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

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

Karl Trimble (NPI 1184616880)

Field	Value
Entity Type	Individual
Organization	Karl Trimble
Address	169 W 2710 South Cir Ste 101
City	St George
State	UT
ZIP	84790
Taxonomy	Procedural Dermatology Physician
NPI Enumerated	August 18, 2005

Payer Source	Total Paid
Medicare	$797.5K
Medicaid	$0

Key Findings

This provider’s Medicare business is concentrated in procedural dermatology: the top three Medicare codes are 17311, 17004, and 11102 and together account for 53.1% of the provider’s total Medicare revenue. The individual top codes—17311 ($186.4K, 23.6%), 17004 ($173.6K, 22.0%), and 11102 ($59.4K, 7.5%)—point to a mix of Mohs surgery, high-volume lesion destruction, and frequent tangential biopsies as core services.

Revenue scale and payer mix are lopsided in favor of Medicare: this provider reports $797.5K in total Medicare revenue and has no Medicaid billing on file, making the practice effectively single-payer (Medicare) from a claims volume perspective. The absence of Medicaid activity suggests the practice’s patient panel and revenue stream are dominated by fee-for-service Medicare beneficiaries rather than state programs.

One national-level competitive signal is the extreme procedural volume for premalignant lesion destruction: 17004 is labeled an "extreme outlier" and ranks #16 of 9638 providers nationally (100th percentile). That rank and descriptor indicate this provider performs dramatically more 17004 procedures than most peers, consistent with a practice emphasis on cryo/chemo/electrodestruction of multiple lesions.

Biopsy activity is also unusually high: 11102 is an "extreme outlier" and ranks #207 of 18797 providers nationally (99th percentile), and add-on tangential biopsy 11103 ranks in the 98th percentile. These high-percentile biopsy volumes align with the lesion-destruction pattern and suggest steady procedural throughput and lesion evaluation that feed into downstream excisions or Mohs cases.

Evaluation-and-management volume is notable for an office-based proceduralist: 99213 ranks in the 99th percentile and 99214 is at the 89th percentile, showing heavy outpatient visit volumes alongside procedures. High E/M counts paired with extensive procedural billing imply the clinician manages ongoing follow-up and postoperative care in-house rather than referring those visits elsewhere.

Mohs surgery is a visible but not dominant driver: 17311 contributes $186.4K (23.6%) and ranks #908 of 2969 providers nationally (69th percentile), characterized as "typical, unremarkable volume" for that code. Smaller Mohs-related codes (17312, 17313) contribute modest additional revenue, indicating the provider performs Mohs but relies more heavily on other procedural services like lesion destruction and biopsies for volume.

The practice shows broad procedural breadth beyond lesion destruction and biopsies: significant revenue comes from wound repairs (12032 at $49.5K, 6.3%, 99th percentile), excisions of malignant lesions (11602 at $13.2K, 1.7%, 98th percentile), and intermediate repairs on cosmetically sensitive sites. These complementary codes suggest the provider manages a mix of office surgeries and complex closures, reinforcing a full-service procedural dermatology profile rather than a narrow clinic.

Tenure and local footprint: the NPI was enumerated on 2005-08-18 (~21 years ago), indicating long-term establishment in the market. Combined with multiple codes that rank in very high national percentiles (including several "extreme outlier" and "notably above typical" flags), the longevity plus concentrated Medicare revenue profile suggests an experienced, procedure-focused practice with sustained, above-average national volumes in specific dermatologic services.

Medicare: Complete Services Breakdown

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

31 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…	380	$500	$186.4K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	1,540	$110	$173.6K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	940	$60	$59.4K
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…	1,010	$60	$56.3K
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.	260	$190	$49.5K
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…	560	$80	$45K
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…	490	$80	$38.6K
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.	50	$460	$21.8K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	3,890	$10	$19.5K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	540	$40	$19K

Showing 1–10 of 31

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Karl Trimble — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

31 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	9	40	160	$410	$86.3K
17312	22	40	70	$280	$31.3K
17313	10	20	40	$390	$19.7K
99214	226	4,080	80	$80	$11.6K
17004	1	110	50	$110	$9.9K
17000	24	270	130	$30	$6.8K
11102	1	200	90	$50	$6.6K
13121	13	30	20	$220	$6.5K
99213	14	3,680	60	$50	$6.4K
17110	1	180	70	$70	$6.2K

Showing 1–10 of 31

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Bee Ririe Hospital	NV	Family Medicine Physician	$0	$7.2M
William Bee Ririe Hospital	NV	Critical Access Hospital	$0	$2.3M
Nayab Zafar	NV	Interventional Cardiology Physician	$336.3K	$31.9K
Eric Kraemer	MN	Diagnostic Radiology Physician	$203.5K	$22.7K
Andrew Geisler	NV	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	$220.8K	$0
Robert Leckie	NV	Diagnostic Radiology Physician	$156.3K	$4.8K
David Navratil	NV	Clinical Cardiac Electrophysiology Physician	$160.2K	$0
Leon Jackson	NV	Diagnostic Radiology Physician	$112.9K	$0
David Magnesen	UT	Podiatrist	$90.7K	$10.1K
Innocent Ezenwa	NV	Sleep Medicine (Internal Medicine) Physician	$90.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$65.8M
Southwest Utah Community Health Center	UT	Federally Qualified Health Center (FQHC)	$0	$7.3M
Zion Eye Institute, Inc	UT	Ambulatory Surgical Clinic/Center	$6.1M	$19.7K
Summit Behavior Services	UT	Counselor	$0	$5.4M
Ihc Health Services Inc	UT	Multi-Specialty Clinic/Center	$0	$4.4M
Ron Lord	UT	Ophthalmology Physician	$3.2M	$0
Joshua Carlson	UT	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
St George Surgical Center LP	UT	Ambulatory Surgical Clinic/Center	$2.5M	$0
Coral Desert Surgery Center LLC	UT	Ambulatory Surgical Clinic/Center	$2.5M	$17.8K
Ihc Health Services Inc	UT	Clinical Medical Laboratory	$2.4M	$42.7K

Karl Trimble — 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