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

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

Thomas George (NPI 1336207430)

Field	Value
Entity Type	Individual
Organization	Thomas George
Address	175 Commons Loop
City	Kalispell
State	MT
ZIP	59901
Taxonomy	Dermatology Physician
NPI Enumerated	December 4, 2006

Payer Source	Total Paid
Medicare	$405.3K
Medicaid	$0

Key Findings

This provider reports lifetime Medicare revenue of $405.3K and has no Medicaid billing on file, making their operative payer footprint effectively single-payer Medicare. The dataset notes the top 3 Medicare codes account for 47.6% of Medicare revenue, signaling concentrated dependence on a few high-yield services.

The billed code mix is characteristic of an active dermatology procedural practice: high-volume lesion destruction codes (17000-series and 17110), shave excisions (113xx), surgical excisions (116xx/13132), and frequent office E/M visits (99213). The presence of 88305 surgical pathology billing also indicates a steady biopsy-to-pathology workflow feeding diagnostic and excisional care.

Revenue concentration is focused in three codes: 99213 ($80.7K, 20.4% of Medicare revenue), 88305 ($56K, 14.1%), and 17004 ($51.9K, 13.1%), which together make up the precomputed 47.6% share of this provider's Medicare revenue. This degree of concentration shows a reliance on routine office evaluation services, pathology processing, and premalignant lesion destruction for the majority of billed Medicare dollars.

99213 is an outlier in national standing for this provider: it ranks #2702 of 457151 providers (99th percentile; extreme outlier, far above typical national volume for this code). That ranking indicates unusually high Medicare visit volume relative to peers and suggests a heavy throughput of established patient office visits in addition to procedure work.

Procedural lesion-destruction activity stands out: 17003 ranks #216 of 19643 providers (99th percentile; extreme outlier, far above typical national volume for this code) while 17004 ranks #213 of 9638 providers (98th percentile; notably above typical national volume for this code) and 17000 ranks in the 95th percentile. Collectively these ranks indicate procedural throughput for multiple-lesion destructive therapies that is well above typical national levels for dermatology peers.

88305 surgical pathology appears as a meaningful revenue driver and supports the clinical picture of biopsy-and-excision workup: it generated $56K (14.1% of Medicare revenue) and ranks #1631 of 14580 providers (89th percentile; typical, unremarkable volume). This suggests pathology billing here is solid but not exceptional relative to the national dermatopathology workload.

Ancillary topical and light-based therapies are present in the billing mix: J7345 shows 8.8K claims for $8.8K revenue and J7308 appears with $7K revenue, while phototherapy/photodynamic codes such as 96900 ($8.3K revenue) and 96574 ($3K revenue) are also billed. Notably, 96900 ranks #25 of 433 providers (94th percentile; notably above typical national volume for this code), which points to above-typical use of ultraviolet therapy in this practice compared with peers.

The provider's NPI was enumerated on 2006-12-04 (~20 years ago), indicating long tenure in the Medicare program. Combined with lifetime Medicare revenue of $405.3K and the concentrated, procedure-heavy code mix, the profile is consistent with a long-established dermatology clinician-level practice focused on lesion management and associated pathology rather than a high-volume multi-site enterprise.

Medicare: Complete Services Breakdown

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

33 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…	1,390	$60	$80.7K
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…	2,080	$30	$56K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	440	$120	$51.9K
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.	930	$40	$33.5K
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…	5,750	$10	$28.7K
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…	340	$70	$24.4K
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.	60	$230	$14.5K
11311	The 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.	130	$90	$11.4K
13132	The 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	$360	$11.3K
11301	The 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.	120	$80	$9.3K

Showing 1–10 of 33

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 33 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Thomas George — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

33 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	8	40	1,370	$30	$49K
13132	8	10	40	$190	$14K
99214	1,288	1,810	100	$70	$12.4K
J7308	11	10	30	$290	$11.9K
17000	4	110	190	$30	$9.6K
17110	6	80	100	$70	$9.3K
J7345	1	10	6,600	$1	$8.4K
96900	1	10	460	$20	$8.3K
17004	1	50	40	$110	$8.3K
12032	8	40	30	$190	$7.5K

Showing 1–10 of 33

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dermatology Associates Pllp	MT	Dermatology Physician	$0	$690.3K
Andrew Shors	MT	Dermatology Physician	$654.8K	$0
Blake Sampson	UT	Dermatology Physician	$592.7K	$0
Kathryn Hansen	MT	Dermatology Physician	$267.3K	$0
Julie Gessler	MI	Dermatology Physician	$154.3K	$0
Coe Mcgrath	TN	Medical Physician Assistant	$141.9K	$0
Mackenzie George	MT	Medical Physician Assistant	$95.2K	$0
Libbie Lapp	MT	Medical Physician Assistant	$89.1K	$0
Brooke Schmidt	MT	Medical Physician Assistant	$81.7K	$0
Maureen Kunz	MT	Medical Physician Assistant	$59.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flathead Industries	MT	Community/Behavioral Health Agency	$0	$40.7M
A Plus Health Care Inc	MT	In Home Supportive Care Agency	$0	$28.2M
Gabriel Dawson	MT	Pediatric Dentistry	$0	$10.7M
Kalispell Regional Medical Center Inc	MT	General Acute Care Hospital	$0	$8.8M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$6.8M
Kiddsteeth PLLC	MT	Pediatric Dentistry	$0	$6.7M
Kalispell Regional Medical Center, Inc	MT	Clinic/Center	$0	$6.2M
Kalispell Public Schools	MT	Local Education Agency (LEA)	$0	$6M
Kalispell Regional Medical Center Inc	MT	Psychiatry Physician	$0	$5.9M
Kalispell Regional Medical Center Inc	MT	Emergency Medicine Physician	$0	$5.4M

Thomas George — 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