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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Daniel Hoffman (NPI 1205006897)

Field	Value
Entity Type	Individual
Organization	Daniel Hoffman
Address	1213 15th Ave W Ste 102
City	Williston
State	ND
ZIP	58801
Taxonomy	Dermatology Physician
NPI Enumerated	March 10, 2008

Payer Source	Total Paid
Medicare	$294.7K
Medicaid	$0

Key Findings

This provider’s Medicare activity is the sole recorded public-payer presence: total Medicare revenue is $294.7K and there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the available claims data. The NPI was enumerated 2008-03-10 (~18 years ago), indicating long tenure for building a local referral base and steady Medicare billing history.

Revenue is concentrated in a small set of evaluation-and-management and surgical repair codes: the precomputed top 3 Medicare codes (99204, 99214, 13132) account for 36.8% of the provider’s total Medicare revenue. In isolation 99204 represents 17.4% of Medicare revenue ($48.3K), 99214 represents 12.2% ($33.9K), and 13132 represents 7.2% ($19.9K), signaling reliance on a few high-value visit and repair codes.

The code mix indicates a mixed office-based dermatology practice that balances higher-complexity new and established patient E/M care with procedural work. High-volume E/M codes like 99204 (464 claims) and 99214 (413 claims) sit alongside procedural codes for lesion destruction (17000: 505 claims) and complex repairs (13132: 62 claims), consistent with a clinic that manages both diagnostic/medical dermatology visits and a steady stream of minor surgical procedures.

99204 is an outlier in national comparison: the provider ranks #245 of 227068 for 99204 and is described as an "extreme outlier, far above typical national volume for this code," indicating unusually high throughput or coding intensity for high-complexity new visits relative to peers. Nearby E/M code 99203 is also high-volume for this provider (208 claims) and is labeled "notably above typical national volume," while 99214 is at the 86th percentile and characterized as typical, together suggesting a tilt toward more intensive/new-patient visits than many dermatology peers.

Procedural Mohs surgery appears in the mix but is not a dominant revenue stream: 17311 accounts for $14.6K (5.3% of Medicare revenue) and 17312 for $11K (4.0%), yet both rank in single-digit/low-teens percentiles nationally (7th and 11th percentiles respectively). Those ranks and labels indicate the provider performs Mohs, but at modest volume relative to national Mohs centers rather than serving as a regional Mohs hub.

The practice also generates substantial count-volume from lesion destruction and shaving codes, which are lower‑paid per unit but add up in throughput: 17003 shows 1.6K claims at $5 avg paid/claim ($8.1K revenue) and 17000 shows 505 claims at $34 avg paid/claim ($17.2K revenue). Combined with multiple shaving codes (e.g., 11301, 11311, 11312) and 17110 ($13K), this pattern reflects a high-frequency procedural workflow for benign and premalignant lesion treatment common in general dermatology clinics.

Pathology and specimen processing are a meaningful ancillary service: 88305 appears 425 times and accounts for $11.1K (4.0% of Medicare revenue), indicating regular submission of surgical specimens for level IV surgical pathology. This supports the procedural-readiness of the practice (excisions/repairs and Mohs stages) and implies coordination with pathology services is an operational constant.

Despite notable per-code outliers in visit-level E/M (especially 99204), the provider’s absolute Medicare revenue of $294.7K is modest in the broader national market. Operationally, the combination of high-count, low-unit procedures (e.g., 1.6K claims for 17003) and a few disproportionately large E/M code positions suggests the practice runs a throughput-oriented clinic with mixed medical and surgical dermatology services rather than a high-revenue, high-complexity surgical center.

Medicare: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99204	The 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…	460	$100	$48.3K
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…	410	$80	$33.9K
13132	The 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…	60	$320	$19.9K
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.	510	$30	$17.2K
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…	30	$440	$14.6K
99203	The 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…	210	$70	$13.7K
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…	260	$50	$13.6K
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…	190	$70	$12.9K
13121	This 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.	40	$280	$11.1K
88305	The 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…	430	$30	$11.1K

Showing 1–10 of 39

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Daniel Hoffman — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

39 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	6	10	410	$290	$114.3K
88305	28	40	980	$30	$52.1K
17312	5	10	130	$180	$28.6K
13132	5	10	160	$160	$22.2K
13121	6	10	60	$190	$13.4K
99214	133	1,470	90	$60	$10.4K
13101	3	10	20	$230	$6.9K
17000	8	70	180	$30	$6.7K
11312	2	10	60	$90	$6K
99213	182	1,490	80	$50	$5.8K

Showing 1–10 of 39

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kelli Hutchens	WI	Dermatopathology (Pathology) Physician	$1.7M	$23.6K
Eric Marsh	WI	Dermatology Physician	$256.1K	$0
Ralph Fiore	IL	Dermatology Physician	$195.6K	$10K
Mary Margaret Kober	CO	Dermatology Physician	$161.4K	$0
Timothy Douglas	WV	Medical Physician Assistant	$147.5K	$0
Skin Win Dermatology PC	ND	Dermatology Physician	$0	$102K
William Fix	CO	Dermatology Physician	$42.6K	$0
Emily Stevens	ND	Family Nurse Practitioner	$5.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Opportunity Foundation Inc	ND	Developmentally Disabled Services Day Training Agency	$0	$26.3M
Medscan Laboratory Inc	ND	Clinical Medical Laboratory	$7.2M	$14.8M
Mercy Medical Center	ND	Critical Access Hospital	$0	$4M
City Of Williston	ND	Land Ambulance	$398.3K	$2M
Opportunity Foundation Inc	ND	Early Intervention Provider Agency	$0	$1.8M
Mark Raymond	ND	Ophthalmology Physician	$1.7M	$0
Mercy Medical Center	ND	Clinic/Center	$0	$1.3M
Summit Counseling Inc	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.2M
Northwest Behavioral Health Clinic	ND	Adult Mental Health Clinic/Center	$0	$872.7K
Nathan Smith	ND	Pediatric Dentistry	$0	$712.5K

Daniel Hoffman — 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