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    OpenPayerNPI Medicare & MedicaidPatrick Mulvaney
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    Patrick Mulvaney — Billing Profile & Reimbursement Data

    NPI 1447630108 · Worcester, MA · Dermatology Physician

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    Patrick Mulvaney is a dermatology physician provider located in Worcester, Massachusetts. This profile covers 18 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
    OrganizationPatrick Mulvaney
    Address281 Lincoln St
    CityWorcester
    StateMA
    ZIP01605
    TaxonomyDermatology Physician
    NPI EnumeratedJune 8, 2015

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

    Payer SourceTotal Paid
    Medicare$105K
    Medicaid$0

    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.

    18 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…180$230$40.6K
    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.100$150$15.2K
    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.40$220$8.9K
    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.10$680$8.2K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.60$110$6.9K
    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…60$70$4.1K
    99213The 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…80$50$3.8K
    13152The physician performs closure of a wound/laceration for at least one of the following anatomic areas: eyelids, nose, ears, lips. The repair performed is of a complex nature, which involves more than…20$150$3.4K
    12052This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.40$80$3.2K
    11602The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.30$70$1.9K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173114960360$450$169.9K
    173125060180$320$70.8K
    17313496090$440$45.1K
    15260405020$810$29.2K
    9921410,33115,410110$80$15.6K
    13121647040$240$14.1K
    17000547640170$40$10.7K
    11102435600110$70$10.6K
    120325421030$210$10.4K
    992136,62613,70070$60$8.8K

    Showing 1–10 of 18

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spectrum Health Systems, IncMAAddiction (Substance Use Disorder) Counselor$6M$187.4M
    Edward M. Kennedy Community Health Center, IncMAFederally Qualified Health Center (FQHC)$0$55.2M
    Prestige Adult Foster Care LLC.MAIn Home Supportive Care Agency$0$54.1M
    Autism Therapuetic Services LLCMAEarly Intervention Provider Agency$0$23M
    Catholic Charities Of The Diocese Of WorcesterMADevelopmentally Disabled Services Day Training Agency$0$17.2M
    City Home Care, LLCMAHome Health Agency$0$15.9M
    Autism Intervention SpecialistsMABehavior Analyst$0$13.4M
    Pinnacle Home Healthcare Services, IncMAHome Health Agency$0$13.3M
    Adcare Hospital Of Worcester, Inc.MAGeneral Acute Care Hospital$0$13.2M
    The Bridge Of Central Massachusetts, Inc.MACommunity/Behavioral Health Agency$0$5.5M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Patrick Mulvaney — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts