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    OpenPayerNPI Medicare & MedicaidRandall Proctor
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    Randall Proctor — Billing Profile & Reimbursement Data

    NPI 1366880304 · Greenville, NC · MOHS-Micrographic Surgery Physician

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    Randall Proctor is a mohs-micrographic surgery physician provider located in Greenville, North Carolina. This profile covers 43 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
    OrganizationRandall Proctor
    Address420 Spring Forest Rd
    CityGreenville
    StateNC
    ZIP27834
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedJune 12, 2013

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

    Payer SourceTotal Paid
    Medicare$859.2K
    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.

    43 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…860$410$351.2K
    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.280$300$86.3K
    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.120$560$66.7K
    14040The 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…90$570$51.4K
    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.100$430$43.3K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.40$750$32.1K
    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…540$60$31.6K
    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.150$120$18.4K
    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$160$15.2K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…20$680$13.5K

    Showing 1–10 of 43

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    43 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311980340$430$180.3K
    173122380170$310$74.4K
    17313198050$430$35.3K
    1526095020$720$24.4K
    14041193020$680$19.8K
    1406027030$560$19.5K
    13132429060$210$19K
    14061143010$720$18K
    1404044020$540$16.8K
    9921414,01418,060110$80$15.1K

    Showing 1–10 of 43

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richard LewisNCSpecialist$1M$0
    John PapalasNCDermatopathology (Pathology) Physician$992.1K$0
    Christopher MizelleNCDermatology Physician$924.7K$0
    Todd NelsonNCDermatology Physician$494K$0
    Mathijs BrentjensNCDermatology Physician$468.9K$0
    Mary Helen HutchinsonNCDermatology Physician$410K$0
    Mildred WarrenNCDermatology Physician$390.3K$0
    Virginia TaylorNCDermatology Physician$353.9K$0
    Eric HowellNCDermatology Physician$317.3K$0
    Jennifer JessupNCPhysician Assistant$195.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vidant Medical Group LLCNCMulti-Specialty Clinic/Center$0$78M
    Pitt County Memorial Hospital, IncNCGeneral Acute Care Hospital$0$60.3M
    Paradigm, Inc.NCCommunity/Behavioral Health Agency$0$37.8M
    Better Connections, Inc.NCCommunity/Behavioral Health Agency$0$25.4M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$25M
    East Carolina UniversityNCPediatrics Physician$0$22.8M
    Pitt County Memorial Hospital IncNCAmbulance$0$15.6M
    Pediatric Services Of America, LLCNCNursing Care Agency$0$15.6M
    Eastern Radiologists IncNCDiagnostic Radiology Physician$0$14.3M
    East Carolina UniversityNCObstetrics & Gynecology Physician$0$12.3M

    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. North Carolina Distribution
    Randall Proctor — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina