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    OpenPayerNPI Medicare & MedicaidKelly Jerstad
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    Kelly Jerstad — Billing Profile & Reimbursement Data

    NPI 1417954470 · Sioux Falls, SD · Dermatology Physician

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    Kelly Jerstad is a dermatology physician provider located in Sioux Falls, South Dakota. This profile covers 35 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
    OrganizationKelly Jerstad
    Address4950 S Minnesota Ave
    CitySioux Falls
    StateSD
    ZIP57108
    TaxonomyDermatology Physician
    NPI EnumeratedJuly 6, 2005

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

    Payer SourceTotal Paid
    Medicare$603K
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in scope: Total Medicare revenue is $603K and there is no Medicaid billing on file, so the practice’s public-payer footprint is concentrated entirely in Medicare rather than split across both payers. That concentration should be treated as a core feature of network access and reimbursement risk when evaluating this clinician.

    Clinical service mix is heavily procedural and surgical. The top revenue-driving codes are Mohs-related procedures and a per-square-centimeter add-on (17311, 17312, Q4234), and reconstructive closure codes such as 14060 and 14040 also appear among top billings, which together indicate a practice organized around skin cancer excision with immediate reconstruction rather than primarily office-based medical dermatology.

    Revenue concentration around a few procedure codes is pronounced: the top 3 Medicare codes by revenue account for 60.7% of this provider's total Medicare revenue, led by 17311 ($157.5K revenue; 26.6% of this provider's total Medicare revenue), Q4234 ($125.1K revenue; 21.1% of this provider's total Medicare revenue), and 17312 ($76.8K revenue; 13.0% of this provider's total Medicare revenue). This level of concentration signals that changes to reimbursement, referral streams, or utilization for these specific Mohs-related codes would materially affect overall Medicare revenue.

    Competitive standing is mixed across the provider’s highest-volume codes. For Mohs work, 17312 ranks #627 of 2770 providers nationally (77th percentile) and 17311 ranks #865 of 2969 providers nationally (71th percentile), indicating an above-average to solid national presence for Mohs surgery; by contrast Q4234 ranks #20 of 23 providers nationally (14th percentile), signaling a modest national footprint for that specific add-on item. Additionally, reconstructive code 14060 ranks #295 of 2135 providers nationally (86th percentile), which suggests relatively stronger national activity in larger reconstructive closures compared with peers.

    Operational profile is oriented toward high-procedure throughput rather than evaluation-and-management volume. E/M codes 99214 (199 claims, $15.5K revenue; 2.6% of Medicare revenue) and 99213 (182 claims, $9.3K revenue; 1.6% of Medicare revenue) represent a small share of revenue relative to procedural codes, while multiple procedure add-ons and destruction codes (for example 17003 with 556 claims and $2.8K revenue) indicate many low-paid lesion treatments alongside higher-paid Mohs cases. This mix implies scheduling, staffing, and facility resources are likely optimized for operative dermatologic care and specimen handling.

    Ancillary and pathology activity supports the surgical focus: 88305 appears with 1.1K claims and $28.8K revenue (4.9% of this provider's total Medicare revenue), reflecting substantial specimen processing tied to excisions and Mohs procedures. The presence of Q4234 (Xcellerate, per square centimeter) as a top revenue item also points to use of per-unit disposables or grafting materials billed in conjunction with surgical defect management.

    The provider shows long tenure in the Medicare program, with an NPI enumerated on 2005-07-06 (~21 years ago), which indicates an established practice and multi-year billing history for analysts to evaluate trends. That longevity, combined with the concentrated procedure mix, suggests stable specialization that could be resilient to short-term fluctuations but sensitive to any policy or coverage changes affecting Mohs or related reconstructive services.

    From a payer-strategy perspective, the absence of Medicaid billing creates both an access and negotiation signal: this clinician does not appear to serve Medicaid populations according to available data, which could limit network coverage for lower-income beneficiaries in Sioux Falls and may influence contract discussions with payers seeking Medicaid-capable dermatologic capacity. Coupled with the fact that the top 3 Medicare codes drive 60.7% of Medicare revenue, the practice presents concentrated value for payers seeking Mohs and reconstructive capacity but also concentrated risk if those specific services face utilization or reimbursement shifts.

    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.

    35 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…390$410$157.5K
    Q4234Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure)210$590$125.1K
    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.250$310$76.8K
    88305The 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…1,110$30$28.8K
    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.50$570$28.5K
    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…50$550$25.2K
    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.50$420$20.2K
    13121This 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.80$220$16.6K
    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…200$80$15.5K
    13132The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…80$190$15.5K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q4234110210$590$125.1K
    17311810410$320$120.5K
    17312310130$270$43.5K
    8830524601,030$30$39.1K
    1406051040$510$25.7K
    1404021050$520$22.2K
    1404161030$630$22.2K
    1313282080$160$17.1K
    1731361040$310$14.9K
    992144511,66090$70$11.4K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas BurokerIAMedical Oncology Physician$9.4M$0
    Kyle AllimanIAOphthalmology Physician$8.7M$0
    Alex KartvelishviliIAOphthalmology Physician$8.1M$0
    Paul BoekeIAOphthalmology Physician$7.1M$0
    Austin StrohbehnIARetina Specialist (Ophthalmology) Physician$5.8M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Robert BehrensIAMedical Oncology Physician$5.2M$0
    Matthew McknightIAFoot & Ankle Surgery Podiatrist$4.7M$23.5K
    James SingerIARetina Specialist (Ophthalmology) Physician$4.1M$0
    Christopher HaupertIARetina Specialist (Ophthalmology) Physician$3.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Avera MckennanSDPsychiatry Physician$0$9.1M
    Vance Thompson Vision Surgery Center Prof LLCSDAmbulatory Surgical Clinic/Center$4.5M$22.7K
    Siouxland Oral SurgerySDOral and Maxillofacial Surgery (Dentist)$0$3.9M
    Avera Home Medical Equipment, LLCSDDurable Medical Equipment & Medical Supplies$0$3.4M
    Ryan GeraetsSDOphthalmology Physician$3M$0
    Anderson-smith Speech Therapy, LLCSDSpeech-Language Pathologist$0$1.9M
    Ophthalmology Ltd Eye Surgery Center L L CSDAmbulatory Surgical Clinic/Center$1.8M$16.2K
    Elizabeth AtchisonSDOphthalmology Physician$1.7M$0
    Dakota Vision Center, LLCSDOptometrist$0$1.2M
    Usc Ambulatory Surgical Center Prof LLCSDAmbulatory Surgical Clinic/Center$1.1M$44.2K

    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. South Dakota Distribution
    Kelly Jerstad — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota