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

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

Faith Whalen (NPI 1124256029)

Key Findings

Field	Value
Entity Type	Individual
Organization	Faith Whalen
Address	90 Ridgewood Dr
City	Bangor
State	ME
ZIP	04401
Taxonomy	Dermatology Physician
NPI Enumerated	June 30, 2009

Payer Source	Total Paid
Medicare	$493.5K
Medicaid	$0

FAITH WHALEN’s Medicare billing is dominated by procedural dermatologic surgery, with Mohs micrographic surgery and reconstructive closures forming the clinical core of the practice. The top codes include 17311 (539 claims, $432 avg paid/claim), 17312 (194 claims, $309 avg paid/claim) and a range of complex repair codes such as 13132 and 14060, and the top 3 Medicare codes by revenue account for 68.2% of this provider's total Medicare revenue; total Medicare revenue is $493.5K.

Revenue is highly concentrated in a small number of procedure codes: 17311 alone represents 47.8% of the provider’s Medicare revenue, and the precomputed top-3 share of 68.2% shows most dollars flow from Mohs and immediate reconstruction. This concentration implies financial sensitivity to volume or reimbursement changes for a few high-value surgical codes.

Payer mix is effectively single-payer Medicare: Total Medicaid revenue is none (no Medicaid billing on file), so this provider relies on Medicare for $493.5K in recorded lifetime revenue and has no recorded Medicaid activity to diversify payer risk. That absence of Medicaid billing means state Medicaid trends or contracting will not directly affect this provider’s reported revenue.

Competitive standing on Mohs: 17311 ranks #478 of 2969 providers nationally (84th percentile) and is labeled in the source as a "typical, unremarkable volume for this code," which indicates above-average Mohs throughput relative to peers but not an extreme outlier. Secondary Mohs codes such as 17312 rank #914 of 2770 (67th percentile) and 17313 ranks #1261 of 2300 (44th percentile), reinforcing that Mohs is core but not uniquely dominant beyond peer norms.

Reconstructive and complex closure activity is relatively strong compared with national peers: 13132 ranks #251 of 3088 (92th percentile) and 14060 ranks #192 of 2135 (91th percentile), with other repair codes like 12032 and 13152 also in high percentiles (87th and 90th respectively); each of these codes is described as "typical, unremarkable volume for this code" in the source. These ranks suggest the provider performs more complex defect repairs and local flaps than many peers, consistent with a surgical dermatology practice that pairs Mohs with reconstruction.

Non-procedural and ancillary billing is limited: office E/M codes appear but contribute modestly to Medicare revenue (for example, 99213 generated $8.9K or 1.8% of Medicare revenue and 99214 generated $2.6K or 0.5%), and pathology/ancillary codes such as 88342 and graft code 15260 rank at lower percentiles (88342 at the 8th percentile; 15260 at the 14th percentile) and are described as "typical, unremarkable volume for this code." This pattern supports an operational profile focused on in-procedure revenue rather than high-volume clinic-based E/M billing or in-house pathology.

Operational scale and throughput indicators point to a steady procedural caseload rather than broad multiservice clinic breadth: 17311 had 539 claims and 17312 had 194 claims, showing sustained Mohs procedure volumes, while many other CPTs return smaller claim counts. Given the NPI was enumerated on 2009-06-30 (~17 years ago), the provider appears to be an established practitioner with a long-tenured surgical dermatology practice.

From a contracting and competitive perspective, the provider is a recognizable, above-average procedural dermatology practice regionally and nationally for several reconstructive and Mohs-related codes but is not an extreme statistical outlier; most high-revenue codes carry the source label "typical, unremarkable volume for this code." For payer negotiations or network development, the practice’s Medicare-centric, procedure-heavy profile suggests prioritizing coverage and rates for Mohs and complex reconstructive codes rather than expanding basic E/M or Medicaid service lines.

Medicare: Complete Services Breakdown

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

33 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…	540	$430	$232.8K
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.	190	$310	$59.9K
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…	220	$180	$39K
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	$33.7K
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.	50	$450	$21.7K
12032	This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.	90	$200	$17.4K
13152	The physician performs closure of a wound/laceration for at least one of the following anatomic areas: eyelids, nose, ears, lips. The repair performed is of a complex nature, which involves more than…	60	$190	$10.5K
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.	10	$720	$9.4K
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…	140	$60	$8.9K
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.	10	$700	$8.4K

Showing 1–10 of 33

Faith Whalen — Billing Profile & Reimbursement Data

Sign up for Faith Whalen — Billing Profile & Reimbursement Data policy alerts

Faith Whalen — Billing Profile & Reimbursement Data

Sign up for Faith Whalen — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	1	10	200	$390	$86.6K
17312	1	10	90	$270	$26.5K
15260	3	10	20	$740	$16.2K
13132	1	10	50	$180	$15.6K
17313	2	10	40	$390	$15.3K
14060	1	10	20	$560	$14K
11102	53	70	90	$60	$9.3K
14061	3	10	10	$670	$8.7K
14040	2	10	10	$630	$8.2K
17000	54	90	140	$40	$7.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Orville Hartford	ME	Dermatology Physician	$272.4K	$0
Samantha Mitchell	ME	Dermatology Physician	$120.5K	$0
Holly Haeberlein	ME	Dermatology Physician	$99.7K	$0
Douglas Rhoda	ME	Physician Assistant	$53.2K	$0
Alana Silverman	ME	Surgical Physician Assistant	$51.7K	$0