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    OpenPayerNPI Medicare & MedicaidLawrence Chang
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    Lawrence Chang — Billing Profile & Reimbursement Data

    NPI 1265548929 · Virginia Beach, VA · Dermatology Physician

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    Lawrence Chang is a dermatology physician provider located in Virginia Beach, Virginia. This profile covers 49 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
    OrganizationLawrence Chang
    Address2117 General Booth Blvd
    CityVirginia Beach
    StateVA
    ZIP23454
    TaxonomyDermatology Physician
    NPI EnumeratedAugust 22, 2006

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

    Payer SourceTotal Paid
    Medicare$2.4M
    Medicaid$0

    Key Findings

    This provider’s Medicare billing profile is concentrated in Mohs micrographic surgery: codes 17311 ($968.7K revenue, 42.1%), 17312 ($355.6K revenue, 15.5%), and 17313 ($229.4K revenue, 10.0%) together drive the core of the practice’s procedure revenue. The precomputed top-3 share confirms this concentration — "top 3 Medicare codes by revenue account for 67.6% of this provider's total Medicare revenue" — indicating a service line centered on complex skin cancer excision.

    Rankings show the provider is a national volume leader for Mohs and related reconstructive work: 17311 ranks #2 of 2969 providers (100th percentile; extreme outlier), 17312 ranks #14 of 2770 (100th percentile; extreme outlier), and 17313 ranks #8 of 2300 (100th percentile; extreme outlier). These standings mean the provider performs Mohs at volumes far above typical national peers, positioning them as a dominant procedural player in this specialty on a national scale for these codes.

    Beyond Mohs, the practice bills very high volumes of intermediate repair and reconstruction codes, supporting an integrated surgical-reconstruction workflow. Examples include 12032 ($221.2K revenue) which ranks #1 of 6420 providers (100th percentile; extreme outlier), 12042 ($42.3K revenue) rank #1 of 1531 (100th percentile; extreme outlier), and 12034 ($34.5K revenue) rank #1 of 633 (100th percentile; extreme outlier), indicating in-house closure/reconstruction capacity after excisions. This mix of Mohs plus high-volume repair codes is consistent with a surgical dermatology practice that retains post-excisional reconstructions rather than referring them out.

    Evaluation & management activity is present but a small share of revenue relative to procedures: 99213 generated $33.9K (1.5% of Medicare revenue) and 99212 generated $22.4K (1.0%), with 99213 ranking #28690 of 457151 providers (94th percentile; typical, unremarkable volume) and 99212 ranking #992 of 99011 providers (99th percentile; extreme outlier). These E/M volumes support clinic throughput for the procedural practice but do not drive the revenue base compared with surgical codes.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue on file is $2.4M while Medicaid billing is recorded as "none below — this provider has no Medicaid billing on file." This means the practice’s revenue exposure and growth opportunities are tightly linked to Medicare market dynamics and patient composition rather than to Medicaid populations.

    The provider’s code-level profile contains many statistical outliers for procedural dermatology: multiple entries are labeled "extreme outlier" and sit at the 100th percentile for national ranks (e.g., several Mohs and intermediate repair codes). At the same time, some reconstructive graft codes (for example, 15260) are described as "typical, unremarkable volume," indicating that while Mohs and repairs are unusually high, not every ancillary procedure is outlier-level in national context.

    Operationally, the NPI tenure indicates long-standing presence in the market: NPI enumerated 2006-08-22 (~20 years ago). Coupled with the concentrated, high-volume Mohs and reconstruction billing, this tenure supports a profile of an established surgical dermatology practice that has built sustained procedural volumes over time.

    From a competitive and business-development perspective, the provider should be viewed as a high-capacity Mohs and reconstructive dermatologic surgery center: dominant in national Mohs volume and extremely high in intermediate repair codes, but with most revenue concentrated in a small set of codes (the top 3 account for 67.6% of Medicare revenue). For payers and provider network planners, this suggests the entity is a specialist referral destination for complex skin cancer excision and immediate reconstruction, with limited Medicaid participation to consider for broader safety-net coverage planning.

    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.

    49 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…2,040$480$968.7K
    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.1,090$330$355.6K
    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.530$440$229.4K
    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.1,160$190$221.2K
    12052This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.520$130$68.6K
    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.610$100$59.6K
    15260This 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.70$780$53.2K
    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.160$320$50.7K
    12042This CPT® code is used for the intermediate repair of superficial wounds to the neck, hands, feet, and/or external genitalia that are 2.6 to 7.5 cm in size.280$150$42.3K
    12034This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 7.6 to 12.5 cm in size.160$220$34.5K

    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

    Full comparison — all codes billed, vs. state median

    49 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311160450$470$226K
    17312150250$330$87.4K
    1731315080$480$47.6K
    1526044020$730$21.1K
    992146,44412,890140$80$21K
    1406096030$570$17K
    14040233020$550$14.3K
    1731413040$320$13.8K
    11102280480140$60$13.1K
    1524031020$690$13.1K

    Showing 1–10 of 49

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James BotaVAMOHS-Micrographic Surgery Physician$1.5M$0
    Molly SmithVADermatology Physician$813.9K$1.2K
    Ashley ReedVADermatology Physician$641K$0
    Natalia MendozaVADermatology Physician$503.4K$0
    Anh PhamVADermatology Physician$478.1K$0
    Robert BaerVADermatology Physician$338.5K$0
    Lauren BarnesVADermatology Physician$320.8K$0
    Tara Buehler-botaVADermatology Physician$309.7K$0
    Bruce BauerVADermatology Physician$264K$4.3K
    Cyndi Torosky TommasoVADermatology Physician$258.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara HospitalsVAGeneral Acute Care Hospital$0$52.3M
    First Hospital Corporation Of Virginia BeachVAPsychiatric Hospital$0$22.4M
    Sellati & Co., Inc.VAMethadone Clinic$0$5.6M
    Eye Surgery Limited LLCVAAmbulatory Surgical Clinic/Center$2.1M$155.7K
    Michael CannonVASpecialist$1.7M$0
    Janice SherwoodVARheumatology Physician$1.4M$0
    Virginia Beach Ambulatory Surgery CenterVAAmbulatory Surgical Clinic/Center$240.6K$797K
    Aris DelianidesVAOphthalmology Physician$644.6K$11.2K
    Steven CronquistVAMOHS-Micrographic Surgery Physician$573.7K$0
    Andrew VillanuevaVADermatology Physician$542.3K$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. Virginia Distribution
    Lawrence Chang — 15 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia