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

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

Richard Lee Averitte Jr PLLC (NPI 1407804115)

Richard Lee Averitte Jr PLLC is a dermatology physician provider located in Scottsdale, Arizona. This profile covers 0 Medicare and 45 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	Richard Lee Averitte Jr PLLC
Address	20401 N 73rd St
City	Scottsdale
State	AZ
ZIP	85255
Taxonomy	Dermatology Physician
NPI Enumerated	May 5, 2006

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

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

45 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…	39,130	$40	$1.6M
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…	13,960	$60	$823.8K
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…	12,350	$70	$815.2K
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.	12,220	$60	$781.9K
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…	6,570	$90	$597.9K
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…	6,570	$80	$493.1K
11103	The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…	5,160	$60	$299.2K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	2,970	$80	$240.3K
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…	2,100	$100	$201.6K
11100	N/A	3,090	$50	$163.6K

Showing 1–10 of 45

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Richard Lee Averitte Jr PLLC — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

45 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	36	140	1,460	$60	$422.5K
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…	316	3,040	750	$50	$343.9K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	63	80	150	$360	$320.3K
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…	85	2,780	600	$50	$267K
13101	This is for a complex repair of a wound to the trunk. This wound should be 2.6 to 7.5 cm in size.	2	10	640	$270	$173.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	390	500	250	$110	$164.5K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	74	180	120	$120	$157.9K
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	60	160	$80	$144.7K
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…	25	1,030	130	$70	$134.1K
13121	This is for a complex repair of a wound to the scalp, arms, and/or legs. This wound should be 2.6 to 7.5 cm in size.	2	10	30	$250	$116.1K

Showing 1–10 of 45

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sarah Estrada	AZ	Dermatopathology Physician	$1.1M	$20.2K
Christine Lin	AZ	MOHS-Micrographic Surgery Physician	$1.1M	$0
Genevieve Egnatios	AZ	Dermatology Physician	$674.2K	$0
Jason Barr	AZ	Dermatology Physician	$554.4K	$0
Travis Lam	AZ	Dermatology Physician	$399K	$0
Dustin Mullens	AZ	Dermatology Physician	$262.5K	$0
Andrew Newman	AZ	MOHS-Micrographic Surgery Physician	$244.1K	$0
Sampreet Reddy	AZ	Dermatology Physician	$179.4K	$0
Meghan Dickerson	AZ	Physician Assistant	$159.9K	$0
Megan Mcbride	AZ	Family Nurse Practitioner	$113.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Az Med Transportation	AZ	Non-emergency Medical Transport (VAN)	$0	$23.1M
Reliable In Home Care, LLC	AZ	In Home Supportive Care Agency	$0	$16M
Honorhealth	AZ	General Acute Care Hospital	$0	$7.4M
Mark Barakat	AZ	Ophthalmology Physician	$3M	$0
Franklyn Gergits	AZ	Otolaryngology Physician	$1.3M	$0
Digestive Health Specialists Endoscopy Center Arizona, LLC	AZ	Ambulatory Surgical Clinic/Center	$1M	$104.7K
Urology Asc- Phoenix, LLC	AZ	Ambulatory Surgical Clinic/Center	$883.6K	$0
Kevin Fuciarelli	AZ	Specialist	$603.3K	$0
Bertrand Kaper	AZ	Orthopaedic Surgery Physician	$552.4K	$0
Ruchir Patel	AZ	Sleep Medicine (Internal Medicine) Physician	$505K	$15.5K

Richard Lee Averitte Jr PLLC — Billing Profile & Reimbursement Data

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Richard Lee Averitte Jr PLLC — 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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