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

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

John Randall (NPI 1326076530)

Field	Value
Entity Type	Individual
Organization	John Randall
Address	124 Sagamore Pkwy W
City	West Lafayette
State	IN
ZIP	47906
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	June 28, 2006

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

This provider is clinically focused on Mohs micrographic surgery and associated reconstructive procedures: Mohs codes 17311, 17312, 17313, and 17314 all appear in the top revenue list and reconstructive flap/adjacent tissue transfer codes 14040, 14020, 14060 and 14000 are also prominent. The mix of high-value procedure codes and reconstruction codes indicates an outpatient surgical practice that performs staged tumor excisions followed by repair or flap procedures rather than purely medical dermatology visits.

Revenue is concentrated in a small set of services: the top three Medicare codes (77280, G6001, 17311) account for 40.2% of this provider's total Medicare revenue, led by 77280 at $250.2K (18.1% of Medicare revenue), G6001 at $175K (12.7%), and 17311 at $130.5K (9.4%). This degree of concentration means changes in utilization, reimbursement, or prior authorization for these specific codes would have outsized impact on the provider's Medicare topline.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.5M while there is no Medicaid billing on file, so the practice’s billed volume and revenue exposure are almost entirely Medicare-driven. This limits immediate Medicaid-network risk but increases sensitivity to Medicare payment policy, coverage decisions, and patient demographics tied to Medicare.

The provider shows a mixed competitive stance across service lines: for radiation therapy simulation/planning (77280) the provider ranks #70 of 3348 nationally (98th percentile) and is described as notably above typical national volume, indicating national-level strength in that service. By contrast, G6001 ranks #55 of 280 (81th percentile; typical, unremarkable volume) and 17311 ranks #911 of 2969 (69th percentile; typical), so the provider’s leadership is selective rather than uniformly dominant across all top services.

Several Mohs-related codes are statistical outliers versus national peers: 17314 is an extreme outlier (rank #17 of 1266, 99th percentile) and 17313 ranks #66 of 2300 (97th percentile, notably above typical national volume). Those high-percentile Mohs procedure ranks combined with substantial revenues for 17311–17314 suggest the practice maintains unusually high procedural throughput for certain Mohs defect sizes or locations compared with national peers.

Office evaluation-and-management coding shows unusually high outpatient encounter volume: 99213 has 1K claims and $57.6K revenue and ranks #6284 of 457151 providers nationally (99th percentile; extreme outlier), while 99212 has 440 claims and $14.5K revenue and ranks #1431 of 99011 (99th percentile; extreme outlier). This pattern is consistent with sustained high patient throughput and regular pre/postoperative clinic visits supporting the surgical workload.

The provider uses wound and biologic graft products in measurable volume: Q4186 Epifix appears with 364 claims and $43.3K revenue (27th percentile; typical), while Q4102 Oasis wound matrix shows 1.5K claims and $14.6K revenue and ranks #2 of 9 providers nationally (88th percentile). These entries indicate routine use of adjunctive wound/biologic products in practice management, but Epifix use is comparatively modest versus peers while Oasis reporting is concentrated among few providers.

Tenure is long-standing: the NPI was enumerated 2006-06-28 (~20 years ago), indicating an established practice with likely entrenched referral relationships. Combined with the Medicare-only revenue footprint and high-percentile procedure ranks, this tenure supports an operational profile of a specialized, mature surgical dermatology practice primarily serving Medicare beneficiaries.

Medicare: Complete Services Breakdown

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

48 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77280	The 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.	1,250	$200	$250.2K
G6001	Ultrasonic guidance for placement of radiation therapy fields	1,320	$130	$175K
17311	Mohs 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…	370	$350	$130.5K
17312	Mohs 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.	380	$310	$117.7K
17313	Mohs 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.	280	$350	$95.2K
17314	Mohs 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.	250	$300	$74.3K
14040	The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…	130	$550	$70K
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…	1,010	$60	$57.6K
14020	The provider repairs the defects in the patient’s scalp, arms, and/or legs by using healthy tissues from an adjacent site. This code represents services for defects of 10 cm2 or less.	110	$510	$56.9K
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…	640	$70	$45.7K

Showing 1–10 of 48

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

John Randall — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

48 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	18	40	330	$410	$153.4K
G6001	2	20	570	$130	$98.2K
Q4186	2	10	690	$120	$80.4K
17312	7	40	140	$290	$56.2K
77285	6	10	120	$320	$43.5K
77280	3	90	50	$180	$41.4K
17313	2	40	60	$420	$36.5K
77427	55	110	180	$140	$28.9K
77401	4	20	710	$30	$23.9K
14021	9	10	30	$620	$20.5K

Showing 1–10 of 48

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bradley Hurliman	IN	Physician Assistant	$112.6K	$0
Phillip Deturk	IN	Nurse Practitioner	$86.9K	$0
Laura Wavra	IN	Family Nurse Practitioner	$81.1K	$0
Stephanie Davitto	IN	Nurse Practitioner	$61.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phi Health, LLC	IN	Air Ambulance	$2.4M	$14.1M
Meridian Health Services Corp	IN	Substance Abuse Rehabilitation Facility	$0	$9.1M
Luke Gerges	IN	Diagnostic Radiology Physician	$268.9K	$0
Joshua Nepute	IN	Diagnostic Radiology Physician	$233K	$0
Custompp LLC	IN	Community/Retail Pharmacy	$172.2K	$0
Hook-superx LLC	IN	Pharmacy	$156.6K	$0
Imran Kazem	IN	Diagnostic Radiology Physician	$155.6K	$0
Walgreen Co	IN	Pharmacy	$138K	$0
Gagan Chadha	IN	Internal Medicine Physician	$127.8K	$0
Keith March	IN	Family Medicine Physician	$112K	$0

John Randall — 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