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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Hayley Goldbach (NPI 1154701019)

Key Findings

Field	Value
Entity Type	Individual
Organization	Hayley Goldbach
Address	593 Eddy Street
City	Providence
State	RI
ZIP	02903
Taxonomy	Dermatology Physician
NPI Enumerated	June 5, 2015

Payer Source	Total Paid
Medicare	$250.4K
Medicaid	$0

This provider’s Medicare billing is heavily concentrated in Mohs micrographic surgery: codes 17311, 17312, and 17313 together account for 69.5% of total Medicare revenue, with 17311 alone generating $103.7K (41.4% of Medicare revenue). The code descriptions indicate multi‑stage excisions with histopathologic assessment, so the practice’s revenue base is largely driven by skin cancer surgery rather than routine office care.

The procedure mix beyond Mohs reinforces a surgically focused dermatology practice: significant revenue comes from reconstructive and complex repair codes such as 13132 ($19K, 7.6%), 12032 ($14.2K, 5.7%), and 14060 ($13.2K, 5.3%). These codes describe layered closures, intermediate repairs, and local flap closures, consistent with same‑day reconstruction following tumor excision and a procedural service line orientation rather than primary care or dermatologic medical therapy.

Revenue concentration risk is material at the code level: the top three Medicare codes drive 69.5% of reported Medicare revenue, and 17311 by itself is $103.7K of $250.4K total Medicare revenue. That degree of concentration means fluctuations in Mohs volume or reimbursement for a small number of high‑value codes would substantially affect the provider’s Medicare revenue.

Payer mix is effectively single‑payer Medicare exposure: lifetime Medicare revenue is $250.4K while there is no Medicaid billing on file. The absence of Medicaid activity indicates the provider operates with negligible Medicaid exposure and would be sensitive to Medicare policy and referral patterns in the local market.

National competitive standing for the core Mohs codes is modest rather than dominant: 17311 ranks #1576 of 2969 providers (47th percentile), 17312 ranks #1511 of 2770 (45th percentile), and 17313 ranks #970 of 2300 (58th percentile), each labeled as "typical, unremarkable volume." By contrast, the intermediate repair code 12032 ranks at the 84th percentile nationally, suggesting comparatively higher relative volume in intermediate wound repairs than peers.

The practice shows low reliance on evaluation-and-management visits: 99214 and 99213 together represent a small share of revenue ($3.9K and $3.7K respectively) and have national rank percentiles in the lower half, which supports the interpretation that this provider is procedure‑heavy rather than visit‑driven. This pattern aligns with the dominance of surgical and reconstructive CPTs in the top revenue list.

Tenure is moderate: the NPI was enumerated on 2015-06-05 (~11 years ago), indicating this provider has an established Medicare presence for about a decade. That tenure supports a stable billing footprint but is not indicative of a very long historical footprint compared with providers who have multi‑decade Medicare records.

Several less‑frequent codes sit well below peer medians and are labeled "typical, unremarkable volume," with a few exceptions at very low percentiles (for example, 13121 at the 6th percentile and 11102 at the 6th percentile). These low‑percentile items suggest pockets of services that are uncommon for this provider relative to national peers, while the overall code list remains largely within typical national volume ranges.

Medicare: Complete Services Breakdown

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

18 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…	210	$490	$103.7K
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.	110	$340	$37.5K
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.	70	$500	$32.7K
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…	100	$200	$19K
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.	80	$190	$14.2K
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.	20	$630	$13.2K
17314	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.	20	$330	$6.2K
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…	40	$100	$3.9K
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…	50	$70	$3.7K
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…	20	$200	$3.1K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brown Dermatology, Inc.	RI	Dermatology Physician	$0	$1.9M
Victor Neel	RI	Dermatology Physician	$726.1K	$0
Abrar Qureshi	RI	Dermatology Physician	$186.5K	$134.9K
Erich Karasko	RI	Physician Assistant	$88.4K	$166.6K
Leslie Robinson-bostom	RI	Dermatology Physician	$140.3K	$79.8K
Gladys Telang	RI	Dermatology Physician	$76.6K	$103.2K
Oliver Wisco	OR	MOHS-Micrographic Surgery Physician	$151.9K	$0
Ashton Lokar	RI	Family Nurse Practitioner	$131.1K	$5.1K
Jennie Muglia	RI	Dermatology Physician	$61K	$47.9K
John Kawaoka	RI	Dermatology Physician	$100.1K	$0

Hayley Goldbach — 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

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	7	10	310	$440	$137.5K
17312	7	10	150	$320	$58.4K
17313	7	10	100	$440	$46.4K
13132	6	10	130	$190	$26.5K
17314	5	10	30	$320	$13.6K
14060	5	10	20	$570	$13.1K
99214	1,452	1,950	100	$80	$11.7K
13121	10	10	30	$190	$10.7K
17000	87	100	210	$40	$9.3K
11102	89	90	110	$60	$8.6K