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    OpenPayerNPI Medicare & MedicaidJulie Pena
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    Julie Pena — Billing Profile & Reimbursement Data

    NPI 1184608416 · Franklin, TN · MOHS-Micrographic Surgery Physician

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    Julie Pena is a mohs-micrographic surgery physician provider located in Franklin, Tennessee. This profile covers 13 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
    OrganizationJulie Pena
    Address200 Cool Springs Blvd
    CityFranklin
    StateTN
    ZIP37067
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedNovember 30, 2005

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

    Payer SourceTotal Paid
    Medicare$166.5K
    Medicaid$0

    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.

    13 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…210$380$79.1K
    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.80$300$24.9K
    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…20$670$14.2K
    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.30$400$13.5K
    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…70$170$11.7K
    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.20$730$11.7K
    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…40$70$3.1K
    13121This is for a complex repair of a wound to the scalp, arms, and/or legs.  This wound should be 2.6 to 7.5 cm in size.20$160$2.3K
    13133The provider repairs a wound of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive undermining of tissues, and stents or…20$120$2K
    99204The 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$90$1.6K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173114570350$410$145.4K
    173125160190$290$54.1K
    17313446070$410$34.1K
    14041112030$650$21.5K
    13132327070$180$16.6K
    992148,66811,370120$80$16.6K
    15260214020$670$14.6K
    13121578030$210$10.2K
    17110415440110$70$9.8K
    17000382490210$30$8.8K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Skin Solutions Dermatology & Skin Cancer Surgery, P.C.TNSpecialist$0$4.4M
    Jennifer HerrmannTNProcedural Dermatology Physician$1.1M$0
    William TidwellTNMOHS-Micrographic Surgery Physician$490.1K$0
    James SmithFLPhysician Assistant$304.1K$0
    Kaitlyn BennorthTNPhysician Assistant$99.1K$0
    Cassie TramelTNFamily Nurse Practitioner$68.5K$0
    Sheena WhitakerTNFamily Nurse Practitioner$59.6K$0
    Sara CowellTNPhysician Assistant$27.1K$0
    Hunter DayTNFamily Nurse Practitioner$15.9K$0
    Carrie ByrdTNFamily Nurse Practitioner$11.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Health Connect America, IncTNCommunity/Behavioral Health Agency$0$285.6M
    Capitol City Residential Healthcare Tn LLCTNDevelopmentally Disabled Services Day Training Agency$0$29.4M
    Summit Bhc New Jersey, LLCTNSubstance Abuse Rehabilitation Facility$0$21.9M
    Miller HelpersTNIn Home Supportive Care Agency$0$15.3M
    Results-ast Jv, LLCTNPhysical Therapist$0$6.9M
    Williamson County Hospital DistrictTNGeneral Acute Care Hospital$0$4.8M
    Dr. Mark Lynn & Associates, PLLCTNOptometrist$0$3.2M
    Ambulatory Surgery Center Of Cool Springs LLCTNAmbulatory Surgical Clinic/Center$2.5M$0
    Chase EscottTNRadiation Oncology Physician$1.3M$0
    Douglas KingmaTNHematology (Pathology) Physician$1.2M$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. Tennessee Distribution
    Julie Pena — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee