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    OpenPayerNPI Medicare & MedicaidMitchell Stickler
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    Mitchell Stickler — Billing Profile & Reimbursement Data

    NPI 1275597114 · Lewes, DE · MOHS-Micrographic Surgery Physician

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    Mitchell Stickler is a mohs-micrographic surgery physician provider located in Lewes, Delaware. This profile covers 59 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
    OrganizationMitchell Stickler
    Address750 Kings Highway
    CityLewes
    StateDE
    ZIP19958
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedApril 17, 2006

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in scope: lifetime Medicare revenue is $1.5M while there is no Medicaid billing on file, so Medicare drives the entire documented public‑payer footprint for this NPI. That concentration means analyses of utilization, specialty mix, and competitive positioning should focus on Medicare activity rather than dual‑payer dynamics.

    Revenue is materially concentrated in a small set of services: the precomputed top three Medicare codes by revenue account for 33.6% of this provider's total Medicare revenue. Those top three codes are 99213 ($208.2K, 15.0%), 17311 ($139.8K, 10.1%), and 77280 ($118.7K, 8.5%), indicating that routine office E/M, Mohs surgery, and radiation simulation/planning together drive about one‑third of Medicare receipts.

    The code mix and dollar concentrations are consistent with a Mohs‑focused dermatologic surgical practice that also bills high volumes of diagnostic and destructive lesion services: high‑revenue Mohs codes include 17311 ($139.8K, 10.1%) and 17312 ($71.9K, 5.2%), while lesion destruction and premalignant lesion codes such as 17110 ($95.5K, 6.9%), 17000 ($69.4K, 5.0%), and add‑on 17003 ($30.9K, 2.2%) appear prominently. In addition, biopsy codes 11102 ($77.9K, 5.6%) and 11103 ($19.4K, 1.4%) and reconstruction codes (e.g., 12032 $49.4K, 3.6%; 15260 $26.7K, 1.9%) show a full procedural workflow from diagnosis through excision and repair.

    For E/M and office visit volume this provider is an outlier nationally: 99213 ($208.2K) and 99214 ($104.5K) are labeled “extreme outlier” in national rank, indicating unusually high Medicare office‑visit volumes compared with peers. New patient E/M 99203 ($34.4K) is also an extreme outlier, so the practice generates well above‑typical visit volumes across both new and established outpatient visit codes.

    Procedural volumes for many dermatologic treatment codes are similarly elevated: 17110 (1.2K claims, $95.5K) and 17000 (2K claims, $69.4K) are both reported as “extreme outlier,” and biopsy code 11102 (1.2K claims, $77.9K) is also an “extreme outlier,” signaling substantially higher procedural throughput for lesion destruction and biopsy compared with national peers. By contrast, core Mohs codes such as 17311 are described as “typical, unremarkable” (65th percentile) and 17312 (71th percentile), so Mohs activity appears significant in revenue terms but not uniquely high relative to the national Mohs cohort.

    Radiation‑related billing is a meaningful and distinct component of the Medicare mix: 77280 ($118.7K, 8.5%) and G6001 ($83.3K, 6.0%) together account for a notable slice of revenue and are described as typical volumes for those codes (77280 at the 95th percentile labeled “typical, unremarkable”; G6001 at the 49th percentile). The presence of simulation and ultrasonic guidance codes alongside dermatologic surgery and phototherapy (96910, $41.8K, 3.0%) suggests either onsite radiation planning or frequent coordination with radiation services.

    This NPI is well established: enumeration date 2006-04-17 (~20 years ago) indicates long tenure in Medicare billing, which supports interpretation of high volumes as steady operational scale rather than a short‑term spike. The sustained presence is consistent with the combination of routine E/M, high procedural throughput for biopsies and lesion destruction, reconstructive work, and recurring radiation‑planning services.

    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.

    59 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…3,110$70$208.2K
    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…340$420$139.8K
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.540$220$118.7K
    99214The 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…1,140$90$104.5K
    17110The 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…1,190$80$95.5K
    G6001Ultrasonic guidance for placement of radiation therapy fields560$150$83.3K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.1,220$60$77.9K
    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.210$340$71.9K
    17000The 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.1,980$40$69.4K
    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.240$210$49.4K

    Showing 1–10 of 59

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 59 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    59 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311410300$470$164.4K
    G6001210690$150$102.1K
    17312210140$330$55.2K
    1731351080$480$51.3K
    774271520290$150$39.5K
    96910510490$90$38.3K
    1404051040$540$28K
    99214871,830150$80$25.5K
    17315210400$60$25.4K
    7728021050$160$24.2K

    Showing 1–10 of 59

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kathryn O'reillyDEMOHS-Micrographic Surgery Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beebe Medical Center, Inc.DEGeneral Acute Care Hospital$0$29.2M
    Beebe Physician Network Inc.DEInternal Medicine Physician$0$19.7M
    Juliano Senior Care, Inc.DEIn Home Supportive Care Agency$0$5.9M
    Sussex Emergency Associates LLCDEEmergency Medicine Physician$0$4.3M
    Lourdes AponteDERheumatology Physician$3.6M$0
    Jose PandoDERheumatology Physician$3.2M$0
    Delaware Psychological Services LLCDEMental Health Counselor$0$3M
    The Pediatric & Adolescent CenterDESpecialist$0$2.9M
    Sea Haven Home Care, LLCDEIn Home Supportive Care Agency$0$2.3M
    Southern Delaware Imaging AssocDEDiagnostic Radiology Physician$0$2.3M

    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. Delaware Distribution
    Mitchell Stickler — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware