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    OpenPayerNPI Medicare & MedicaidBrienne Cressey
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    Brienne Cressey — Billing Profile & Reimbursement Data

    NPI 1477895076 · Stratham, NH · MOHS-Micrographic Surgery Physician

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    Brienne Cressey is a mohs-micrographic surgery physician provider located in Stratham, New Hampshire. This profile covers 28 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
    OrganizationBrienne Cressey
    Address23 Portsmouth Ave
    CityStratham
    StateNH
    ZIP03885
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedMarch 21, 2013

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    BRIENNE CRESSEY is a procedure‑focused Mohs–Micrographic Surgery Physician with all recorded public payer activity on Medicare (Total Medicare revenue: $1.2M) and no Medicaid billing on file. The absence of any Medicaid claims makes this effectively a single‑payer Medicare practice in these records, which concentrates commercial/payer exposure into the Medicare population.

    Revenue is highly concentrated in a small set of procedure codes: the precomputed top 3 Medicare codes account for 53.0% of total Medicare revenue, led by 17311 ($294.8K, 24.9%), 17312 ($223.4K, 18.9%), and Q4186 ($109.4K, 9.2%). This concentration indicates that a majority of Medicare dollars are generated by Mohs surgery and an adjunctive skin‑substitute product.

    The code mix and dollar amounts point to a clinical model centered on skin cancer excision with immediate reconstruction: high‑value Mohs codes (17311, 17312) are dominant, and sizable revenue is also reported for reconstructive flap and graft codes such as 14061 ($96.2K, 8.1%), 14301 ($93.9K, 7.9%), and 14041 ($84.8K, 7.2%). Additional graft codes (15260 $52.1K; 15240 $7.2K) and frequent use of the skin substitute Q4186 (Epifix) reinforce that Mohs followed by complex local repair and grafting is a core service line.

    Competitive standing on Mohs is strong: 17312 ranks #59 of 2770 providers nationally (98th percentile; notably above typical national volume) and 17311 ranks #149 of 2969 (95th percentile; notably above typical national volume), indicating the provider operates at substantially higher Mohs volume than most peers. Reconstructive work is also a national outlier in select codes — for example, 14061 ranks #11 of 830 providers (99th percentile; extreme outlier) — signaling unusually high volume of larger defect reconstructions versus national peers.

    Not all revenue lines are unusually high: Q4186 (Epifix) shows substantial absolute revenue ($109.4K) but a more moderate national position (rank #46 of 122 providers; 63th percentile; typical, unremarkable volume), suggesting the provider’s use of this specific skin‑substitute product is notable in dollar terms for this practice but not exceptional relative to the smaller national cohort that bills Q4186. Routine office E/M activity is a minor revenue component — for example, 99213 produced $11.2K (0.9% of Medicare revenue) — consistent with a practice that is procedure‑dominant rather than clinic‑visit driven.

    Tenure data show an NPI enumeration date of 2013-03-21 (~13 years ago), indicating an established presence long enough to develop referral and surgical volume reflected in the high national ranks for multiple procedural codes. The combination of a decade+ tenure and repeated high‑percentile rankings on major Mohs and reconstructive codes supports a stable, high‑volume surgical practice profile.

    The single‑payer profile (Medicare $1.2M, Medicaid: none) creates concentrated payer risk and should be noted by network planners and contracting teams; expansions into non‑Medicaid commercial or alternative payer contracts, or alignment with systems that cover broader payer mixes, would materially change the revenue diversification picture currently reflected in public claims.

    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.

    28 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…800$370$294.8K
    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.670$330$223.4K
    Q4186Epifix, per square centimeter (add-on, list separately in addition to primary procedure)930$120$109.4K
    14061The 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 10.1 cm2 to 30.0 cm2 in size.120$780$96.2K
    14301The 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 cm2.110$870$93.9K
    14041The 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…120$730$84.8K
    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.70$780$52.1K
    14060The 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.80$610$50.3K
    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.80$470$37.8K
    13132The 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…190$190$36.9K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311210350$380$144.3K
    Q4186110650$120$76.2K
    17312110160$270$58.3K
    1406111020$740$33.9K
    1731351080$430$32.4K
    1526031020$720$31.5K
    1430111010$840$27.7K
    1404111020$700$27.2K
    1406021030$570$25.8K
    1313232060$190$16K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Liqiao MaTXDermatology Physician$3.1M$0
    Michael MurphyINMOHS-Micrographic Surgery Physician$1.7M$0
    Francessca BrettschneiderFLDermatopathology (Pathology) Physician$1.6M$0
    John BernatOHSpecialist$1.3M$0
    Alireza SepehrMAAnatomic Pathology & Clinical Pathology Physician$1.2M$1000
    Jason RosenFLDermatopathology Physician$1.1M$0
    Omar BadriMAMOHS-Micrographic Surgery Physician$1M$0
    Navid BouzariMADermatology Physician$979K$0
    Elizabeth UhlenhakeOHDermatology Physician$966.3K$0
    Samir PatelOHDermatology Physician$936.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Convenientmd LLCNHUrgent Care Clinic/Center$0$1.2M
    Paradigm Clinical Associates LLCNHAmbulatory Surgical Clinic/Center$547.5K$0
    James DolanNHPodiatrist$251.8K$0
    Yvette YoussefNHInternal Medicine Physician$218.1K$0
    Jacqueline WattsNHPhysician Assistant$203.8K$0
    Cvs Manchester Nh, L.L.C.NHPharmacy$186.3K$0
    Megan MethenyNHNurse Practitioner$148.6K$0
    Gavin LittleNHInternal Medicine Physician$40.9K$88.9K
    Mini MahataNHEndocrinology, Diabetes & Metabolism Physician$104.6K$0
    Daniel ThomasNHPhysical Therapist$96.8K$0

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Hampshire Distribution
    Brienne Cressey — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire