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    OpenPayerNPI Medicare & MedicaidDaniel Davis
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    Daniel Davis — Billing Profile & Reimbursement Data

    NPI 1366539413 · Albuquerque, NM · MOHS-Micrographic Surgery Physician

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    Daniel Davis is a mohs-micrographic surgery physician provider located in Albuquerque, New Mexico. This profile covers 28 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
    OrganizationDaniel Davis
    Address5120 Masthead St Ne
    CityAlbuquerque
    StateNM
    ZIP87109
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedOctober 9, 2006

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

    Payer SourceTotal Paid
    Medicare$506.2K
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is concentrated in Mohs micrographic surgery and its associated pathology: the top three Medicare codes are 17311 ($208.2K, 41.3%), 17312 ($79.8K, 15.8%), and 88305 ($73.8K, 14.6%), and the top 3 Medicare codes by revenue account for 71.7% of this provider's total Medicare revenue. Those codes are consistent with an operator who performs multi‑staged Mohs excisions and in‑house surgical pathology rather than a general dermatology panel of services.

    Total Medicare revenue is $506.2K while there is no Medicaid billing on file, so this provider effectively operates on a single‑payer Medicare footprint. The absence of any Medicaid claims suggests limited exposure to state Medicaid populations and a payer mix dominated entirely by Medicare dollars.

    Although Mohs and pathology dominate this book of business, the absolute scale of Medicare receipts is modest at $506.2K. Within national benchmarks the provider shows above‑median activity for key Mohs and pathology codes — 17311 ranks #599 of 2969 providers nationally (80th percentile; typical, unremarkable volume), 17312 ranks #595 of 2770 providers nationally (78th percentile; typical, unremarkable volume), and 88305 ranks #2418 of 14580 providers nationally (83th percentile; typical, unremarkable volume) — indicating steady, notch‑abovemedian volume but not a top‑tier national operator for Mohs.

    The procedural mix beyond Mohs supports on‑site reconstruction and wound repair: notable billing for reconstruction and closure codes such as 14060 ($21.1K, 4.2%), 13132 ($13.1K, 2.6%), and 12032 ($10.6K, 2.1%). This pattern implies the practice manages both the excision (Mohs) and immediate defect repair rather than referring most reconstructions out, which affects staffing, OR/time allocation, and pathology throughput.

    There is material revenue concentration risk because 71.7% of Medicare revenue comes from the top three codes. Heavy reliance on a small set of Mohs and pathology codes means reimbursement changes or shifts in referral patterns for those procedures would have outsized effects on overall Medicare revenue.

    Certain ancillary and follow‑up services are relatively prominent compared with peers: 99212 ranks #7737 of 99011 providers nationally (92th percentile; typical, unremarkable volume) and 13151 ranks #71 of 738 providers nationally (90th percentile; typical, unremarkable volume). These ranks suggest the provider has above‑typical office/established‑patient encounters and performs complex facial closures at higher rates than most peers, supporting a model of longitudinal postoperative follow‑up and complex reconstructive work.

    The national percentile profile shows mostly 'typical, unremarkable volume' designations across many codes, and there are few extreme outliers in either direction. A few lower‑percentile entries (for example, 17314 at the 10th percentile and 14061 at the 21th percentile) indicate limited use of some higher‑stage Mohs variants or larger reconstructions, reinforcing a focused Mohs practice rather than a broad surgical dermatology practice.

    This provider has been enumerated since 2006-10-09 (~20 years ago), indicating long tenure in Medicare billing; longevity combined with the concentrated Mohs/pathology mix suggests an established referral base and operational model centered on Mohs surgery and immediate reconstruction.

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs 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…480$430$208.2K
    17312Mohs 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.260$310$79.8K
    88305The 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…1,480$50$73.8K
    17313Mohs 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.70$380$24.4K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.40$560$21.1K
    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…70$180$13.1K
    12032This 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.90$120$10.6K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.10$740$10.3K
    12052This 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.80$120$9.4K
    13151The provider performs closure of a wound/laceration for at least one of the following anatomic areas: eyelids, nose, ears, lips. The repair performed is of a complex nature, which involves more than…40$160$7.2K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311410430$390$163.4K
    17312610260$290$76.2K
    883051070530$30$28.5K
    1731341070$380$25.3K
    1406031030$550$23.1K
    1406121010$720$20.1K
    1313251060$210$13.6K
    111026970140$60$11.6K
    17000102110220$30$10.4K
    88312323060$50$8.4K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unm HospitalNMGeneral Acute Care Hospital$0$462.9M
    Unm Medical Group IncNMMulti-Specialty Clinic/Center$0$113.5M
    University Of New Mexico Dental ServicesNMGeneral Practice Dentistry$0$3.3M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Cecilia Arana YiAZHematology & Oncology Physician$1.8M$0
    Mehraboon IraniILBlood Banking & Transfusion Medicine Physician$4.6K$677.4K
    David DavisNMMOHS-Micrographic Surgery Physician$679.8K$0
    Anthony MartinezFLAnatomic Pathology & Clinical Pathology Physician$511.5K$0
    Jonathan RevelsNMDiagnostic Radiology Physician$490.4K$5.6K
    Michael ChangNMDermatology Physician$465.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Presbyterian Healthcare ServicesNMInternal Medicine Physician$0$240.8M
    Heritage Home Healthcare Services, Inc.NMHome Health Agency$0$141.5M
    Home Medical Equipment Specialists LLCNMDurable Medical Equipment & Medical Supplies$0$100M
    The New Beginnings LLCNMAdult Day Care Clinic/Center$0$85.1M
    We Care Agency, Inc.NMIn Home Supportive Care Agency$0$60.1M
    Lovelace Health System, LLCNMGeneral Acute Care Hospital$0$57.7M
    Adelante Development Center, Inc.NMPersonal Care Attendant$0$57M
    Eye Associates Of New Mexico LtdNMOphthalmology Physician$0$46.9M
    Southwest Labs LLCNMClinical Medical Laboratory$1.1M$41.5M
    Southwest Medical Associates, LLCNMGeneral Practice Physician$0$41.4M

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Mexico Distribution
    Daniel Davis — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico