Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidNathaniel Jellinek
    Ask Trek AI about this page

    Nathaniel Jellinek — Billing Profile & Reimbursement Data

    NPI 1245256528 · East Greenwich, RI · MOHS-Micrographic Surgery Physician

    Customize your policy alerts

    Sign up for Nathaniel Jellinek — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Nathaniel Jellinek is a mohs-micrographic surgery physician provider located in East Greenwich, Rhode Island. This profile covers 30 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNathaniel Jellinek
    Address1672 S County Trl
    CityEast Greenwich
    StateRI
    ZIP02818
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedJuly 13, 2006

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

    Payer SourceTotal Paid
    Medicare$638.1K
    Medicaid$0

    Key Findings

    Provider NATHANIEL JELLINEK is a Mohs-micrographic surgery specialist (MOHS-Micrographic Surgery Physician) with a long Medicare billing history; NPI was enumerated on 2006-07-13 (~20 years ago), indicating roughly two decades of participation in Medicare. This tenure supports an established, procedure-focused practice rather than a newly established clinic.

    Medicare is effectively this provider's sole public-payer source on file: lifetime Medicare revenue is $638.1K and there is no Medicaid billing on file, so the provider should be considered single-payer (Medicare) for public program analysis rather than a mixed Medicaid/Medicare practice.

    Revenue concentration is high within Mohs surgery codes: the precomputed top 3 Medicare codes account for 59.9% of total Medicare revenue, and the single largest line item is 17311 which alone represents $217.9K (34.4% of Medicare revenue). This indicates that multi-staged Mohs procedures are the core revenue driver for the practice.

    The code mix beyond primary Mohs codes includes a substantive reconstructive/cutaneous surgery portfolio (13132, 14061, 14301, 13121, 14041, 15260) showing frequent closures, flap/graft work, and larger defect reconstructions; these adjacent reconstructive codes (for example 13132 with $42K revenue and 14061 with $39.9K) align with a workflow where Mohs resections are commonly followed by significant reconstructive procedures.

    Competitive standing on key Mohs codes is modest-to-strong but not dominant nationally: 17311 ranks #605 of 2969 providers (80th percentile) and 17312 ranks #434 of 2770 providers (84th percentile), which places the provider above average volume for these procedures but not among the top-tier national performers. Several reconstructive codes show higher percentile placements (for example 13132 at the 91st percentile), suggesting particular strength in complex closures relative to peers.

    Most commonly billed evaluation & management codes are limited in revenue share (99213 contributes $10.9K, 1.7% of Medicare revenue), reinforcing that the practice is procedure-centric rather than office-visit driven; clinical evaluation visits are present but are a minority of billed revenue.

    Several procedure lines are relatively infrequent but high-value per claim (for example 14061 with $814 avg paid/claim and 14301 with $898 avg paid/claim), indicating the provider performs larger reconstructive cases that generate substantial per-procedure reimbursement even when they contribute smaller shares of total revenue. These higher unit-value reconstructions complement the volume of Mohs stages.

    Geographic and payer implications: located in EAST GREENWICH, RI, the absence of Medicaid billing on file means the provider likely derives Medicare-relevant referral patterns and case-mix from older patients and is less engaged with state Medicaid populations; analysts should not expect Medicaid market-share or state-program exposure from this NPI.

    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs 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…480$450$217.9K
    17312Mohs 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.300$350$105.2K
    17313Mohs 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.120$480$56K
    13132The 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…210$200$42K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.50$810$39.9K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.40$900$34.1K
    13121This 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.120$180$21.7K
    12032This 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.70$210$13.8K
    17314Mohs 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.40$330$13.7K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…20$720$11.6K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311310310$440$137.5K
    17312310150$320$58.4K
    17313310100$440$46.4K
    13132110130$190$26.5K
    1406121030$810$25.9K
    1430121030$790$22.1K
    1404121020$660$15.1K
    1731421030$320$13.6K
    1406071020$570$13.1K
    1526041020$750$12.7K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mohammad SuhailRIInternal Medicine Physician$126.3K$16M
    Yusef Haj-darwishMAEmergency Medicine Physician$744K$5M
    Andrew LipmanFLMedical Oncology Physician$5.6M$0
    David RabadyNYRetina Specialist (Ophthalmology) Physician$3.8M$1.1M
    Babak Jian SeyedahmadiMAOphthalmology Physician$4.4M$0
    Richard LimRIInternal Medicine Physician$52.2K$3.4M
    Frankie AlvaradoPRPulmonary Disease Physician$7.3K$2.4M
    Marianeli RodriguezMAOphthalmology Physician$2.4M$0
    Lawrence ProanoRIEmergency Medicine Physician$48.4K$2.3M
    Namrata NandakumarMAOphthalmology Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joanne LewisRIPediatric Dentistry$0$2.1M
    Healthy Babies, Happy Moms Inc.RICustomized Equipment (DME)$0$1.5M
    Daniel CollinsRIFamily Medicine Physician$24.4K$902.1K
    Sargent Rehabilitation Center, Inc.RIComprehensive Outpatient Rehabilitation Facility (CORF)$0$819.5K
    Egp IncRIPediatrics Physician$0$708.2K
    Bayside Endoscopy Center LLCRIAmbulatory Surgical Clinic/Center$650.4K$0
    Robert GianfroccoRIEmergency Medicine Physician$14.7K$633.9K
    Joseph WyllieRICardiovascular Disease Physician$110.6K$537.2K
    Natasha BicaRIFamily Medicine Physician$0$606.3K
    Julia BaltzRIDermatology Physician$529.7K$0

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Rhode Island Distribution
    Nathaniel Jellinek — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island