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    OpenPayerNPI Medicare & MedicaidCurtis Asbury
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    Curtis Asbury — Billing Profile & Reimbursement Data

    NPI 1124259254 · Selbyville, DE · Dermatology Physician

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    Curtis Asbury is a dermatology physician provider located in Selbyville, Delaware. This profile covers 45 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
    OrganizationCurtis Asbury
    Address38394 Dupont Blvd
    CitySelbyville
    StateDE
    ZIP19975
    TaxonomyDermatology Physician
    NPI EnumeratedAugust 6, 2009

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in scope: total Medicare revenue is $1.1M and there is no Medicaid billing on file, so Medicare drives the entire recorded public payer revenue stream for this NPI. That concentration means analyses of payer mix or Medicaid access are not applicable here and any contracting or utilization patterns should be interpreted in the context of a Medicare-focused practice.

    Revenue concentration is substantial at the code level: the precomputed top 3 Medicare codes by revenue account for 34.9% of this provider's total Medicare revenue. The three leading codes are 99213 ($160.3K, 16.1%), 99214 ($98.6K, 9.9%), and 88331 ($88K, 8.8%), so a large share of Medicare dollars comes from a mix of office E/M visits and pathology/intraoperative consults.

    The code mix indicates a procedural dermatology practice that pairs high-volume office visits with extensive lesion treatment and diagnostic services. High-volume procedural codes include 17000 (2K claims, $84.3K revenue), 17003 (9.4K claims, $47.2K revenue), and 11102 (1K claims, $76.4K revenue), while pathology/intraoperative consultancy (88331) and excision/repair codes (for example 17262, 13121, 12032) show substantial surgical workload. This combination is consistent with a clinic that manages chronic skin disease and performs many lesion destructions, biopsies, and surgical repairs.

    The provider is a national high-volume outlier on multiple codes, signaling competitive dominance in specific service lines rather than modest participation. Notable outlier designations include 99213 (ranks #415 of 457151; 100th percentile; extreme outlier), 88331 (ranks #13 of 4659; 100th percentile; extreme outlier), 17000 (ranks #84 of 21879; 100th percentile; extreme outlier), 17003 (ranks #52 of 19643; 100th percentile; extreme outlier), J7345 (ranks #15 of 767; 98th percentile; extreme outlier), and 17262 (ranks #8 of 6198; 100th percentile; extreme outlier). These labels indicate volumes far above typical national patterns for several of the provider's highest-revenue services.

    The E/M mix shows a heavy load of return visits with meaningful complexity alongside a non‑trivial new-patient panel. The practice reported 2.5K claims for 99213 ($65 avg paid/claim, $160.3K revenue) and 1.1K claims for 99214 ($91 avg paid/claim, $98.6K revenue), with additional new-patient visits such as 99203 (384 claims, $28.8K) and 99204 (151 claims, $18K), indicating regular follow-up care and a steady stream of new consults. This pattern supports the interpretation of longitudinal care for Medicare beneficiaries combined with procedural throughput.

    There is a clear emphasis on photodynamic and ultraviolet therapies in the revenue mix, suggesting targeted medical dermatology services beyond simple lesion destruction. J7345 appears at very high volume (47K claims, $47K revenue) and ranks as an extreme outlier, while 96574 (235 claims, $49.6K revenue) ranks notably above typical national volume and 96910 (600 claims, $55.8K revenue) appears at the 90th percentile (typical). Together these codes signal frequent use of topical photosensitizers, photodynamic therapy, and UV treatments in the practice.

    Surgical and reconstructive dermatology contribute meaningfully to Medicare revenue through excisions and repairs: codes such as 17262 (409 claims, $49.5K), 13121 (64 claims, $21.8K), 12032 (92 claims, $21.6K), and 14061 (27 claims, $20.8K) show the provider performs both oncologic lesion removal and subsequent complex closures. Several excision and grafting codes (for example 11602, 15260) also rank above typical national volumes or sit in upper percentiles, reinforcing that procedural surgical work is an important revenue driver.

    This NPI has established tenure in Medicare billing, enumerated on 2009-08-06 (~17 years ago), which aligns with the high-volume, specialized footprint seen in the claims data. Combined with the absence of Medicaid billing, the longevity and the Medicare-dominant revenue profile suggest an established practice focused on older adults and procedural dermatology services rather than broad public-assistance coverage.

    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.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…2,470$70$160.3K
    99214The 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…1,080$90$98.6K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…1,090$80$88K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.2,010$40$84.3K
    11102The 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.1,020$80$76.3K
    96910The provider applies tar or petrolatum to the skin and exposes the area to ultraviolet B, or UVB, rays to treat certain skin diseases such as psoriasis.600$90$55.8K
    96574This code is used to report removal of hyperkeratotic (hardened, dry, scaly) skin lesions that appear precancerous followed by photodynamic therapy that exposes a lesion treated with a…240$210$49.6K
    17262The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to 2.0 cm in…410$120$49.5K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…9,430$10$47.2K
    J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg47,000$1$47K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    96910210490$90$38.3K
    J734511019,010$1$29.9K
    96574110120$200$26.2K
    99214991,830150$80$25.5K
    14060142030$560$22.2K
    1406131030$640$21.1K
    1526071020$690$19.3K
    1312172050$240$19.2K
    11102450180$60$17.7K
    171103660140$70$16.7K

    Showing 1–10 of 45

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Atlantic General Hospital CorporationMDFamily Medicine Physician$0$5.4M
    Rabindra PaulMDInfectious Disease Physician$2.1M$0
    Sara MoghaddamDEDermatology Physician$1.1M$0
    David ChungMDDiagnostic Ultrasound Physician$1.1M$0
    Osamuyimen IgbinosaDCInternal Medicine Physician$278.3K$641.7K
    Mark TreuthMDInterventional Cardiology Physician$905.6K$0
    Manoj JainMDRadiation Oncology Physician$695.5K$0
    Gerard HoganMDBody Imaging Physician$631.9K$0
    Daniel CasonMDDiagnostic Radiology Physician$614.6K$0
    Stephan PavlosMDCardiovascular Disease Physician$608.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    State Of DelawareDELocal Education Agency (LEA)$0$2.3M
    Advanced Alert L.L.C.DEDurable Medical Equipment & Medical Supplies$0$1.1M
    Smiley Pediatric Speech Therapy LLCDEMulti-Specialty Clinic/Center$0$250.1K
    Dominick PolicareDEPhysical Therapist$193.9K$0
    Michael SabolDEPhysical Therapist$193K$0
    Delaware Cvs Pharmacy, L.L.C.DEPharmacy$191.4K$0
    Maricryst BiraoDEPhysical Therapist$183.1K$0
    Kerri SalduttiDEPhysical Therapist$180.7K$0
    Jessica HammondDENurse Practitioner$155.4K$0
    Ellen RhodesDEFamily Medicine Physician$153.2K$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. Delaware Distribution
    Curtis Asbury — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware