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

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

Maureen Mooney (NPI 1467460352)

Field	Value
Entity Type	Individual
Organization	Maureen Mooney
Address	5225 Cirque Dr W Ste 200
City	University Place
State	WA
ZIP	98467
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	August 4, 2006

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

Practice revenue is heavily Medicare‑centric: the provider reports Total Medicare revenue of $1.5M and has no Medicaid billing on file, making her effectively a single‑payer (Medicare) practitioner in the available claims data. This concentrated payer mix implies analyses of commercial or Medicaid exposure will require supplemental data sources.

Revenue concentration is extreme — the precomputed top 3 Medicare codes account for 74.1% of this provider's total Medicare revenue, driven primarily by Q4186, 17311, and 17312. In particular, Q4186 alone represents $659.1K revenue (45.4% of Medicare revenue), while 17311 accounts for $310K (21.4%) and 17312 $105.6K (7.3%), indicating the business is dominated by a small set of procedure/add‑on combinations.

Service mix and business model signal a Mohs and reconstructive surgery focus: the dominant codes are Q4186 (Epifix per cm2 add‑on) and Mohs surgery codes 17311 and 17312, complemented by multiple repair, graft, and skin substitute codes (for example 13132, 15275, 15271). This combination of Mohs excision plus frequent use of skin substitutes and complex repairs is consistent with a practice organized around surgical skin cancer treatment and immediate reconstruction.

Competitive standing for the top revenue drivers is mixed: Q4186 ranks #12 of 122 nationally (91th percentile) and is described as "typical, unremarkable volume," while 17311 ranks #275 of 2969 (91th percentile) and 17312 ranks #401 of 2770 (85th percentile), both characterized as typical volumes for those Mohs codes. By contrast, the provider shows unusually high relative activity on selected adjunctive codes — 15275 ranks #4 of 888 (100th percentile; extreme outlier, far above typical national volume) and 13132 ranks #98 of 3088 (97th percentile; notably above typical national volume) — suggesting above‑average use of skin substitutes and complex facial repairs compared with peers.

Operational footprint includes substantial office‑level E/M billing relative to peers: 99203 appears with 270 claims and $23.2K revenue (1.6% of Medicare revenue) and ranks #1684 of 161519 (99th percentile; extreme outlier, far above typical national volume), indicating higher‑than‑typical new patient clinic volume recorded under a higher‑level new patient visit code. These elevated E/M ranks alongside procedure dominance suggest a practice that pairs a high throughput of new consults with procedural Mohs sessions.

Presence of radiation planning/simulation codes in the bill mix is notable though not dominant: 77280 (133 claims, $29.1K revenue, 2.0%) and 77290 (23 claims, $8.3K revenue, 0.6%) are billed and 77401 (252 claims, $8.3K revenue, 0.6%) appears in the file despite being deleted effective Jan. 1, 2026. This pattern may reflect episodic involvement with pre‑radiation planning or billing of technical/planning services rather than core Mohs surgical revenue, and these items merit review when attributing service lines.

Provider tenure is long: the NPI was enumerated 2006-08-04 (~20 years ago), indicating an established practice history within the Medicare program. For analysts assessing referral relationships or market position, this longevity supports interpreting current high‑volume code patterns as sustained operational behavior rather than a short‑term anomaly.

For payer strategy and utilization review, the combination of a single‑payer Medicare revenue base, extreme concentration in three codes (74.1% of Medicare revenue), and selective extreme outlier status on skin substitute and some E/M codes points to focused operational risk and opportunity areas. Contracting teams should consider the practice as a specialist Mohs/reconstruction provider with outsized use of skin substitutes (15275) and elevated new patient visit coding, and prioritize audit or clinical‑collaboration conversations on those specific code families.

Medicare: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4186	Epifix, per square centimeter (add-on, list separately in addition to primary procedure)	5,590	$120	$659.1K
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…	660	$470	$310K
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.	320	$330	$105.6K
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…	310	$200	$60.3K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	660	$80	$50.6K
77280	The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.	130	$220	$29.1K
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.	60	$460	$26K
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…	270	$90	$23.2K
14060	The 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.	40	$590	$22.9K
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…	330	$70	$21.9K

Showing 1–10 of 39

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Maureen Mooney — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

39 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4186	1	10	3,040	$120	$359K
17311	5	70	240	$440	$131.7K
17312	7	60	110	$320	$47.2K
14301	10	30	20	$850	$26.3K
15260	34	50	30	$690	$24.1K
17313	19	60	40	$450	$22.3K
14041	38	40	20	$670	$20.2K
13132	1	70	70	$200	$18.1K
14060	14	60	20	$540	$16.2K
14061	5	20	20	$730	$14.6K

Showing 1–10 of 39

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Evelyn Fu	WA	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Cascade Eye & Skin Centers PC	WA	Ambulatory Surgical Clinic/Center	$1.6M	$93.8K
June Kim	WA	MOHS-Micrographic Surgery Physician	$588.9K	$0
Erin Seefeldt	WA	Ophthalmology Physician	$418.1K	$0
Tara Oetken	MT	Dermatology Physician	$302.8K	$0
Adam Buchanan	WA	Ophthalmology Physician	$268.1K	$0
Roy Park	WA	Ophthalmology Physician	$247.5K	$0
Steven Brady	WA	Ophthalmology Physician	$237.3K	$0
Keith Dahlhauser	WA	Ophthalmology Physician	$227.6K	$0
Lisa Chen	WA	Ophthalmology Physician	$204.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stanley Flemming	WA	Adolescent Medicine (Family Medicine) Physician	$585.6K	$0
Kimberly Wenner	WA	Dermatology Physician	$189.7K	$0
Alyssa Poghen	WA	Acute Care Nurse Practitioner	$145.7K	$0
James Howard	WA	Psychiatry Physician	$75.6K	$0
Cynthia Fenberg	WA	Podiatrist	$52.8K	$0
Mary Moran	WA	Clinical Social Worker	$21.7K	$0

Maureen Mooney — 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