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

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

John Chapman (NPI 1437474772)

Field	Value
Entity Type	Individual
Organization	John Chapman
Address	101 Rue Fontaine Bldg 4
City	Lafayette
State	LA
ZIP	70508
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	March 30, 2010

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

This provider is effectively single‑payer at the claims level: total Medicare revenue is $1.5M while there is no Medicaid billing on file. The absence of any Medicaid activity means analyses of payer mix, access for Medicaid populations, or in‑state Medicaid competition should treat this profile as Medicare‑dominated rather than balanced across public payers.

Revenue is highly concentrated in Mohs surgery: the top three Medicare codes (17311, 17312, 17313) together account for 55.6% of this provider’s total Medicare revenue. Individually those codes generated $476.7K (32.9%), $193.7K (13.4%), and $135.6K (9.4%) respectively, indicating the practice derives the majority of its Medicare revenue from staged Mohs procedures.

The CPT mix shows an integrated Mohs and reconstructive dermatologic surgery practice: high revenue from Mohs codes (17311–17313) is paired with substantial receipts for full‑thickness grafts and complex closures such as 15260 ($134.6K, 9.3%) and 13132 ($92.4K, 6.4%). This pattern is consistent with a practice that performs tumor extirpation followed by reconstructive procedures on the same patient population, supporting bundled clinical workflows and downstream reconstruction revenue.

On competitive standing for core Mohs services, the provider ranks well above peers: 17311 is in the 98th percentile and described as notably above typical national volume, 17312 is in the 97th percentile and notably above typical national volume, and 17313 is in the 98th percentile and notably above typical national volume. These percentile placements position the provider as a major national participant for Mohs relative to other Medicare‑billing clinicians.

Several reconstructive and repair codes are statistical outliers relative to national peers, signaling unusually high procedural volume in complex reconstruction. For example, 15260 ranks in the 99th percentile and is labeled an "extreme outlier" (rank #11 of 1336) and 13132 also ranks in the 99th percentile and is labeled an "extreme outlier" (rank #22 of 3088), which suggests this provider runs an above‑average reconstructive case mix that differentiates it from typical dermatologic surgeons.

Evaluation/management activity presents a mixed picture: established patient visits (99214) generated $50.7K (3.5%) and are characterized as typical, unremarkable volume, while new patient visits (99204) generated $41.8K (2.9%) and are flagged as an extreme outlier (100th percentile, far above typical national volume). The combination of routine follow‑ups plus an unusually high new‑patient visit rate suggests robust referral inflow or marketing that brings new consults for surgical evaluation.

Tenure and stability: the provider’s NPI was enumerated 2010-03-30 (~16 years ago), indicating an established practice presence over more than a decade and time to build referral networks and procedural volume. That longevity supports the observed high national percentiles for surgical codes as the result of sustained practice activity rather than a short‑term spike.

From a revenue‑risk and contracting perspective, dependence on a small set of high‑revenue Mohs and reconstruction codes implies sensitivity to reimbursement or utilization shifts for those codes. With 55.6% of Medicare revenue concentrated in three Mohs codes and no Medicaid offset, payers and network managers should treat this provider as a high‑volume Mohs/reconstruction specialist whose financial profile would be meaningfully affected by policy or rate changes targeting those specific CPT codes.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

51 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,100	$430	$476.7K
17312	Mohs 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.	630	$310	$193.7K
17313	Mohs 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.	300	$450	$135.6K
15260	This 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.	180	$750	$134.6K
13132	The 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…	470	$200	$92.4K
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…	560	$90	$50.7K
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.	240	$180	$44.2K
15240	This 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.	60	$710	$43.1K
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…	370	$110	$41.8K
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…	390	$70	$28.7K

Showing 1–10 of 51

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 51 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

John Chapman — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

51 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	1	30	230	$410	$119.3K
17312	1	20	110	$290	$44.7K
15240	1	10	60	$710	$43.1K
15260	1	20	20	$700	$27.3K
17313	1	20	50	$410	$25K
88305	176	220	370	$30	$22.3K
13132	1	20	70	$180	$16.6K
99214	618	6,670	110	$80	$16.5K
15781	1	10	50	$280	$14.6K
14060	14	20	20	$510	$13.3K

Showing 1–10 of 51

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Olson	FL	Anatomic Pathology & Clinical Pathology Physician	$12.8M	$80
James Keane	AR	Procedural Dermatology Physician	$4.9M	$0
Harshivinderjit Bains	TX	Ophthalmology Physician	$4.1M	$0
Balagopalan Nair	AR	Hematology & Oncology Physician	$4.1M	$0
Shanda Jackson	LA	Family Nurse Practitioner	$4M	$0
Amar Patel	TX	Ophthalmology Physician	$3.8M	$0
Thomas Bochow	TX	Ophthalmology Physician	$3.6M	$0
James Russo	LA	Radiation Oncology Physician	$3.5M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Stephen Price	LA	Physician Assistant	$3.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Acadian Ambulance Service, Inc.	LA	Air Ambulance	$38.7M	$422.7M
Pediatric Group Of Acadiana, LLC	LA	Specialist	$0	$57.5M
Leading Health Care Of La	LA	In Home Supportive Care Agency	$0	$57.4M
Our Lady Of Lourdes Regional Medical Center, Inc	LA	General Acute Care Hospital	$0	$54.3M
Sleep Management, L.L.C.	LA	Oxygen Equipment & Supplies (DME)	$0	$41.8M
Medi Trans, LLC	LA	Transportation Broker	$0	$29.8M
L & D Community Care, Inc	LA	In Home Supportive Care Agency	$0	$24.4M
Acadiana Acute Care Associates, LLC	LA	Emergency Medicine Physician	$0	$20.4M
Lourdes After Hours LLC	LA	Urgent Care Clinic/Center	$0	$20.2M
Laboratory Corporation Of America	LA	Clinical Medical Laboratory	$1.9M	$12.4M

John Chapman — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References