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

Why is the Medicaid comparison limited to New York 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. New York (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.

Advanced Dermatology PC (NPI 1134201460)

Advanced Dermatology PC is a dermatology physician provider located in New Hyde Park, New York. This profile covers 0 Medicare and 49 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	Advanced Dermatology PC
Address	6 Lowell Ave
City	New Hyde Park
State	NY
ZIP	11040
Taxonomy	Dermatology Physician
NPI Enumerated	October 19, 2006

Payer Source	Total Paid
Medicaid	$43.9M
Medicare	$0

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

49 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	152,940	$70	$11M
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…	73,540	$110	$7.9M
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…	44,960	$100	$4.5M
10040	The provider performs extractions to treat skin lesions such as milia, comedones, cysts, or pustules. The procedure may involve surgically opening the lesion, draining it, or removing it entirely.	44,680	$100	$4.3M
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…	36,390	$100	$3.5M
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…	20,340	$150	$3M
11900	This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…	52,630	$40	$2.1M
11901	This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…	33,400	$60	$2M
17360	The provider uses chemical agents to peel off the acne.	12,740	$120	$1.5M
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	16,470	$50	$741K

Showing 1–10 of 49

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New York Distribution

Advanced Dermatology PC — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. New York median

49 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	65	19,110	360	$70	$321K
10040	The provider performs extractions to treat skin lesions such as milia, comedones, cysts, or pustules. The procedure may involve surgically opening the lesion, draining it, or removing it entirely.	2	160	470	$100	$306.3K
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…	129	640	1,080	$60	$251.5K
96922	The provider uses an excimer (ultraviolet) laser to treat the skin disease psoriasis. Use this code for a total treatment area of over 500 sq cm.	4	10	310	$170	$250.4K
17360	The provider uses chemical agents to peel off the acne.	4	60	420	$110	$240.8K
96920	The provider uses an excimer (ultraviolet) laser to treat the skin disease psoriasis. Use this code for a total treatment area of less than 250 sq cm.	5	20	550	$130	$225.3K
96910	The 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.	6	30	460	$100	$211.4K
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…	61	16,550	220	$90	$186.8K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	33	50	190	$160	$160.2K
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…	1	340	260	$100	$156.1K

Showing 1–10 of 49

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Schweiger Dermatology, PC	NJ	Dermatology Physician	$0	$17.2M
David Cohen	NY	Dermatology Physician	$352K	$8.4M
Martin Reichel	NY	Immunopathology Physician	$2.1M	$0
Peter Tothy	IN	Hematology & Oncology Physician	$1.8M	$0
Steven Fishman	NY	Dermatology Physician	$1.6M	$171K
Marcelo Horenstein	NJ	Dermatopathology Physician	$1.7M	$90.4K
Debra Jih	PA	Dermatopathology Physician	$1.5M	$0
Todd Coven	NY	MOHS-Micrographic Surgery Physician	$1.5M	$0
Marc Handler	NJ	Procedural Dermatology Physician	$1.3M	$82.3K
Otter Aspen	NJ	MOHS-Micrographic Surgery Physician	$1.4M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Long Island Jewish Medical Center	NY	General Acute Care Hospital	$0	$370.9M
Truetox Laboratories LLC	NY	Clinical Medical Laboratory	$647.5K	$56.4M
United Seating And Mobility LLC	NY	Durable Medical Equipment & Medical Supplies	$0	$21M
Allen Rothpearl	NY	Diagnostic Radiology Physician	$433.2K	$12.2M
United Sleep Diagnostics Inc	NY	Sleep Disorder Diagnostic Clinic/Center	$828.3K	$4.4M
Edward Rutkovsky	NY	Internal Medicine Physician	$2.1M	$10.3K
Nimish Dharia	NY	Cardiovascular Disease Physician	$1.4M	$37.4K
Vincent Macaluso	NY	Neurology Physician	$1.3M	$0
Sajid Khan	NY	Internal Medicine Physician	$623K	$373.8K
Sarat Bhumi	NY	Cardiovascular Disease Physician	$569K	$367.9K

Advanced Dermatology PC — Billing Profile & Reimbursement Data

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Advanced Dermatology PC — 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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