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    OpenPayerNPI Medicare & MedicaidMichael Murphy
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    Michael Murphy — Billing Profile & Reimbursement Data

    NPI 1164580973 · Greenwood, IN · MOHS-Micrographic Surgery Physician

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    Michael Murphy is a mohs-micrographic surgery physician provider located in Greenwood, Indiana. This profile covers 41 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
    OrganizationMichael Murphy
    Address701 E. County Line Road
    CityGreenwood
    StateIN
    ZIP46143
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedDecember 5, 2006

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

    Payer SourceTotal Paid
    Medicare$1.7M
    Medicaid$0

    Key Findings

    This provider is highly concentrated in Mohs micrographic surgery and related reconstructive procedures: the top three Medicare revenue drivers are 17311 ($499.4K, 29.4%), 14061 ($133.8K, 7.9%), and 17313 ($132.5K, 7.8%), and those three codes together account for 45.1% of the provider's Medicare revenue. The prominence of layered excision codes (17311/17312/17313) alongside multiple flap and graft codes (14061, 14041, 15260) indicates a practice organized around surgical oncology with immediate reconstructive work.

    Revenue concentration is substantial and narrowly Medicare-centric: total Medicare revenue is $1.7M while there is no Medicaid billing on file, so the provider is effectively a single-payer (Medicare) operation from a public-payer perspective. That concentration increases exposure to Medicare policy changes and positions Medicare as the dominant source of public reimbursement for this practice.

    Competitive standing for specific Mohs and reconstructive codes is nationally prominent: 17311 ranks #26 of 2969 providers nationally (99th percentile; extreme outlier), 14061 ranks #3 of 830 providers nationally (100th percentile; extreme outlier), and 17313 ranks #55 of 2300 providers nationally (98th percentile; notably above typical national volume). These rankings indicate the provider operates at a much higher-than-typical volume for major Mohs and complex reconstructive codes relative to national peers.

    Operational pattern shows integrated surgical and pathology workflow: 88331 (intraoperative/pathologic consultation) generated $44.7K (2.6% of Medicare revenue) and ranks #37 of 4659 providers nationally (99th percentile; extreme outlier). High intraoperative pathology throughput alongside large Mohs volumes suggests the practice performs on-site histologic assessment and intraoperative decision-making rather than outsourcing these services.

    The practice also demonstrates strong clinic throughput and patient-facing volume: 99213 accounts for 1.7K claims and $87.7K (5.2% of Medicare revenue) and ranks #1503 of 457151 providers nationally (100th percentile; extreme outlier), while 99203 (new patient visits) produced $53.1K (3.1%) and ranks #53 of 161519 providers nationally (100th percentile; extreme outlier). High volumes for both new and established E/M codes indicate steady referral inflow and substantial ambulatory visit capacity supporting the surgical practice.

    Device and biologic product use is visible but not dominant: Q4158 (Kerecis omega3) represents $127.4K (7.5% of Medicare revenue) with 867 claims and ranks #11 of 36 providers nationally (71st percentile; typical). This suggests routine but focused use of advanced wound/skin-substitute products in reconstruction or wound care cases rather than anomalous or experimental adoption.

    Multiple reconstructive and repair codes also rank as outliers, reinforcing the practice’s reconstructive specialization: 15260 ($92.6K, 5.5%) ranks #18 of 1336 (99th percentile; extreme outlier) and 13132 ($53.5K, 3.1%) ranks #22 of 3088 (99th percentile; extreme outlier). The combination of high-ranking graft/repair codes with Mohs surgery codes signals that the provider bills substantial complex closures and grafts in conjunction with tumor excision.

    The provider is an established operator with long tenure: NPI enumerated (registered) 2006-12-05 (~20 years ago), which aligns with the scale and consistency of high-volume surgical, reconstructive, and pathology billing seen across the Medicare claims. Longevity plus repeated high national rankings suggest an entrenched specialty practice rather than a short-term or emergent clinic presence.

    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.

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs 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…1,260$400$499.4K
    14061The 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.220$610$133.8K
    17313Mohs 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.290$460$132.5K
    17312Mohs 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.420$310$129.2K
    Q4158Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)870$150$127.4K
    15260This 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.150$630$92.6K
    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…1,690$50$87.7K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…140$570$77.5K
    13132The 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…470$110$53.5K
    99203The 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…700$80$53.1K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311140330$410$153.4K
    Q4158110870$150$127.5K
    17312640140$290$56.2K
    1731314060$420$36.5K
    1406112020$670$33.7K
    1404132030$660$32.9K
    1526023020$670$24.3K
    1402141030$620$20.5K
    1313215060$190$19.6K
    1406015020$510$15.9K

    Showing 1–10 of 41

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John BernatOHSpecialist$1.3M$0
    Brienne CresseyNHMOHS-Micrographic Surgery Physician$1.2M$0
    Shayna GordonINMOHS-Micrographic Surgery Physician$827.2K$0
    Indiana Skin Cancer Ambulatory Surgical Center LLCINAmbulatory Surgical Clinic/Center$670.3K$0
    Joan SistoMEDermatology Physician$420.7K$0
    Daniel StewartNHMOHS-Micrographic Surgery Physician$402K$0
    Scott GuenthnerINDermatology Physician$397.6K$0
    Patrick ShannonOHSpecialist$381.2K$0
    Ian RosenthalNHDermatopathology Physician$319.1K$0
    Abel JarellNHDermatology Physician$303.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cornerstone Autism CenterINEarly Intervention Provider Agency$0$30.4M
    Lincare Inc.INDurable Medical Equipment & Medical Supplies$0$16.1M
    Valle Vista LLCINMethadone Clinic$75.6K$14.6M
    Mid America Professional Group, PCINDentist$0$10.5M
    St. Francis Medical Group, LLCINInternal Medicine Physician$0$9.9M
    Indiana University Health Urgent Care Centers, LLC.INUrgent Care Clinic/Center$0$5.9M
    Valle Vista LLCINMental Health Counselor$0$4.5M
    Fiorenza Dental Group, LLCINDentist$0$3.8M
    Mark EllisINPediatric Dentistry$0$3.7M
    Valle Vista, LLCINPsychiatric Hospital$0$3M

    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. Indiana Distribution
    Michael Murphy — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana