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

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

Matthew Hanson (NPI 1285896829)

Field	Value
Entity Type	Individual
Organization	Matthew Hanson
Address	537 Stanton Christiana Road, Siute 107
City	Newark
State	DE
ZIP	19713
Taxonomy	Dermatology Physician
NPI Enumerated	June 25, 2008

Payer Source	Total Paid
Medicare	$1M
Medicaid	$0

Key Findings

This provider's Medicare-dominated payer mix is concentrated in Medicare with Total Medicare revenue: $1M and Total Medicaid revenue: none (no Medicaid billing on file). The absence of Medicaid billing means the profile is effectively single-payer from a public program perspective, concentrating reimbursement exposure and benchmarking on Medicare activity alone.

Revenue is highly concentrated in a small number of diagnostic/pathology codes: the precomputed top 3 codes account for 71.4% of Medicare revenue, and a single code 88305 generates $600.9K (58.8% of the provider's Medicare revenue). That level of concentration indicates material business risk if specimen volumes or reimbursement for high-level surgical pathology change, and it signals a revenue model driven predominantly by pathology interpretation rather than broad procedural diversity.

The CPT mix suggests a dermatology practice with substantial dermatopathology and lab operations: high-revenue items include 88305, 88342 ($72.7K, 7.1%), and additional technical stain codes such as 88312 and 88341 that emphasize specimen processing and interpretation. At the same time, office E/M code 99213 ($55.9K, 5.5%), procedure codes like 17110 and 17000, and therapy codes such as 96910 ($54.3K, 5.3%), 96567 ($10.6K, 1.0%), and J7308 ($21.2K, 2.1%) indicate the practice combines diagnostic pathology with clinic-based dermatologic treatments and phototherapy services.

For surgical pathology code 88305 this provider ranks #226 of 14580 nationally and sits in the 98th percentile, a pattern described as notably above typical national volume for this code; this makes the provider a major national participant for high-level pathology interpretations. Payers should consider 88305 volume the primary driver of Medicare performance and competitive positioning when evaluating network inclusion or lab contracts.

Office-visit activity is also elevated: 99213 reports 917 claims and $55.9K (5.5% of Medicare revenue), ranking the provider #7922 of 457151 nationally and labeled an extreme outlier, far above typical national volume for this code. Lower-level E/M 99212 (362 claims, $14.1K) ranks #2074 of 99011 and is noted as notably above typical national volume for this code; together these signals point to above-peer ambulatory throughput and frequent established-patient encounters.

Several specialty procedure and therapy codes show meaningful but mixed comparative standing: 96910 (584 claims, $54.3K) is in the 89th percentile and described as typical, unremarkable volume for this code, while 17110 (543 claims, $42.9K) is in the 97th percentile and described as notably above typical national volume for this code. This suggests the practice performs both common lesion destruction and phototherapy/photodynamic services at scale, complementing its heavy pathology workload.

Multiple ancillary lab-stain and immunohistochemistry codes materially contribute to Medicare revenue and are ranked at or above peer levels; for example, 88342 yields $72.7K (7.1% of Medicare revenue), ranks #318 of 11370, and is described as typical, unremarkable volume for this code despite a high percentile rank. The presence of these technical pathology codes reinforces that specimen processing and specialized staining are core operational capabilities rather than incidental services.

The provider's NPI has been enumerated since 2008-06-25 (~18 years ago), indicating long tenure in the Medicare program that likely supports established referral relationships and consistent specimen volumes. For payers and contracting teams, the combination of long tenure, a Medicare-only billing footprint, and dominant pathology revenue suggests prioritizing negotiation and utilization management strategies around lab/pathology services rather than Medicaid-network alignment.

Medicare: Complete Services Breakdown

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

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	11,130	$50	$600.9K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	930	$80	$72.7K
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…	920	$60	$55.9K
96910	The provider applies tar or petrolatum to the skin and exposes the area to ultraviolet B, or UVB, rays to treat certain skin diseases such as psoriasis.	580	$90	$54.3K
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…	540	$80	$42.9K
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…	410	$90	$36.3K
88341	The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…	390	$70	$26.9K
J7308	Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)	70	$300	$21.2K
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.	470	$40	$16.5K
11102	The 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.	240	$60	$14.4K

Showing 1–10 of 27

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Matthew Hanson — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	1	40	740	$40	$45.2K
96910	3	10	490	$90	$38.3K
J7345	4	10	19,010	$1	$29.9K
99214	1,057	1,830	150	$80	$25.5K
88341	17	30	450	$30	$20.3K
11102	20	50	180	$60	$17.7K
17110	4	60	140	$70	$16.7K
17000	20	60	350	$40	$15.9K
88342	2	40	240	$40	$14K
99213	79	1,810	120	$60	$13.6K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Panzer Dermatology Associates	DE	Specialist	$0	$1.6M
John Roussalis	DE	Plastic and Reconstructive Surgery Physician	$1.2M	$0
Christopher Conti	DE	MOHS-Micrographic Surgery Physician	$1.1M	$0
Paul Sabini	DE	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	$462.9K	$0
Lori Spencer	DE	Dermatology Physician	$432.2K	$0
Helen Mashek	DE	Dermatology Physician	$393.5K	$0
Gina Caputo	DE	Dermatology Physician	$259K	$0
Joseph Andrews	DE	Dermatology Physician	$249.7K	$0
John Mcintire	DE	Otolaryngology Physician	$214.5K	$0
Dawn Hirokawa	DE	Dermatology Physician	$197.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
Columbus Medical Services, LLC	DE	Case Management Agency	$0	$18.7M
Christiana Care Health Services Inc	DE	Hospitalist Physician	$0	$13.6M
Caritas Home Health Services, Inc	DE	Home Health Agency	$0	$11.2M
Delaware Center For Maternal Fetal Medicine Of Christiana Care	DE	Maternal & Fetal Medicine Physician	$0	$9.8M
Christiana Care Health Services Inc	DE	Neonatal-Perinatal Medicine Physician	$0	$8.9M
Medical Oncology Hematology Consultants PA	DE	Hematology & Oncology Physician	$0	$7.7M
Christiana Care Quality Partners	DE	Urgent Care Clinic/Center	$0	$7M
Jamal Misleh	DE	Hematology & Oncology Physician	$6.8M	$0
Mid-atlantic Behavioral Health, LLC	DE	Intellectual & Developmental Disabilities Psychologist	$0	$6.5M

Matthew Hanson — 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