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

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

Joshua Wilson (NPI 1447373832)

Field	Value
Entity Type	Individual
Organization	Joshua Wilson
Address	6000 University Ave Ste 450
City	West Des Moines
State	IA
ZIP	50266
Taxonomy	Dermatology Physician
NPI Enumerated	April 9, 2007

Payer Source	Total Paid
Medicare	$819.9K
Medicaid	$0

Key Findings

This provider is effectively single-payer in the public programs dataset: total Medicare revenue is $819.9K and there is no Medicaid billing on file, so Medicare drives the public-payor footprint for this taxonomized Dermatology Physician. That concentration suggests payer mix and access to Medicaid are not contributors to public-program volume for this NPIs' public claims history.

Revenue concentration is high: the precomputed top-3 Medicare codes account for 49.7% of this provider's total Medicare revenue, indicating that a small set of services disproportionately drive topline Medicare dollars. Those top codes include 17311 (Mohs surgery), 88305 (surgical pathology), and 99213 (established office visits), signaling a focused procedure+clinic revenue mix.

The procedural mix points to a Mohs- and surgery-centered dermatology practice: 17311 alone represents $228.3K (29.3% of Medicare revenue) and is supported by complementary Mohs codes 17312 and 17313, while pathology code 88305 ($89.9K, 11.5%) and repair codes such as 13132 ($29.9K) show integrated surgical excision and reconstruction work. Together these codes indicate the operation performs staged excisions with on-site or tightly coupled pathology review and subsequent repair/reconstruction services.

Competitive standing is mixed across service lines: for the highest-earning Mohs code 17311 the provider ranks #578 of 2969 nationally (81th percentile) and is described as typical, unremarkable volume, and 88305 ranks #2034 of 14580 (86th percentile) also categorized as typical. In short, the provider is a solid but not dominant national participant in Mohs and pathology relative to peers.

Clinic visit activity is an outlier relative to national peers: 99213 has 1.2K claims, $60 avg paid/claim, $70K revenue (9.0% of Medicare revenue) and the provider ranks #4377 of 457151 (99th percentile) where the label is 'extreme outlier, far above typical national volume for this code.' This unusually high volume of low-to-mid complexity office visits suggests heavy ambulatory throughput that supplements procedural revenue and may reflect high follow-up or medical dermatology caseloads.

Several high-volume, low-unit-value codes point to frequent lesion management: 17003 has 3.2K claims at $5 avg paid/claim ($15.9K, 2.0% of Medicare revenue) and 17000 and 17004 also appear in the top codes, indicating many premalignant lesion destruction encounters. Biopsy activity is also elevated — 11102 shows 653 claims and $37.9K revenue and ranks in the 97th percentile — together these patterns imply frequent lesion evaluation and minor procedures as part of daily operations.

The provider shows strong utilization in selected ancillary procedures: 96910 (UVB therapy) appears with 397 claims and $34.5K revenue and ranks #117 of 560 (79th percentile), while intraoperative pathology 88331 appears with 90 claims ($6.9K). These add-on and supportive services indicate the practice offers a breadth of therapeutic and intraoperative diagnostic capabilities beyond excisions alone.

This NPI has longstanding presence in the dataset, enumerated on 2007-04-09 (~19 years ago), which supports the interpretation that the observed coding and referral patterns reflect an established practice rather than a short-term anomaly. The combination of tenure, concentrated procedural revenue, and high office-visit volume implies an established, procedure-oriented dermatology operation with consistent Medicare-facing activity over time.

Medicare: Complete Services Breakdown

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

46 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…	490	$460	$228.3K
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…	1,700	$50	$89.9K
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…	1,170	$60	$70K
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.	190	$310	$58.1K
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.	650	$60	$37.9K
96910	The provider applies tar or petrolatum to the skin and exposes the area to ultraviolet B, or UVB, rays to treat certain skin diseases such as psoriasis.	400	$90	$34.5K
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.	80	$400	$30.7K
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…	170	$180	$29.9K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	230	$120	$27.1K
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…	270	$90	$23.5K

Showing 1–10 of 46

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Joshua Wilson — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

46 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	3	30	240	$410	$106.2K
88305	28	130	900	$30	$40.5K
17312	4	30	130	$280	$36.8K
96910	1	10	320	$80	$21.5K
13132	3	20	70	$210	$18.3K
17313	2	20	30	$400	$14.5K
99214	1,092	4,690	100	$70	$14.4K
13121	4	20	40	$220	$10.2K
17110	42	200	90	$60	$9.2K
17314	3	10	30	$290	$8.6K

Showing 1–10 of 46

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Buroker	IA	Medical Oncology Physician	$9.4M	$0
Kyle Alliman	IA	Ophthalmology Physician	$8.7M	$0
Alex Kartvelishvili	IA	Ophthalmology Physician	$8.1M	$0
Paul Boeke	IA	Ophthalmology Physician	$7.1M	$0
Austin Strohbehn	IA	Retina Specialist (Ophthalmology) Physician	$5.8M	$0
Jeremy Deutsch	KS	Hematology & Oncology Physician	$5.7M	$0
Robert Behrens	IA	Medical Oncology Physician	$5.2M	$0
Matthew Mcknight	IA	Foot & Ankle Surgery Podiatrist	$4.7M	$23.5K
James Singer	IA	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Christopher Haupert	IA	Retina Specialist (Ophthalmology) Physician	$3.9M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iowa Physicians Clinic Medical Foundation	IA	General Practice Physician	$0	$102.7M
Link Associates	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$83.3M
Iowa Family Services, Inc	IA	Community/Behavioral Health Agency	$0	$9.9M
Revell-warrington Dental PC	IA	Pediatric Dentistry	$0	$9.2M
Csa	IA	Community/Behavioral Health Agency	$0	$8.8M
City Of West Des Moines	IA	Land Ambulance	$726.2K	$5.1M
Wolfe Surgery Center, LLC	IA	Ambulatory Surgical Clinic/Center	$4.1M	$1.3M
Iowa Home Care, LLC	IA	Home Health Agency	$0	$5.4M
The Iowa Clinic PC	IA	Family Medicine Physician	$0	$5.4M
Divine Touch Of Iowa LLC	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.8M

Joshua Wilson — 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