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

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

Joy Mcelroy (NPI 1336211952)

Field	Value
Entity Type	Individual
Organization	Joy Mcelroy
Address	77-311 Sunset Dr
City	Kailua Kona
State	HI
ZIP	96740
Taxonomy	Dermatology Physician
NPI Enumerated	November 15, 2006

Payer Source	Total Paid
Medicare	$425K
Medicaid	$0

Key Findings

This provider’s Medicare revenue is $425K and there is no Medicaid billing on file, so the practice operates effectively as a Medicare-only billing entity in the available datasets. The absence of Medicaid activity means payer-mix analysis is one-sided and comparisons to in-state Medicaid peers are not applicable for this NPI.

Revenue is highly concentrated: the precomputed top three Medicare codes account for 63.1% of the provider’s total Medicare revenue, driven by 99213 ($126.1K, 30.9%), 17004 ($93.7K, 23.0%), and 17000 ($37.4K, 9.2%). This concentration indicates a small set of services produces the majority of billed Medicare dollars for this provider.

The procedural code mix points to an office-based dermatology practice focused on lesion management and routine outpatient care: large volumes of destructive lesion codes (17004, 17000, 17003) alongside a high-volume established patient E/M code (99213) indicate workflows centered on lesion destruction plus follow-up or medical management visits. Additional excision and repair codes (for example 12031 and multiple 11xxx/116xx excision codes) show the practice also performs surgical removals and closures.

Two of the provider’s highest-revenue codes are extreme national outliers in volume: 99213 ranks #856 of 457151 providers (100th percentile; extreme outlier) and 17004 ranks #83 of 9638 providers (99th percentile; extreme outlier). Those rankings signal unusually high throughput for routine office E/M visits and for destruction of premalignant lesions compared with peers nationally.

Several additional lesion-related codes show notably above-typical national volume, reinforcing the lesion-treatment focus: 17000 ranks #1225 of 21879 (94th percentile; notably above typical national volume), 17003 ranks #259 of 19643 (99th percentile; notably above typical national volume), and 11200 ranks #79 of 1711 (95th percentile; notably above typical national volume). These patterns point to consistent, high-frequency use of both single-lesion and multi-lesion destruction codes.

By contrast, many excision and repair codes fall in mid-to-lower national percentiles (for example 12031 ranks #84 of 1127, 92th percentile; 11602 ranks #693 of 5197, 86th percentile), indicating that while the practice performs surgical excisions and closures, these services are not as disproportionately dominant as the lesion-destruction and E/M volumes. The mix suggests a blend of high-volume, low-complexity procedures supplemented by routine surgical dermatology.

From a business-risk and operational perspective, dependence on a concentrated set of high-volume codes (top 3 = 63.1%) likely shapes appointment flow, staffing, and supply needs toward lesion-destruction workflows and frequent return visits. Because a majority of Medicare revenue comes from a few codes, any changes in utilization patterns, coding rules, or reimbursement for those services could materially impact revenue.

The provider has a long tenure in the Medicare program (NPI enumerated 2006-11-15, ~20 years ago), and that longevity combined with the high national ranks for several codes suggests an established local practice with unusually high procedural throughput for certain dermatology services. The lack of Medicaid billing further defines the provider’s payer footprint as focused on Medicare (and presumably commercial payers outside this dataset), not on Medicaid populations.

Medicare: Complete Services Breakdown

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

39 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…	2,000	$60	$126.1K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	720	$130	$93.7K
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.	850	$40	$37.4K
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…	390	$90	$35.6K
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…	5,380	$10	$26.9K
12031	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 2.5 cm or less in size.	50	$220	$10.2K
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.	40	$260	$9.7K
12051	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes that are 2.5 cm or less in size.	30	$240	$7.4K
11602	The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.	60	$110	$6.8K
11401	The provider excises a noncancerous lesion, excluding a skin tag, of 0.6 to 1.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs.	60	$120	$6.4K

Showing 1–10 of 39

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Hawaii Distribution

Joy Mcelroy — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. state median

39 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17004	1	40	80	$130	$18.3K
17110	3	70	110	$80	$11.4K
12032	10	20	30	$230	$8.7K
99213	1	1,460	70	$60	$8.4K
17000	1	80	140	$40	$7.7K
12031	1	10	20	$220	$5.7K
11602	5	20	40	$120	$5.5K
17262	14	20	30	$120	$5.4K
11401	1	10	40	$110	$4.8K
11641	3	10	30	$160	$4.4K

Showing 1–10 of 39

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brenda Kemp	HI	Family Nurse Practitioner	$147.9K	$0
Loi Chang-stroman	HI	Internal Medicine Physician	$112.6K	$0
Shellie Norman	HI	Family Nurse Practitioner	$73K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Hawaii Community Health Center, Inc.	HI	Federally Qualified Health Center (FQHC)	$0	$46.8M
S&g Labs Hawaii LLC	HI	Clinical Medical Laboratory	$292.7K	$15.1M
Full Life	HI	Developmentally Disabled Services Day Training Agency	$0	$11M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9M
Mf Med Inc	HI	Pain Medicine (Anesthesiology) Physician	$0	$4.3M
Jennifer Logigian	HI	Dentist	$0	$1.8M
Transformation Health Network	HI	Urgent Care Clinic/Center	$0	$1.7M
Access Capabilities, Inc	HI	Community/Behavioral Health Agency	$0	$1.3M
Alii Health Center	HI	Multi-Specialty Clinic/Center	$0	$799.9K
Edwin Herd	HI	Pediatrics Physician	$0	$640.5K

Joy Mcelroy — 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