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

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

Brandon Rhinehart (NPI 1104814045)

Field	Value
Entity Type	Individual
Organization	Brandon Rhinehart
Address	13100 N Western
City	Oklahoma City
State	OK
ZIP	73114
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	October 13, 2005

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

This provider’s Medicare practice is heavily Mohs- and reconstruction-oriented: the top revenue-driving codes are procedure and wound-care add-on codes associated with Mohs surgery and reconstructive closure (17311, 17312, 17313, 13132 and multiple graft/flap codes), and the three highest-revenue items listed are Q4194, 17311, and Q4197 which together account for 70.8% of total Medicare revenue. Procedure descriptions show multi-staged excisions with histo-pathological assessment and a suite of reconstructive repairs and grafts, indicating an integrated Mohs + reconstruction workflow rather than a general dermatology panel. The pattern of codes for grafts (15260, 15275, 15271) and pedicle/flap repairs (15576, 15630) supports a high-complexity surgical focus.

Revenue concentration is pronounced: the precomputed top-3 codes (Q4194, 17311, Q4197) represent 70.8% of the provider’s Medicare revenue, with those codes individually recorded as $480.8K (Q4194, 32.6% of total), $316.5K (17311, 21.5% of total), and $246.1K (Q4197, 16.7% of total). This concentration signals that a relatively small set of Mohs and wound-product codes drive most of the practice’s Medicare economics, making reimbursement changes to these specific codes likely to have outsized impact on overall revenue.

The payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.5M while there is no Medicaid billing on file, so the provider operates without a detected Medicaid footprint. For analysts this means competitive benchmarking and risk analysis should focus on Medicare reimbursement trends and patient mix shifts rather than dual-payer dynamics.

Competitive standing varies by code. The primary Mohs resection code 17311 ranks #195 of 2969 providers nationally (93th percentile; notably above typical national volume), indicating this provider is a high-volume national outlier for index Mohs procedures, whereas Q4194 ranks #27 of 69 (62th percentile; typical, unremarkable volume for this code) and Q4197 ranks #26 of 82 (69th percentile; typical, unremarkable volume), suggesting strong Mohs case volume but not dominant market-share for the wound-product add-ons. Other procedural and repair codes such as 13132 rank #138 of 3088 (96th percentile; notably above typical national volume), reinforcing above-typical activity in complex repairs.

Several individual codes are flagged as above-typical national volume and merit attention as statistical outliers in the provider’s mix: 17311 is described as notably above typical national volume (93th percentile), 13132 is notably above typical national volume (96th percentile), and 99212 appears notably above typical national volume (98th percentile). These notations indicate concentrated strengths in both the surgical Mohs line and certain office-level encounter volumes, which could reflect a steady Medicare panel requiring follow-up visits and post-operative care billed at 99212.

Operational implications from the coding mix: frequent use of Q4194 (Novachor) and Q4197 (Puraply xt) as high-revenue add-ons suggests routine application of wound-care/skin-substitute products in tandem with Mohs stages and closures, and the presence of multiple graft/flap codes implies on-site reconstructive capability rather than routine referral out for closures. That positioning supports a vertically integrated Mohs + reconstruction service line that captures revenue across excision, intraoperative products, and reconstructive repair.

Tenure and market experience are substantial: the NPI was enumerated on 2005-10-13 (~21 years ago), indicating long-standing enrollment in Medicare which supports established referral relationships and procedural throughput over time. For payers and provider analysts this longevity, combined with concentrated Mohs revenue, suggests an experienced practice rather than a newly emergent source of high-volume billing.

Given the single-payer Medicare footprint and concentration in a few high-revenue codes, payer contracting or auditing attention should prioritize the high-impact codes Q4194, 17311, and Q4197 (which together produce 70.8% of Medicare revenue) and monitor utilization of notably above-typical codes such as 17311, 13132, and 99212; changes in reimbursement or coverage policy for these items would likely materially affect the provider’s Medicare revenue stream.

Medicare: Complete Services Breakdown

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

42 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4194	Novachor, per square centimeter (add-on, list separately in addition to primary procedure)	600	$810	$480.8K
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…	740	$430	$316.5K
Q4197	Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)	1,850	$130	$246.1K
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.	340	$310	$103.7K
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.	130	$440	$56.7K
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…	270	$180	$49.5K
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.	50	$720	$33.3K
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.	40	$740	$27.4K
14301	The 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.	20	$790	$17.4K
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.	30	$570	$17K

Showing 1–10 of 42

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Brandon Rhinehart — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

42 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4194	7	10	740	$810	$637.6K
Q4197	5	10	1,310	$130	$202.8K
17311	2	20	310	$400	$149.2K
17312	3	20	200	$290	$62.2K
17313	3	20	60	$410	$31.1K
14041	8	10	40	$590	$22.5K
14061	2	10	20	$690	$18.7K
14060	8	20	30	$510	$17.9K
14301	7	10	20	$600	$17.3K
15260	4	20	20	$710	$17.2K

Showing 1–10 of 42

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paige Beverly	OK	Dermatology Physician	$219.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diagnostic Laboratory Of Oklahoma LLC	OK	Clinical Medical Laboratory	$12.4M	$69M
Variety Care, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$19.3M
Mcbride Clinic Orthopedic Hospital, LLC	OK	General Acute Care Hospital	$0	$9M
Coordinated Care Health Solutions, LLC	OK	Clinical Medical Laboratory	$395.7K	$5.8M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$6M
Personal Nursing Care, Inc	OK	Home Health Agency	$0	$5.6M
Lori Craig	OK	Nurse Practitioner	$4.5M	$0
Diagnostic Pathology Services, Inc.	OK	Clinical Medical Laboratory	$460.1K	$2.9M
Integris Ddsi Endoscopy Centers LLC	OK	Ambulatory Surgical Clinic/Center	$1.1M	$1.2M
Todd Mollet	OK	MOHS-Micrographic Surgery Physician	$2.1M	$0

Brandon Rhinehart — 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