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

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

David Casper (NPI 1164614004)

Field	Value
Entity Type	Individual
Organization	David Casper
Address	8620a E County Road 466
City	The Villages
State	FL
ZIP	32162
Taxonomy	Dermatology Physician
NPI Enumerated	August 14, 2007

Payer Source	Total Paid
Medicare	$13.4M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-focused practice: lifetime Medicare revenue is $13.4M while Medicaid revenue is listed as none, so the payer mix is single‑payer in practice and claims activity should be interpreted against Medicare volumes only. The NPI was enumerated on 2007-08-14 (~19 years ago), indicating nearly two decades of billing history to contextualize observed code volumes and market position.

Revenue concentration is highly skewed toward three product/add‑on codes: Q4281, Q4236, and Q4217 together account for 79.6% of this provider's total Medicare revenue. Individually these codes generate $6.5M (48.4%), $3.4M (25.5%), and $749.7K (5.6%) of Medicare revenue respectively, signaling dependence on per‑square‑centimeter advanced wound or biologic product billing.

The practice’s code mix suggests a dual operational focus on advanced wound/biologic product use and high-volume dermatologic procedures. The dominance of Q4281 and Q4236 (both per square centimeter add‑on product codes) alongside Mohs surgery codes (17311, 17312) and very high counts of lesion destruction and biopsy codes indicates an operation that pairs surgical dermatology (excisions and Mohs) with routine and intensive wound care/product application.

Competitive standing for the top product code is nationally strong: Q4281 ranks #2 of 33 providers nationally and is in the 97th percentile, described as "notably above typical national volume for this code." Q4236 sits at rank #17 of 79 (79th percentile) with more typical volume, while Q4217 is lower at rank #48 of 65 (27th percentile). This profile indicates a market-leading position for one specific wound product with more modest or typical engagement across other similar product codes.

Several core dermatology procedural codes mark this provider as an outlier in national procedural volume. Mohs codes 17311 and 17312 are each listed as 99th percentile and labeled "extreme outlier" (17311: 1.2K claims, $597K revenue, 4.5%; 17312: 982 claims, $317.2K revenue, 2.4%), and common office E&M and biopsy codes such as 99213 (4K claims, $241.1K, 1.8%) and 11102 (2K claims, $128.1K, 1.0%) are also characterized as extreme outliers, reflecting substantially higher-than-typical Medicare volume for those services.

Beyond wound and Mohs activity, the provider reports very high utilization of lesion destruction and biopsy series (17000, 17004, 17003, 17110, 11103) with multiple entries ranked in the 100th percentile or labeled "extreme outlier." This pattern reinforces a high-throughput lesion diagnosis and treatment pipeline—frequent low‑unit procedures and add‑on lesion codes consistent with a high-volume dermatology practice serving many established Medicare patients.

The provider’s specialty mix includes some non-traditional dermatology procedures that diversify revenue: vascular/vein codes such as 36465 and 36478 appear in the top 25 (36465: 135 claims, $136.4K, 1.0%; 36478: 96 claims, $73.9K, 0.6%), and multiple skin substitute/coverage codes (15271, 15275) are notable and ranked high nationally. These items point to ancillary procedural lines—wound management and venous intervention—that supplement the core Mohs and lesion-treatment services.

There are a few code-level exceptions worth noting for benchmarking: Q4253 is ranked #73 of 73 providers (0th percentile) and is described as a typical, unremarkable volume for that code, while several psoriasis/phototherapy codes (96910–96922) and some skin substitute codes are in mid-to-high percentiles but not uniformly dominant. For payers and analysts, this combination—one nationally leading product code, multiple extreme outlier procedural codes, and ancillary vascular/wound procedures—defines a concentrated Medicare revenue profile that should be compared to local dermatology peers for network and utilization management decisions.

Medicare: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4281	Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure)	5,150	$1,250	$6.5M
Q4236	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	3,440	$990	$3.4M
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	650	$1,160	$749.7K
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…	1,240	$480	$597K
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.	980	$320	$317.2K
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…	3,950	$60	$241.1K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	1,550	$120	$191.6K
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.	340	$420	$141.2K
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	180	$770	$139.6K
36465	In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,…	140	$1,010	$136.3K

Showing 1–10 of 38

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

David Casper — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

38 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4281	1	10	370	$1,250	$2.3M
Q4217	10	20	600	$1,020	$2.2M
Q4253	18	20	1,070	$720	$1.3M
Q4236	1	10	1,070	$990	$1.2M
17311	6	350	240	$470	$152.3K
96922	3	10	190	$180	$109.6K
36465	29	140	50	$1,000	$90.1K
17312	3	330	120	$330	$61.8K
36478	14	60	40	$760	$60.6K
96910	15	60	240	$90	$49.6K

Showing 1–10 of 38

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
April Mendoza	FL	Radiation Oncology Physician	$1.4M	$0
Jeffrey Morris	FL	Dermatology Physician	$1.4M	$0
Lewis Glass	FL	Dermatopathology Physician	$1.2M	$0
Jeffrey Brabham	FL	Radiation Oncology Physician	$1.1M	$0
Sean Mazloom	FL	MOHS-Micrographic Surgery Physician	$1M	$0
Nora Vera	FL	Dermatology Physician	$849.9K	$0
Joanna Bolton	FL	Dermatology Physician	$688.5K	$0
Sandra Lopez	FL	Medical Physician Assistant	$535.7K	$0
Leonik Ahumada	FL	Plastic and Reconstructive Surgery Physician	$452.4K	$0
Golta Rasouli	FL	Phlebology Physician	$184K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashraf Hassanein	FL	Dermatology Physician	$2.9M	$0
Santa Fe Surgery Center LLC	FL	Ambulatory Surgical Clinic/Center	$2.8M	$0
Thi Tran	FL	Dermatology Physician	$2.4M	$0
Shrikanth Upadya	FL	Interventional Cardiology Physician	$2M	$0
St. Lukes Surgical At The Villages, Inc	FL	Ambulatory Surgical Clinic/Center	$1.9M	$0
Vishnu Yelamanchi	FL	Interventional Cardiology Physician	$1.5M	$0
Florian Gegaj	FL	Internal Medicine Physician	$1.2M	$0
Basel Al Aloul	FL	Interventional Cardiology Physician	$952K	$0
Brian Saluck	FL	Interventional Cardiology Physician	$951.5K	$0
Srinivas Attanti	FL	Interventional Cardiology Physician	$879.2K	$0

David Casper — 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

Nearby Providers

Frequently Asked Questions

References