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    OpenPayerNPI Medicare & MedicaidHenry Sacks
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    Henry Sacks — Billing Profile & Reimbursement Data

    NPI 1184622268 · Fredericksburg, VA · Dermatology Physician

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    Henry Sacks is a dermatology physician provider located in Fredericksburg, Virginia. This profile covers 11 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
    OrganizationHenry Sacks
    Address2301 Fall Hill Ave
    CityFredericksburg
    StateVA
    ZIP22401
    TaxonomyDermatology Physician
    NPI EnumeratedJuly 12, 2005

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

    Payer SourceTotal Paid
    Medicare$103.8K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17000The 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$50$26.4K
    17003In 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…4,120$10$20.6K
    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…290$60$16.9K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…270$50$14.3K
    11106The provider biopsies a skin lesion using an incisional or wedge technique; he may perform this type of biopsy for large or deep skin lesions.80$110$8.4K
    11602The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.30$170$4.6K
    11642The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.20$200$4.2K
    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$90$3.9K
    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…50$70$3.6K
    11107The provider biopsies an additional or separate skin lesion after the first using an incisional or wedge technique; he may perform this type of biopsy for large or deep skin lesions. Report +11107…20$50$800

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305195250760$40$55.8K
    9921410,02412,890140$80$21K
    17000123580210$40$12.4K
    992132,09912,44090$60$10K
    1110631030$120$9.6K
    1700317510740$1$5.5K
    116026915030$100$4.4K
    11642194020$120$4K
    992031,6034,92030$70$3.8K
    1110741060$60$3.6K

    Showing 1–10 of 11

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rappahannock Area Community Services BoardVACommunity/Behavioral Health Agency$0$142.5M
    Mary Washington Hospital Inc.VAGeneral Acute Care Hospital$0$80.1M
    Paragon Autism Services, LLCVABehavior Analyst$0$21.6M
    Fredericksburg Emergency Medical Alliance, Inc.VAEmergency Medicine Physician$0$15M
    Mary Washington Healthcare PhysiciansVAFamily Medicine Physician$0$13.3M
    Pedsplus Urgent Care, LLCVAUrgent Care Clinic/Center$0$11M
    Preferred Pediatrics At SnowdenVAPediatrics Physician$0$6.4M
    Sunny Home Care Inc.VAHome Health Agency$0$6.3M
    Thomas JohnsonVARetina Specialist (Ophthalmology) Physician$3.6M$0
    Central Virginia Surgi-center LPVAAmbulatory Surgical Clinic/Center$3.2M$318.9K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Henry Sacks — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia