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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Polley Clinic Of Dermatology & Dermatologic Surgery (NPI 1104847714)

Polley Clinic Of Dermatology & Dermatologic Surgery is a dermatopathology physician provider located in Wilson, North Carolina. This profile covers 0 Medicare and 30 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	Polley Clinic Of Dermatology & Dermatologic Surgery
Address	1806 Glendale Dr Sw
City	Wilson
State	NC
ZIP	27893
Taxonomy	Dermatopathology Physician
NPI Enumerated	July 21, 2006

Payer Source	Total Paid
Medicaid	$9.1M
Medicare	$0

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

30 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…	49,840	$60	$3M
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…	22,000	$110	$2.3M
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…	35,590	$40	$1.4M
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…	12,560	$60	$778.7K
77280	The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.	12,230	$40	$513.7K
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…	6,890	$50	$358.2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	4,180	$40	$167.2K
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.	2,320	$40	$94.9K
77401	Deleted effective Jan. 1, 2026.	11,820	$10	$82.8K
G6001	Ultrasonic guidance for placement of radiation therapy fields	9,360	$10	$74.9K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

Polley Clinic Of Dermatology & Dermatologic Surgery — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

30 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…	104	180	1,290	$50	$276.1K
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…	49	4,400	960	$60	$271.3K
77280	The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.	1	10	6,210	$40	$264.1K
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…	105	4,130	670	$50	$219.9K
77401	Deleted effective Jan. 1, 2026.	1	10	11,820	$10	$87.3K
G6001	Ultrasonic guidance for placement of radiation therapy fields	1	10	9,360	$10	$77.7K
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…	15	1,090	120	$60	$71.5K
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	1,310	80	$90	$59.7K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	39	70	540	$30	$44.8K
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	90	$60	$37.8K

Showing 1–10 of 30

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dennis Polley	NC	Dermatology Physician	$2.2M	$0
Jalal Alghabra	VA	Physician Assistant	$378.2K	$0
Clifford Amos	MD	Physician Assistant	$122.7K	$0
Cassie Mcgee	NC	Physician Assistant	$112.4K	$0
Frank Ferritto	NC	Physician Assistant	$90.2K	$0
Ryan Hoover	NC	Physician Assistant	$73.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A Caring Heart Case Management, Inc.	NC	Developmentally Disabled Services Day Training Agency	$0	$127.5M
Stepping Stones Community Resources, Incorporated	NC	Community/Behavioral Health Agency	$0	$38.2M
Eastern Carolina Pediatrics PA	NC	Pediatrics Physician	$0	$24.6M
Phillips Home Health Care	NC	Home Health Agency	$0	$18M
Bridges Of Hope Inc	NC	Multi-Specialty Clinic/Center	$0	$18M
Interim Healthcare - Morris Group, Inc.	NC	Home Health Agency	$0	$14.8M
Phillips Home Health Care Agency	NC	Home Health Agency	$0	$13.9M
Wilson House LLC	NC	Adult Care Home Facility	$0	$11.7M
Dlp Wilson Medical Center LLC	NC	General Acute Care Hospital	$0	$11.5M
Frederick Myles	NC	Home Health Aide	$0	$9.2M

Polley Clinic Of Dermatology & Dermatologic Surgery — 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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