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    OpenPayerNPI Medicare & MedicaidJames Keane
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    James Keane — Billing Profile & Reimbursement Data

    NPI 1427221704 · Little Rock, AR · Procedural Dermatology Physician

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    James Keane is a procedural dermatology physician provider located in Little Rock, Arkansas. This profile covers 38 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
    OrganizationJames Keane
    Address11412 Huron Ln
    CityLittle Rock
    StateAR
    ZIP72211
    TaxonomyProcedural Dermatology Physician
    NPI EnumeratedApril 8, 2008

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

    Payer SourceTotal Paid
    Medicare$4.9M
    Medicaid$0

    Key Findings

    Provider JAMES KEANE is effectively a Medicare-focused procedural dermatology practice: lifetime Medicare revenue is $4.9M and there is no Medicaid billing on file, making this an essentially single-payer (Medicare) billing profile for analyses of scale and payer risk. The absence of any Medicaid claims suggests the provider either does not contract with Medicaid or does not treat Medicaid populations at scale in Little Rock, AR.

    Revenue concentration is pronounced: the precomputed top 3 Medicare codes by revenue account for 73.0% of the provider’s total Medicare revenue, indicating the practice is highly dependent on a narrow set of high-value procedural services. Analysts should treat shifts in utilization or reimbursement for those three codes as having outsized impact on overall Medicare revenue.

    The operation is clearly a high-volume Mohs and reconstructive dermatologic surgery practice: codes 17311, 17312, and 15260 dominate revenue with 17311 alone accounting for $1.7M (36.1% of Medicare revenue) and 17312 contributing $1.1M (23.7%). The mix of Mohs surgery codes (17311–17314) plus multiple repair and graft codes (e.g., 15260, 13132, 13121) indicates the provider performs high volumes of staged excisions with on-site reconstruction rather than primarily office-based medical dermatology.

    Competitive standing on Medicare is extreme: the provider ranks #1 nationally for 17311, 17312, 15260 and holds top-percentile placement across many repair/graft codes (100th percentile or near it for multiple entries). Several codes are explicitly labeled as "extreme outlier" or "far above typical national volume," which positions this clinician as a national outlier and likely a regional destination for Mohs and complex reconstructive cases.

    Procedure-level statistical signals reinforce a specialty procedural footprint: multiple codes (17311, 17312, 15260, 13132, 13131, 13151, 13101) are described as "extreme outlier" or at the 100th percentile nationally, while intraoperative and pathology support codes (88331, 88305) appear at more typical volumes. This pattern suggests the practice does much of the surgical throughput itself and uses standard pathology consult volumes associated with high Mohs case counts.

    Tenure is long-standing: the NPI was enumerated on 2008-04-08 (~18 years ago), indicating sustained Medicare participation and an established referral footprint over nearly two decades. That longevity supports interpretation that high volumes are systematic and not a short-term fluctuation.

    Although the provider is a dominant national outlier on key Mohs and reconstructive codes, several lower-revenue reconstruction codes and pathology codes fall into typical or only modestly elevated percentiles (for example 14060 at the 96th percentile and 88305 at the 68th percentile), indicating pockets of standard utilisation mixed with exceptional specialty volumes. This nuance suggests very high specialization in excision-and-repair workflows while discrete ancillary services remain within expected ranges.

    From a business risk and strategic perspective, reliance on a narrow set of high-revenue surgical codes (the top three alone = 73.0% of Medicare revenue) makes the practice sensitive to changes in Medicare coding guidance, reimbursement policy, or local referral patterns for Mohs surgery. Payer negotiations or policy shifts affecting Mohs or full-thickness graft reimbursement would disproportionately affect this provider relative to a more diversified code mix.

    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.

    38 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…4,490$390$1.7M
    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.3,820$300$1.1M
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.890$720$637K
    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.820$380$308.8K
    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…1,560$180$277K
    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.800$180$140.4K
    17314Mohs 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.420$280$120.4K
    15240This code is for a free full–thickness skin graft of the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet that is 20 cm2 or less in size.80$650$54.2K
    15220This CPT code is for a free full–thickness skin graft of the scalp, arms, and/or legs that is 20 cm2 or less in size.90$550$48K
    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.90$510$47.1K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311130210$400$165.8K
    1731213090$290$66.2K
    1524011080$640$54.2K
    8830558180450$30$48.1K
    1526012020$690$46.7K
    1731313040$380$35.3K
    1522011050$530$26.9K
    1406043030$500$23.6K
    1313213040$170$20.2K
    1406131030$600$17.4K

    Showing 1–10 of 38

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harshivinderjit BainsTXOphthalmology Physician$4.1M$0
    Balagopalan NairARHematology & Oncology Physician$4.1M$0
    Amar PatelTXOphthalmology Physician$3.8M$0
    Thomas BochowTXOphthalmology Physician$3.6M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Jyothi MallepalliLARheumatology Physician$3.2M$0
    Kirtan KotichaLAHematology & Oncology Physician$3.1M$0
    Rochelle Robicheaux MetoyerLARheumatology Physician$2.9M$0
    Jonathan TzuTXOphthalmology Physician$2.8M$0
    Mariann HarringtonARHematology & Oncology Physician$2.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Independent Case Management, Inc.ARDevelopmentally Disabled Services Day Training Agency$0$58.7M
    Mct, Inc.ARDevelopmental Disabilities Clinic/Center$0$30.5M
    Pain Treatment Centers Of America, PLLCARMulti-Specialty Clinic/Center$0$19.5M
    Inspiration Day Treatment, Inc.ARCommunity/Behavioral Health Agency$0$11.9M
    Bhc Pinnacle Pointe Hospital, Inc.ARAdolescent and Children Mental Health Clinic/Center$0$10.4M
    Mct, Inc.ARSpeech-Language Pathologist$0$9.2M
    Turcios & Zarruk Dental, P.A.ARDental Clinic/Center$0$5M
    Odyssey Healthcare Operating A LPARHome Health Agency$0$3.6M
    Advanced Spine And Pain Centers, Inc.ARPain Clinic/Center$0$3.6M
    Ashcraft Orthodontics PLLCAROrthodontics and Dentofacial Orthopedics Dentistry$0$3.4M

    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. Arkansas Distribution
    James Keane — 16 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas