $64.1K (7.0%), which indicates a business model centered on staged excisional dermatologic surgery.

    Competitive standing for Mohs procedures is above typical national volumes: 17311 ranks #189 of 2969 providers (94th percentile; notably above typical national volume for this code) and 17312 ranks #144 of 2770 providers (95th percentile; notably above typical national volume for this code). 17313 is also a meaningful contributor but shows typical volumes by its label (rank #234 of 2300, 90th percentile; typical, unremarkable volume for this code), collectively positioning the provider as a high-volume Mohs surgeon relative to national peers.

    In addition to Mohs, the practice generates material revenue from reconstructive and grafting codes consistent with immediate reconstruction services after tumor excision: 14301 produced $60.4K (6.6%), 14041 produced $54.7K (6.0%), and 14061 produced $46.5K (5.1%). These code-level revenues indicate the clinician routinely performs flap and graft repairs at volumes that are notable within the national distribution for those codes (each listed at ~94–95th percentile ranks or described as typical).

    The provider also shows strong in-house pathology and grafting activity. Intraoperative pathology 88331 accounts for $17K (1.9%) and ranks #138 of 4659 providers (97th percentile; typical, unremarkable volume for this code), while full-thickness graft 15220 produced $21.7K (2.4%) and ranks #10 of 133 providers (92th percentile; typical, unremarkable volume for this code). Together these items support a workflow that pairs Mohs resections with same-setting pathology and reconstructive procedures.

    Office evaluation-and-management activity is present but not dominant: 99213 (326 claims, $20.2K, 2.2%) and 99203 (144 claims, $10.7K, 1.2%) contribute modestly to Medicare revenue. 99213 ranks #53186 of 457151 providers (88th percentile; typical, unremarkable volume for this code) and 99203 ranks #9645 of 161519 providers (94th percentile; notably above typical national volume for this code), suggesting a steady stream of both established- and new-patient visits that support the surgical practice.

    Tenure data show an established billing presence: NPI enumerated on 2010-03-22 (~16 years ago), indicating a long-standing practice which aligns with the procedural volumes observed in Mohs and reconstructive codes. This longevity helps explain higher national ranks on several technical and surgical codes that typically accumulate with an established surgical dermatology practice.

    From an operational and revenue-concentration perspective, the provider’s Medicare revenue is dependent on a narrow set of high-yield procedural codes (top three = 51.5%). Because there is no Medicaid billing on file, the practice has limited diversification across payers in this dataset and would be sensitive to reimbursement or referral pattern changes affecting Mohs and associated reconstructive services.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs 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…740$350$258.9K
    17312Mohs 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.500$300$147.8K
    17313Mohs 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.170$380$64.1K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.80$780$60.4K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…80$650$54.7K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.60$730$46.5K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.80$540$40.2K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.50$700$32.3K
    15220This CPT code is for a free full–thickness skin graft of the scalp, arms, and/or legs that is 20 cm2 or less in size.40$540$21.7K
    13132The 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…120$170$21.4K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311230450$410$171.3K
    17312430190$300$68.9K
    1731333070$430$36.9K
    1526052030$710$24.7K
    1404111020$660$21K
    1430111020$730$20.6K
    13132134080$200$20K
    1406111020$680$18.5K
    1406023020$520$15.1K
    992146,4207,230110$70$14.1K

    Showing 1–10 of 41

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charles MoonMODermatology Physician$2.7M$0
    Matthew HughesGADermatology Physician$1.1M$0
    William AdamsKYDermatology Physician$883.7K$0
    Timothy BrownKYDermatology Physician$874.6K$0
    Mark HaeberleKYDermatology Physician$651.4K$23K
    Colton NielsonARMOHS-Micrographic Surgery Physician$528.3K$0
    Logan TurnerKYDermatology Physician$361.9K$0
    Rishi GandhiOHMOHS-Micrographic Surgery Physician$312K$0
    Alfred KnableINDermatology Physician$224K$0
    Janine MaloneKYDermatopathology Physician$187.1K$30.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Associates, Inc.KYInternal Medicine Physician$0$135.1M
    Norton Childrens Medical Group, LLCKYPediatrics Physician$0$107.3M
    Community Medical Associates, Inc.KYMulti-Specialty Clinic/Center$0$49M
    Motc - Louisville LLCKYProsthetic/Orthotic Supplier$0$5.4M
    Gml Pain Md PscKYDurable Medical Equipment & Medical Supplies$0$3.9M
    Jacob YunkerKYOphthalmology Physician$3.8M$0
    Thomas HarperKYOphthalmology Physician$3.3M$0
    Aspire Case Management LLCKYCase Management Agency$0$3.2M
    Victor NeamtuKYOphthalmology Physician$1.5M$980
    Robin CurryKYSports Medicine (Family Medicine) Physician$628.2K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Michael Mccall — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky