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

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

Hanspaul Makkar (NPI 1467488510)

Field	Value
Entity Type	Individual
Organization	Hanspaul Makkar
Address	1 Willowbrook Rd Ste 2
City	Cromwell
State	CT
ZIP	06416
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	June 23, 2006

Payer Source	Total Paid
Medicare	$1M
Medicaid	$0

Key Findings

This provider’s Medicare billing profile is dominated by Mohs micrographic surgery and immediate reconstructive procedures: 17311 generated $359.8K (35.3% of Medicare revenue) across 814 claims and 17312 generated $165.1K (16.2%) across 465 claims, while full–thickness grafting code 15260 generated $116.9K (11.5%) across 139 claims. The presence of these high-revenue, procedure-focused codes indicates a surgical practice workflow centered on tumor extirpation with same-day reconstruction rather than primarily office-based medical management.

Revenue concentration is high: the top 3 Medicare codes by revenue account for 63.0% of this provider’s total Medicare revenue, underscoring a narrow set of procedures that drive the majority of receipts within a $1M Medicare revenue footprint. That concentration suggests the business is highly specialized in a few procedural lines and may be sensitive to reimbursement or referral shifts affecting those codes.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1M and there is no Medicaid billing on file, so the provider has no recorded Medicaid presence to compare against Medicare volumes. This single-payer concentration means competitive and network negotiations will primarily hinge on Medicare relationships and referral sources rather than state Medicaid participation.

National competitive standing on core Mohs and grafting codes is well above typical: 17311 ranks #140 of 2969 providers nationally (95th percentile, notably above typical national volume) and 17312 ranks #166 of 2770 providers nationally (94th percentile, notably above typical national volume), while 15260 ranks #25 of 1336 providers nationally (98th percentile, notably above typical national volume). These ranks position the provider as a high-volume national outlier for Mohs and related reconstructive grafts, signaling a significant market share in these specific procedures versus peers.

Several component repair codes and E/M measures are statistical outliers, indicating an elevated throughput of complex closures and new patient evaluations: 12032 shows 221 claims and is described as an extreme outlier far above typical national volume, 12052 shows 219 claims and is an extreme outlier, and 99203 shows 311 claims and ranks in the 99th percentile as an extreme outlier. Together these high-volume repair and new-patient visit signals are consistent with a busy surgical referral practice that receives many consults and proceeds to procedural intervention.

The reconstructive mix extends beyond small closures to larger flap and graft work, with multiple medium-to-large reconstructive codes present at meaningful revenue levels (for example, 14301 generated $27.6K and 14041 generated $49.2K, while 15260 averaged $841 paid/claim). High average payments per claim on graft and flap codes, combined with high ranks for several of these codes, indicate the practice routinely performs more complex reconstruction rather than limiting care to simple excisions.

Tenure and established presence are evident: the provider’s NPI was enumerated on 2006-06-23 (~20 years ago), consistent with an experienced operator and a mature referral base. This long-enumeration timeline helps explain the concentrated, high-volume procedural profile and may reflect entrenched relationships with referring clinicians and surgical pathology services.

Although the practice is procedurally focused, office evaluation codes are present but represent a much smaller share of Medicare revenue; for example, 99203 contributed $27.4K (2.7% of Medicare revenue) and 99204 contributed $17.7K (1.7%). This mix—large surgical revenue pools with modest E/M contributions—suggests revenue and capacity are driven by operative throughput rather than ongoing chronic-care management.

Medicare: Complete Services Breakdown

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

30 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…	810	$440	$359.8K
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.	470	$360	$165.1K
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.	140	$840	$116.9K
12032	This 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.	220	$230	$50.8K
14041	The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…	60	$770	$49.2K
14021	The provider repairs lesions in the patient’s scalp, arms, or legs by using the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2.	60	$730	$40.4K
12052	This 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.	220	$140	$30.7K
14301	The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.	30	$920	$27.6K
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…	310	$90	$27.4K
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	$650	$23.9K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Hanspaul Makkar — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	1	30	300	$490	$149.1K
17312	1	30	150	$350	$59.2K
14021	3	10	60	$710	$42.5K
15260	1	10	30	$810	$33.3K
14041	2	10	20	$740	$24.5K
14060	4	20	20	$620	$19.9K
15240	2	10	30	$720	$18K
14020	1	10	30	$600	$17.3K
13132	15	30	50	$210	$15.5K
14040	9	10	20	$570	$14.9K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Connecticut	CT	General Acute Care Hospital	$0	$205.8M
University Of Connecticut Health Center	CT	General Practice Physician	$0	$34.8M
University Dentists	CT	Dental Clinic/Center	$0	$13.8M
State Of Connecticut	CT	Psychiatric Hospital	$0	$3.6M
Michael Ruddat	CT	Ophthalmology Physician	$2.7M	$0
Asad Nasir	FL	Nuclear Medicine Physician	$2.2M	$0
Thomas Ward	CT	Ophthalmology Physician	$1.3M	$0
Jonathan Moseley	CT	Internal Medicine Physician	$740	$1.2M
University Of Connecticut Health Center	CT	Clinical Medical Laboratory	$396.3K	$580.4K
Yale University	CT	Clinical Medical Laboratory	$946.4K	$390

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Professional Home Care Services,inc	CT	Oxygen Equipment & Supplies (DME)	$0	$7.8M
Professional Home Care Services, Inc.	CT	Home Infusion Therapy Pharmacy	$0	$4.4M
Northeast Medical Equipment Inc	CT	Durable Medical Equipment & Medical Supplies	$0	$3.1M
Apria Healthcare LLC	CT	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Loveland Eyecare, LLC	CT	Optometrist	$0	$1.9M
Cromwell Fire District	CT	Land Ambulance	$217.9K	$681.6K
James Whalen	CT	MOHS-Micrographic Surgery Physician	$440.6K	$0
Matthew Moyer	CT	Primary Care Nurse Practitioner	$220.7K	$0
Amy Chen	CT	Dermatology Physician	$124.4K	$0
Stephen Siegel	CT	Family Medicine Physician	$86.2K	$0

Hanspaul Makkar — Billing Profile & Reimbursement Data

Sign up for Hanspaul Makkar — Billing Profile & Reimbursement Data policy alerts

Hanspaul Makkar — Billing Profile & Reimbursement Data

Sign up for Hanspaul Makkar — Billing Profile & Reimbursement Data policy alerts

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