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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

John Hancox (NPI 1104804632)

Field	Value
Entity Type	Individual
Organization	John Hancox
Address	165 Scott Ave
City	Morgantown
State	WV
ZIP	26508
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	January 5, 2006

Payer Source	Total Paid
Medicare	$959.7K
Medicaid	$0

Key Findings

Practice is heavily Mohs-focused: the three Mohs codes 17311 ($334.8K, 36.0%), 17312 ($210.3K, 22.6%), and 17313 ($59K, 6.3%) together account for the majority of clinical activity and revenue, and the precomputed top-3 share is 65.0% of the provider's Medicare revenue. The code descriptions indicate multilayered, histopathology-guided excision typical of Mohs micrographic surgery, so the core service line is surgical skin cancer removal rather than general dermatologic primary care.

Revenue is tightly concentrated in Medicare: lifetime Medicare revenue is $959.7K while there is no Medicaid billing on file (none below). This makes the provider effectively single‑payer focused on Medicare beneficiaries, with Medicare representing the entirety of recorded public-payer revenue.

Competitive standing on Mohs is strong nationally: 17312 ranks #50 of 2770 providers nationally (98th percentile; notably above typical national volume for this code) and 17311 ranks #111 of 2969 providers nationally (96th percentile; notably above typical national volume for this code). Those ranks place the provider well above typical national volumes for the two highest-revenue Mohs codes, indicating the provider is a major national-volume practitioner of Mohs relative to peers.

Reconstructive and grafting services are a meaningful secondary line: codes such as 15260 ($35.4K, 3.8%), 14060 ($33.2K, 3.6%), and 14061 ($29.1K, 3.1%) appear in the top revenue list, and reflect skin grafts and local flap repairs that commonly follow oncologic excision. These procedures, together with intermediate and complex repair codes (e.g., 12032, 12052, 13132), show the practice performs its own reconstruction rather than referring all repairs out.

Pathology and intraoperative consultation are integrated into the workflow: 88305 ($18.7K, 2.0%) and 88331 ($8.8K, 0.9%) appear in the top codes, indicating regular use of surgical pathology and intraoperative consultation during procedures. While 88305 volumes are described as typical (rank #7971 of 14580, 45th percentile), their presence supports that Mohs and surgical work are accompanied by on‑site or closely coordinated pathology services.

Office visit and evaluation-management activity supports perioperative care: E/M codes 99213 ($18.3K, 2.0%), 99203 ($12.1K, 1.3%), and 99212 ($6.9K, 0.7%) appear on the list, with 99203 ranking #6874 of 161519 (96th percentile; notably above typical national volume for this code) and 99213 ranking #52933 of 457151 (88th percentile). This pattern indicates the provider handles both new patient consults and established patient follow-ups at volumes above many peers, consistent with a procedural surgeon managing pre- and post-operative clinic visits.

Operational longevity is established: NPI enumerated 2006-01-05 (~20 years ago), indicating long tenure in the Medicare program. Combined with the concentrated Mohs volume and integrated reconstruction/pathology codes, the profile suggests a stable, experienced Mohs surgical practice with a Medicare-centered payer mix.

Medicare: Complete Services Breakdown

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

39 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…	880	$380	$334.8K
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.	710	$300	$210.3K
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.	170	$340	$59K
15260	This 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	$720	$35.4K
14060	The 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.	60	$540	$33.2K
14061	The 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.	40	$690	$29.1K
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…	160	$180	$28.1K
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…	420	$50	$18.7K
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…	330	$60	$18.3K
17314	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.	60	$290	$18.2K

Showing 1–10 of 39

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

John Hancox — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

39 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	1	10	460	$400	$193.5K
17312	1	10	240	$290	$83.9K
17313	3	10	100	$400	$47.6K
14041	3	10	30	$660	$31K
14060	2	10	60	$550	$29.6K
15260	2	10	40	$710	$27.7K
88305	48	80	670	$30	$23.9K
14061	1	10	20	$690	$18.6K
14301	5	10	20	$760	$15.9K
13132	4	20	30	$220	$15.8K

Showing 1–10 of 39

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mountain State Medical Specialties, PLLC	WV	Dermatology Physician	$0	$3.6M
David Carlisle	WV	MOHS-Micrographic Surgery Physician	$638.7K	$0
Amy Norton	WV	Dermatology Physician	$217.9K	$334.9K
Barrett Louden	WV	Dermatology Physician	$259.2K	$0
Jeffrey Jackson	WV	Dermatopathology Physician	$241.8K	$0
Jeffrey Dodson	WV	Dermatology Physician	$235.8K	$0
Charles Franz	WV	Dermatology Physician	$231.3K	$0
Michelle Endicott	WV	Dermatology Physician	$217.4K	$0
Susan Touma	WV	Dermatology Physician	$189.7K	$0
Janelle King	WV	Dermatology Physician	$167.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mulberry Street Management Services, Inc.	WV	In Home Supportive Care Agency	$0	$175.6M
West Virginia's Choice	WV	Home Health Agency	$0	$72.7M
Mulberry Street Management Services, Inc.	WV	Community/Behavioral Health Agency	$0	$28.9M
Valley Comprehensive Community Mental Health Center	WV	Respite Care	$0	$21.8M
Valley Comprehensive Community Mental Health Center	WV	Community/Behavioral Health Agency	$0	$19.4M
Valley Comprehensive Community Mental Health Center, Inc.	WV	Mental Health Counselor	$0	$16.7M
Mulberry Street Management Services, Inc.	WV	Case Management Agency	$0	$8.3M
Baymark Health Services Of West Virginia, Inc.	WV	Substance Use Disorder Rehabilitation Clinic/Center	$80.4K	$7.9M
Dr. Cynthia D. Parks Dds, PLLC	WV	Pediatric Dentistry	$0	$2.7M
West Virginia Choice	WV	Home Health Agency	$0	$2.2M

John Hancox — 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