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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRobert Mcclure
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    Robert Mcclure — Billing Profile & Reimbursement Data

    NPI 1295818672 · Lilburn, GA · Procedural Dermatology Physician

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    Robert Mcclure is a procedural dermatology physician provider located in Lilburn, Georgia. This profile covers 29 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
    OrganizationRobert Mcclure
    Address5024 Lawrenceville Hwy Nw
    CityLilburn
    StateGA
    ZIP30047
    TaxonomyProcedural Dermatology Physician
    NPI EnumeratedOctober 23, 2006

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

    Payer SourceTotal Paid
    Medicare$185.5K
    Medicaid$0

    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.

    29 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…870$60$51.3K
    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…230$80$18K
    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.260$70$17.3K
    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.40$340$13.5K
    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.310$40$11.2K
    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…30$380$10.3K
    11301The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the trunk, arms, or legs.100$80$7.5K
    11311The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.60$100$5.3K
    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…70$70$5.3K
    13101This is for a complex repair of a wound to the trunk.  This wound should be 2.6 to 7.5 cm in size.20$300$4.5K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    131328311060$210$20K
    992144,20513,640120$80$17.8K
    131215913040$220$13.2K
    11102157550160$60$12.8K
    1711030052090$70$10.7K
    17000212580220$30$10.4K
    9921326313,36080$60$9.2K
    13101659020$230$7.4K
    11312101030$100$7K
    11307162030$80$5.8K

    Showing 1–10 of 29

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kids Doc PediatricsGAPrimary Care Clinic/Center$0$2.7M
    Medilag PediatricsGAPediatrics Physician$0$1.7M
    All And All Behavioral Health Services LLCGAMental Health Counselor$0$784.9K
    Oasis Ministries LLCGACommunity/Behavioral Health Agency$0$571.2K
    Aziz PiraniGAFamily Medicine Physician$391.9K$0
    Juan SolanoGADentist$157.8K$93.9K
    Kirpich JosephGAFamily Medicine Physician$224.8K$1.7K
    Larry WyattGAProfessional Counselor$0$176K
    Taslima BhuiyanGACardiovascular Disease Physician$148K$0
    Publix Super Markets IncGACommunity/Retail Pharmacy$50.8K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Georgia Distribution
    Robert Mcclure — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia