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

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

Skin Cancer & Cosmetic Dermatology Center, PC (NPI 1376605394)

Skin Cancer & Cosmetic Dermatology Center, PC is a dermatology physician provider located in Dalton, Georgia. This profile covers 0 Medicare and 26 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	Skin Cancer & Cosmetic Dermatology Center, PC
Address	1107 Memorial Dr Ste 201
City	Dalton
State	GA
ZIP	30720
Taxonomy	Dermatology Physician
NPI Enumerated	December 15, 2006

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

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

26 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…	28,700	$40	$1.2M
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…	11,490	$70	$815.8K
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…	8,970	$40	$340.9K
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…	3,850	$70	$277.3K
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…	4,750	$50	$228.2K
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…	1,260	$120	$149.9K
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,…	5,720	$20	$137.3K
17311	Mohs 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…	650	$140	$90.5K
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.	1,800	$50	$84.4K
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…	1,990	$40	$75.4K

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

Skin Cancer & Cosmetic Dermatology Center, PC — 6 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	41	920	370	$60	$360.6K
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…	26	60	840	$30	$262.7K
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…	66	820	390	$70	$245K
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,…	43	360	370	$50	$153.6K
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…	19	310	90	$90	$136.3K
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…	25	230	100	$110	$97.1K
17311	Mohs 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…	1	10	650	$140	$90.8K
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…	60	130	480	$20	$59.9K
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	1,290	$50	$47.7K
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…	1	10	110	$40	$46.3K

Showing 1–10 of 26

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Chung	GA	MOHS-Micrographic Surgery Physician	$2.5M	$0
Donn Latour	MI	MOHS-Micrographic Surgery Physician	$699.2K	$14.4K
Shimon Oami	TN	Dermatopathology (Pathology) Physician	$490.1K	$720
Magdalena Kowalski	GA	Dermatology Physician	$437.5K	$0
Kisa Seymore	GA	Dermatology Physician	$405.8K	$0
Luis Gomez Vaca	GA	Dermatology Physician	$390.2K	$0
Vlatka Agnetta	TN	MOHS-Micrographic Surgery Physician	$382.1K	$0
Jane Clark	GA	Internal Medicine Physician	$274.3K	$0
Esther Latour	MI	Specialist	$228K	$0
Stewart Little	TN	Plastic and Reconstructive Surgery Physician	$216.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Highland Rivers Community Service Board	GA	Community/Behavioral Health Agency	$0	$44.1M
White's Pediatrics	GA	Pediatrics Physician	$0	$25.1M
Family And Children First LLC	GA	Community/Behavioral Health Agency	$0	$19.5M
Hamilton Physician Group Inc	GA	Cardiovascular Disease Physician	$0	$5.9M
Pediatrics Of Dalton, PA	GA	Specialist	$0	$5.5M
Dalton Ear Nose & Throat Associates	GA	Otolaryngology Physician	$0	$4M
Hamilton Emergency Medical Services	GA	Land Ambulance	$1.2M	$0
Hosam Saad-naguib	GA	Hematology & Oncology Physician	$1M	$0
Professional Eye Associates, Inc.	GA	Ambulatory Surgical Clinic/Center	$698.9K	$0
Hamilton Ambulatory Surgery Center	GA	Ambulatory Surgical Clinic/Center	$610.9K	$0

Skin Cancer & Cosmetic Dermatology Center, PC — Billing Profile & Reimbursement Data

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Skin Cancer & Cosmetic Dermatology Center, PC — 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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