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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEmily Himes
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    Emily Himes — Billing Profile & Reimbursement Data

    NPI 1417272006 · Williamsburg, VA · Dermatology Physician

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    Emily Himes is a dermatology physician provider located in Williamsburg, Virginia. This profile covers 15 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
    OrganizationEmily Himes
    Address475 Mclaws Cir Ste 1
    CityWilliamsburg
    StateVA
    ZIP23185
    TaxonomyDermatology Physician
    NPI EnumeratedApril 7, 2010

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

    Payer SourceTotal Paid
    Medicare$463.4K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,310$60$147.9K
    11102The 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.790$70$52.3K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.1,390$40$49.9K
    17110The 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…600$80$47.2K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.330$110$37.4K
    J7308Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)110$290$32.3K
    99214The 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…360$90$31.8K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…5,620$10$28.1K
    96567The provider applies a photosensitizing drug to the lesion and exposes it to a specific wavelength of light, depending on how far into the body the light needs to penetrate. The procedure is…90$110$10.3K
    99203The 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…100$80$7.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,01312,890140$80$21K
    J730886030$300$15.4K
    1711021530120$80$13.7K
    1110215480140$60$13.1K
    1700012580210$40$12.4K
    992131512,44090$60$10K
    17004925040$120$9.5K
    992043,7986,85040$110$5.9K
    96567105050$100$5.8K
    170038510740$1$5.5K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Zantha MarcusonVAMOHS-Micrographic Surgery Physician$886K$0
    Jason MazzurcoVAMOHS-Micrographic Surgery Physician$815.7K$0
    Jennifer RagiVADermatology Physician$452K$0
    Joselin TacastacasVADermatology Physician$321.7K$0
    Donald ShenenbergerVADermatology Physician$279.8K$0
    Larry EvansVADermatology Physician$123.9K$960

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Colonial Behavioral HealthVACommunity/Behavioral Health Agency$0$21.6M
    Riverside Physician Services IncVAEmergency Medicine Physician$0$17.3M
    Michumi PLLCVAEmergency Medicine Physician$0$12.4M
    Doctors' Hospital Of WilliamsburgVAGeneral Acute Care Hospital$0$12M
    Connect Youth And Family ServicesVACommunity/Behavioral Health Agency$0$6M
    Elena FlaggVARheumatology Physician$3.8M$0
    Laila RahbarVARheumatology Physician$3.2M$0
    James City County Board Of SupervisorsVAAmbulance$1.2M$822.4K
    Misty WhiteVAFamily Nurse Practitioner$1.2M$0
    Anthony FarahVAOphthalmology Physician$653.9K$0

    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. Virginia Distribution
    Emily Himes — 6 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia