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NPI 1295751931 · Merced, CA · Dermatology Physician
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David Pilkington is a dermatology physician provider located in Merced, California. This profile covers 29 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | David Pilkington |
| Address | 410 E Yosemite Ave |
| City | Merced |
| State | CA |
| ZIP | 95340 |
| Taxonomy | Dermatology Physician |
| NPI Enumerated | July 14, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $755.2K |
| Medicaid | $440 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
29 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,590 | $90 | $135.2K |
| 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… | 2,020 | $70 | $131.5K |
| 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. | 2,470 | $40 | $93.9K |
| 17003 | In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through… | 11,290 | $10 | $56.5K |
| 12032 | This 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. | 220 | $250 | $54.5K |
| 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. | 480 | $70 | $35.3K |
| 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… | 1,160 | $30 | $34.8K |
| 17004 | The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. | 260 | $130 | $33.7K |
| 12052 | This 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. | 120 | $260 | $32.4K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 850 | $40 | $32.3K |
Showing 1–10 of 29
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
29 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88305 | 378 | 1,580 | 450 | $40 | $51.3K |
| 99214 | 28,301 | 37,970 | 120 | $90 | $23.2K |
| 17110 | 16 | 1,840 | 110 | $90 | $17K |
| 17004 | 134 | 1,230 | 60 | $140 | $16.4K |
| 99213 | 216 | 34,660 | 80 | $70 | $13.2K |
| 11102 | 129 | 1,760 | 110 | $70 | $12.5K |
| 17000 | 8 | 2,270 | 150 | $40 | $11.4K |
| J7345 | 52 | 80 | 5,500 | $1 | $10.5K |
| 12032 | 2 | 570 | 30 | $230 | $9.4K |
| 12052 | 8 | 120 | 30 | $170 | $7.2K |
Showing 1–10 of 29
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 60 | $10 | $440 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 11,888 | 14,520 | 760 | $10 | $122.8K |
Other providers in the same ZIP code as David Pilkington, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Dignity Health | CA | General Acute Care Hospital | $0 | $106.5M |
| San Joaquin Emergency Medical Associates | CA | Emergency Medicine Physician | $0 | $29.8M |
| Merced Ambulatory Surgery Center, LLC | CA | Ambulatory Surgical Clinic/Center | $2.8M | $4.1M |
| Steven Hansen | CA | Diagnostic Radiology Physician | $1.2M | $0 |
| Sunit Patel | CA | Specialist | $618.4K | $0 |
| Mario Sablan | CA | Orthopaedic Surgery Physician | $617.2K | $0 |
| Timothy Johnston | CA | Family Medicine Physician | $605.7K | $0 |
| Aegis Treatment Centers, LLC | CA | Methadone Clinic | $588.6K | $2.3K |
| James Rabago | CA | Family Medicine Physician | $197K | $0 |
| William Entwistle | CA | Family Medicine Physician | $185.2K | $0 |
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