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

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

Skin Solutions Dermatology & Skin Cancer Surgery, P.C. (NPI 1215940366)

Skin Solutions Dermatology & Skin Cancer Surgery, P.C. is a specialist provider located in Franklin, Tennessee. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Skin Solutions Dermatology & Skin Cancer Surgery, P.C.
Address	200 Cool Springs Blvd
City	Franklin
State	TN
ZIP	37067
Taxonomy	Specialist
NPI Enumerated	August 13, 2006

Payer Source	Total Paid
Medicaid	$4.4M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	31,110	$60	$1.9M
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…	15,380	$100	$1.5M
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…	7,630	$40	$305.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,090	$90	$180.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	3,800	$50	$171.2K
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…	3,350	$50	$164.3K
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…	1,800	$60	$113.4K
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…	270	$120	$31.6K
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.	340	$10	$3.7K
11900	This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…	100	$30	$3.3K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

Claims Volume vs. Tennessee Distribution

Skin Solutions Dermatology & Skin Cancer Surgery, P.C. — 4 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	101	3,760	610	$40	$202.3K
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…	501	4,050	620	$30	$183.9K
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…	11	1,080	120	$80	$90.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	63	660	190	$60	$53.3K
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…	123	1,240	120	$60	$53.1K
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…	4	10	240	$110	$49.8K
11901	This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…	6	10	120	$30	$46.6K
11900	This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…	4	10	30	$20	$40.8K
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…	3	50	180	$50	$32.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	855	1,170	170	$20	$23.8K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Herrmann	TN	Procedural Dermatology Physician	$1.1M	$0
William Tidwell	TN	MOHS-Micrographic Surgery Physician	$490.1K	$0
James Smith	FL	Physician Assistant	$304.1K	$0
Julie Pena	TN	MOHS-Micrographic Surgery Physician	$166.5K	$0
Kaitlyn Bennorth	TN	Physician Assistant	$99.1K	$0
Cassie Tramel	TN	Family Nurse Practitioner	$68.5K	$0
Sheena Whitaker	TN	Family Nurse Practitioner	$59.6K	$0
Sara Cowell	TN	Physician Assistant	$27.1K	$0
Hunter Day	TN	Family Nurse Practitioner	$15.9K	$0
Carrie Byrd	TN	Family Nurse Practitioner	$11.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Connect America, Inc	TN	Community/Behavioral Health Agency	$0	$285.6M
Capitol City Residential Healthcare Tn LLC	TN	Developmentally Disabled Services Day Training Agency	$0	$29.4M
Summit Bhc New Jersey, LLC	TN	Substance Abuse Rehabilitation Facility	$0	$21.9M
Miller Helpers	TN	In Home Supportive Care Agency	$0	$15.3M
Results-ast Jv, LLC	TN	Physical Therapist	$0	$6.9M
Williamson County Hospital District	TN	General Acute Care Hospital	$0	$4.8M
Dr. Mark Lynn & Associates, PLLC	TN	Optometrist	$0	$3.2M
Ambulatory Surgery Center Of Cool Springs LLC	TN	Ambulatory Surgical Clinic/Center	$2.5M	$0
Chase Escott	TN	Radiation Oncology Physician	$1.3M	$0
Douglas Kingma	TN	Hematology (Pathology) Physician	$1.2M	$0

Skin Solutions Dermatology & Skin Cancer Surgery, P.C. — Billing Profile & Reimbursement Data

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Skin Solutions Dermatology & Skin Cancer Surgery, P.C. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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