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

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

Forefront Dermatology, S.c. (NPI 1366936759)

Forefront Dermatology, S.c. is a dermatology physician provider located in Mobile, Alabama. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Forefront Dermatology, S.c.
Address	580 Providence Park Dr E
City	Mobile
State	AL
ZIP	36695
Taxonomy	Dermatology Physician
NPI Enumerated	June 19, 2018

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	11,080	$60	$653.8K
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…	10,810	$30	$367.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	2,980	$90	$280.1K
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…	4,540	$50	$218K
99203	The provider sees a new 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 provider…	1,420	$60	$86.7K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1,730	$40	$62.3K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	250	$40	$10.1K
96920	The provider uses an excimer (ultraviolet) laser to treat the skin disease psoriasis. Use this code for a total treatment area of less than 250 sq cm.	20	$70	$1.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	30	$20	$560
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	40	$10	$500

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Forefront Dermatology, S.c. — 4 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	139	1,990	680	$60	$201.7K
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…	199	1,990	560	$40	$185.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	12	630	60	$80	$45.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	396	500	120	$60	$42.2K
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…	1	20	200	$60	$39.3K
99203	The provider sees a new 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 provider…	53	660	80	$50	$26.8K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	518	660	260	$10	$12K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	3	140	50	$40	$7.5K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	1	10	70	$40	$4.4K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	41	110	90	$1	$1.6K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marguerite Germain	SC	Dermatology Physician	$1.8M	$0
Kelli Hutchens	WI	Dermatopathology (Pathology) Physician	$1.7M	$23.6K
Francessca Brettschneider	FL	Dermatopathology (Pathology) Physician	$1.6M	$0
Forefront Dermatology, S.c.	WI	Dermatopathology Physician	$0	$1.6M
Luke Hyder	FL	Dermatology Physician	$1.5M	$0
Douglas Hansen	WI	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$2.9K
Craig Abbott	OK	Dermatopathology Physician	$1.3M	$0
Ling Xia	WI	Dermatopathology Physician	$1.2M	$41K
John Perrotto	FL	Dermatology Physician	$1.2M	$0
Charles Schultz	WI	Anatomic Pathology & Clinical Pathology Physician	$1.1M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reach Pediatric Therapy	AL	Speech-Language Pathologist	$0	$2.3M
Vision Partners LLC	AL	Ophthalmology Physician	$0	$2.2M
Ritesh Gupta	AL	Internal Medicine Physician	$700.4K	$0
Cary Dunn	AL	Dermatology Physician	$665.3K	$0
Michael Rihner	AL	Cardiovascular Disease Physician	$639.3K	$0
Stephanie Grosz	AL	Clinical Cardiac Electrophysiology Physician	$579.5K	$0
Thomas Bender	AL	Dermatology Physician	$529.3K	$0
Mark Gacek	AL	Otolaryngology Physician	$244.7K	$0
Joseph Sugg	AL	Ophthalmology Physician	$211.3K	$0
Virginia Reeder	AL	Dermatology Physician	$181.2K	$0

Forefront Dermatology, S.c. — Billing Profile & Reimbursement Data

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Forefront Dermatology, S.c. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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