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

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

Ross Campbell (NPI 1215973482)

Field	Value
Entity Type	Individual
Organization	Ross Campbell
Address	1180 Resurgence Dr
City	Watkinsville
State	GA
ZIP	30677
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	June 22, 2006

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

ROSS CAMPBELL is a Mohs-micrographic surgery specialist in Watkinsville, GA with a long tenure — NPI enumerated 2006-06-22 (~20 years ago) — and reported $1.8M in lifetime Medicare revenue. The provider has no Medicaid billing on file, making Medicare the effective single payer for the billing activity shown.

The practice is highly procedure-centric and focused on Mohs surgery and associated pathology and reconstructions: the top revenue drivers are Mohs codes 17311 ($644.5K revenue) and 17313 ($345.7K revenue) plus pathology code 88305 ($264.2K revenue). Code descriptions show these services represent multi-staged Mohs excisions with histopathologic assessment and level IV surgical pathology review, indicating an integrated surgical and on-site pathology workflow.

Revenue concentration is pronounced: the precomputed top-3 codes by revenue account for 70.5% of this provider’s total Medicare revenue, signaling reliance on a small set of high-yield procedural services rather than broad E/M billing. That concentration suggests business sensitivity to volume changes in Mohs case flow or payer reimbursement for those specific codes.

National competitive standing for Mohs is dominant: 17313 ranks #1 of 2300 providers and is labeled an "extreme outlier," and 17311 ranks #11 of 2969 providers (also an "extreme outlier"). These rankings indicate far above-typical national volume for Mohs relative to peers, consistent with a high-volume Mohs practice.

Pathology and lab work are also substantial: 88305 generates $264.2K (14.9% of Medicare revenue) and ranks #599 of 14580 providers (96th percentile, described as "typical, unremarkable volume" but high in absolute rank), reflecting a sizable downstream revenue stream from intraoperative or surgical pathology associated with Mohs cases. This mix supports an operational model with integrated pathology throughput.

Reconstructive procedures are a meaningful secondary service line: full-thickness graft code 15260 produced $83.5K (4.7% of Medicare revenue) and ranks #32 of 1336 providers (98th percentile, noted as "notably above typical national volume"). Multiple graft and flap codes (15220, 15240, 14060, 14040) appear in the top-25 list, which aligns with routine reconstruction following tumor extirpation.

Evaluation-and-management (E/M) billing is a small portion of revenue: 99213 accounts for $22.1K (1.2% of Medicare revenue) and 99203 for $8.4K (0.5%), with ranks that are modest relative to the massive procedural volumes. This pattern reinforces that the practice’s revenue model is driven by procedural Mohs and reconstruction services rather than ongoing primary care or longitudinal E/M encounters.

The absence of any Medicaid billing on file makes this provider effectively single-payer from a claims perspective, creating payer-concentration risk: total Medicare revenue is $1.8M while Medicaid shows "none below — this provider has no Medicaid billing on file." Combined with heavy reliance on the top-3 codes (70.5%), the practice’s financial profile is sensitive to Medicare payment policy and procedural volume shifts for Mohs and associated pathology.

Medicare: Complete Services Breakdown

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

49 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…	1,520	$420	$644.5K
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.	890	$390	$345.7K
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…	5,180	$50	$264.2K
17312	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.	540	$310	$163.5K
15260	This 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.	120	$730	$83.5K
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…	200	$180	$36.8K
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.	160	$170	$27.5K
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…	430	$50	$22.1K
15220	This CPT code is for a free full–thickness skin graft of the scalp, arms, and/or legs that is 20 cm2 or less in size.	30	$550	$17.6K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	210	$80	$17.1K

Showing 1–10 of 49

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 49 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Ross Campbell — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

49 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	3	80	290	$440	$166K
88305	26	340	650	$40	$73.6K
17312	7	80	140	$310	$66.3K
17313	1	70	70	$440	$47.8K
88312	54	240	70	$70	$34K
14041	30	30	20	$650	$31.9K
15260	1	40	20	$690	$22.1K
13132	13	110	60	$210	$20K
14040	22	40	20	$540	$19.3K
99214	8,838	13,640	120	$80	$17.8K

Showing 1–10 of 49

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cedar Malone	NC	Dermatology Physician	$1.1M	$0
Lynn Cooper	GA	Anatomic Pathology & Clinical Pathology Physician	$466.9K	$0
Judah Greenberg	GA	MOHS-Micrographic Surgery Physician	$383.1K	$0
Taylor Sandlin	GA	Physician Assistant	$287.3K	$0
Brittany Wheatley	GA	Nurse Practitioner	$282.5K	$0
Carol Lindsey	NH	Physician Assistant	$269.7K	$0
Virginia Hall	GA	Dermatology Physician	$241.6K	$0
Kristen Thomas	GA	Dermatology Physician	$226.8K	$0
Benjamin Rosen	GA	Surgical Physician Assistant	$187.8K	$0
Jonathan Fass	GA	Dermatology Physician	$174.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
National Emergency Medical Services Inc	GA	Ambulance	$3.5M	$0
David Sailors	GA	Vascular Surgery Physician	$608.2K	$0
Jeffrey Pearce	GA	Surgery Physician	$532K	$0
Oconee Surgery Center	GA	Ambulatory Surgical Clinic/Center	$373.9K	$0
Karen Maffei	GA	Procedural Dermatology Physician	$361.6K	$0
Steven Gottlieb	GA	Allergy Physician	$10.6K	$337.7K
Robert Byrne	GA	Urology Physician	$270.6K	$0
Christopher Everett	GA	Vascular Surgery Physician	$266.5K	$0
Rohit Tongia	GA	Interventional Cardiology Physician	$231.3K	$0
Catherine Schwender	GA	Urology Physician	$218.2K	$0

Ross Campbell — Billing Profile & Reimbursement Data

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Ross Campbell — 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