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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Epiphany Dermatology Of New Mexico, LLC (NPI 1447615760)

Field	Value
Entity Type	Organization
Organization	Epiphany Dermatology Of New Mexico, LLC
Address	5600 Eubank Blvd Ne
City	Albuquerque
State	NM
ZIP	87111
Taxonomy	Dermatology Physician
NPI Enumerated	December 31, 2015

Payer Source	Total Paid
Medicaid	$6.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	20,730	$110	$2.2M
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…	23,850	$60	$1.5M
99203	The 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…	9,700	$90	$902.1K
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…	4,170	$160	$670.6K
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.	4,710	$70	$348.5K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	4,460	$60	$280.9K
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…	2,460	$90	$216.7K
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…	210	$240	$48.6K
17000	The 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.	1,260	$30	$41.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	940	$40	$35.9K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Mexico providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Mexico Distribution

Epiphany Dermatology Of New Mexico, LLC — 10 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	47	930	910	$80	$521.6K
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…	40	960	1,010	$90	$490K
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…	43	50	1,740	$60	$317.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	101	380	220	$160	$273.9K
99203	The 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…	12	360	220	$90	$134.7K
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…	19	380	150	$130	$132.8K
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.	1	10	150	$80	$55.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	214	250	890	$1	$38K
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…	1	20	190	$80	$37.3K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	1	140	100	$70	$33.6K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Epiphany Dermatology Of New Mexico, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jennifer Herrmann	TN	Procedural Dermatology Physician	$1.1M	$0
Ethan Levin	NM	Dermatology Physician	$814K	$0
James Kerner	NM	Dermatology Physician	$615.4K	$0
Steven Sambrano	NM	Medical Physician Assistant	$455.7K	$0
James Auerbach	NM	Dermatology Physician	$332.2K	$0
Ryan Holcomb	NM	Physician Assistant	$283.6K	$0
David Jaffe	MD	Dermatology Physician	$268.7K	$0
Amber Luna	NM	Physician Assistant	$179.6K	$0
Timothy Busch	NM	Physician Assistant	$175.4K	$0
Lisa Bushnell	NM	Family Nurse Practitioner	$169.1K	$0

Nearby Providers

Other providers in the same ZIP code as Epiphany Dermatology Of New Mexico, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
After Hours Pediatrics PC	NM	Pediatrics Physician	$0	$34M
Duke City Urgent Care	NM	Urgent Care Clinic/Center	$0	$29.3M
New Pathways Inc	NM	Developmentally Disabled Services Day Training Agency	$0	$24.4M
Heartwell Services LLC	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$22.2M
Transitional Lifestyles Community Inc.	NM	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.7M
Michael Cito Dds LLC	NM	Pediatric Dentistry	$0	$9.9M
All About You , Homehealthcare LLC	NM	Home Health Agency	$0	$5.5M
Planned Parenthood Of The Rocky Mountains, Inc	NM	Ambulatory Family Planning Facility	$0	$3.2M
Solana Care, Lc	NM	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$3M
Carefree Assisted Living	NM	Assisted Living Facility	$0	$2.7M

Epiphany Dermatology Of New Mexico, LLC — Billing Profile & Reimbursement Data

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Epiphany Dermatology Of New Mexico, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References