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.

John West (NPI 1487606117)

Field	Value
Entity Type	Individual
Organization	John West
Address	34 Water Street
City	Mystic
State	CT
ZIP	06355
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicare	$868.9K
Medicaid	$0

Key Findings

This provider is effectively single‑payer: Total Medicare revenue is $868.9K and there is no Medicaid billing on file, so Medicare accounts for essentially all reported public‑payer activity. Analysts should treat this profile as Medicare‑centric when assessing payer mix and public‑payer exposure.

Revenue concentration is high and tightly focused: the precomputed top‑3 Medicare codes account for 54.3% of this provider's total Medicare revenue, with 77280 contributing $191.3K (22.5%), 17311 $137.4K (16.1%), and G6001 $133.7K (15.7%). This concentration implies a small set of services drives the majority of Medicare dollars for this NPI.

The code mix points to a hybrid clinical footprint combining skin cancer surgery and radiation‑planning services. Multiple Mohs surgery codes (17311, 17312, 17313, 17314) and complex closure/reconstructive codes (13132, 13121, 14060/14061) align with the MOHS‑Micrographic Surgery Physician taxonomy, while high revenue for 77280 and substantial volume of G6001 indicate significant billing for radiation therapy simulation and ultrasonic guidance or an affiliation with radiation services. Together these patterns suggest the provider or practice offers both operative Mohs care and radiation therapy planning support.

Competitive standing is mixed: 77280 ranks #127 of 3348 providers nationally (96th percentile) and is expressly described as notably above typical national volume, marking this code as a clear national outlier where the provider is a high‑volume participant. By contrast, 17311 (rank #1208 of 2969, 59th percentile) and G6001 (rank #99 of 280, 65th percentile) are characterized as typical or unremarkable volumes, indicating national leadership limited to the 77280 service rather than across the provider’s Mohs portfolio.

Operational signal from utilization patterns: J7345 appears at very high encounter volume (9.4K claims) but yields only $9.4K in Medicare revenue (1.1% of total), reflecting frequent low‑dollar supply/drug billing alongside higher‑dollar procedural services. Similarly, several E/M and physics codes (99213, 99203, 77336) appear at modest revenue shares, indicating routine outpatient follow‑up and technical support activities that accompany the primary procedural mix.

Tenure supports experience: the NPI was enumerated on 2006-05-17 (~20 years ago), consistent with an established practice history. That tenure, combined with high ranking on 77280, suggests a sustained operational focus that has generated atypically large simulator/imaging volumes over time.

Coding and reimbursement nuance to watch: 77401 is listed among top Medicare codes with 770 claims and $28.5K revenue (3.3% of total) and is flagged as Deleted effective Jan. 1, 2026. Analysts reviewing recent or future periods should confirm mapping or replacement codes for any post‑2026 billing that historically used 77401.

From a competitive and referral standpoint, the mix of high‑revenue Mohs codes (17311 series) and unusually high 77280 activity implies this provider may either co‑locate or closely coordinate with radiation therapy services; payers evaluating network value or utilization should consider whether radiation planning is functionally integrated into the practice or represents a distinct revenue stream captured under this NPI.

Medicare: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	800	$240	$191.3K
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…	290	$470	$137.4K
G6001	Ultrasonic guidance for placement of radiation therapy fields	840	$160	$133.7K
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.	180	$360	$65.3K
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.	110	$550	$57.3K
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…	140	$220	$31.1K
77401	Deleted effective Jan. 1, 2026.	770	$40	$28.5K
13121	This is for a complex repair of a wound to the scalp, arms, and/or legs. This wound should be 2.6 to 7.5 cm in size.	110	$230	$25.6K
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.	30	$630	$19.6K
14061	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 10.1 cm2 to 30.0 cm2 in size.	20	$850	$19.5K

Showing 1–10 of 37

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

John West — 2 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

37 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	15	30	300	$490	$149.1K
G6001	2	10	840	$150	$131.8K
17312	12	30	150	$350	$59.2K
88305	202	200	410	$40	$44.6K
14021	4	10	60	$710	$42.5K
17313	6	30	70	$500	$37.8K
14041	6	10	20	$740	$24.5K
77401	2	10	610	$40	$23.3K
77427	37	60	140	$160	$21.7K
77336	4	10	140	$80	$21.5K

Showing 1–10 of 37

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Wray	CT	Physician Assistant	$170.8K	$4.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Groton Board Of Education	CT	Local Education Agency (LEA)	$0	$3M
Mystic River Ambulance Association, Inc	CT	Land Ambulance	$326.8K	$321.4K
Francis Falck	CT	Ophthalmology Physician	$426K	$0
Annette Headley	CT	Dermatology Physician	$278.8K	$0
Prior Parker	CT	Ophthalmology Physician	$255.9K	$0
Connecticut Cvs Pharmacy, L.L.C.	CT	Pharmacy	$217.8K	$810
Warren Fields	CT	Internal Medicine Physician	$167.8K	$0
Elena Bortan	CT	Neurology Physician	$158.9K	$0
Sumeet Pawar	CT	Cardiovascular Disease Physician	$129.6K	$0
Cynthia Holliday	CT	Physical Therapist	$119.7K	$0

John West — Billing Profile & Reimbursement Data

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John West — 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