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

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

Charles Moon (NPI 1487712295)

Field	Value
Entity Type	Individual
Organization	Charles Moon
Address	1359 N Mount Auburn Rd
City	Cape Girardeau
State	MO
ZIP	63701
Taxonomy	Dermatology Physician
NPI Enumerated	December 5, 2006

Payer Source	Total Paid
Medicare	$2.7M
Medicaid	$0

Key Findings

CHARLES MOON is effectively a Medicare-focused dermatology practice with Total Medicare revenue of $2.7M and no Medicaid billing on file; this makes the provider single-payer in operational footprint for public programs and suggests commercial or private-pay activity (if any) is not visible in the public Medicaid dataset. The provider’s NPI was enumerated on 2006-12-05 (~20 years ago), indicating long tenure and sustained participation in Medicare over roughly two decades.

Revenue concentration is high: the precomputed top 3 Medicare codes account for 57.2% of this provider’s total Medicare revenue, indicating that a small set of services drives the majority of public-payer income. Specifically, J3245 alone represents 36.0% of Medicare revenue and, together with Mohs-related code 17311 (13.3%), these treatment and procedural codes dominate the payer mix.

The service mix shows a procedural and surgical focus typical of dermatologic specialty care: large shares from J3245 (tildrakizumab injections) and multiple Mohs surgery codes (17311, 17312, 17313) indicate concurrent biologic treatment and high-volume skin cancer surgical practice, while frequent pathology codes (88305, 88342, 88341) and biopsy codes (11102, 11103) confirm substantial in-office specimen processing and diagnostic throughput. High-volume destruction codes (17000 series and 17110) further underscore a high procedural dermatology workload centered on lesion treatment and removal.

Competitive standing by code is mixed but strong in several areas. The provider ranks #26 of 225 nationally for J3245 at the 89th percentile (typical volume), while Mohs code 17311 ranks #155 of 2969 nationally at the 95th percentile (notably above typical national volume), and 88305 ranks #832 of 14580 at the 94th percentile (typical). Several other codes (e.g., 99213 at the 100th percentile, 17000 and 17003 at the 100th percentile) are described as extreme outliers or far above typical national volume, showing unusually high activity in routine visits and lesion destruction compared with national peers.

Operational implications: the prominence of high-revenue biologic injection billing (J3245, $891K) alongside Mohs surgery revenue suggests a blended practice model that treats both complex medical dermatology conditions requiring biologics and procedural oncology requiring surgery and pathology. This combination may support diversified revenue streams within Medicare but also concentrates a majority of revenue into a few complex and resource-intensive service lines.

Statistical outliers and utilization intensity are notable: several CPT codes are flagged as "extreme outlier" or "notably above typical" (for example, 99213 at the 100th percentile is an extreme outlier, and 17000 and 17003 are extreme outliers), indicating that for routine office visits and lesion destruction this provider bills at volumes far above most national peers. Those outlier labels point to unusually high utilization of common dermatology services in the Medicare population.

Given the absence of any Medicaid claims, payer mix risk should be considered: dependence on Medicare for public-payer revenue means any policy, reimbursement, or utilization-review changes at Medicare could materially affect reported public revenue; there is no Medicaid dataset to offset or diversify public-payer exposure. The provider’s service profile and long tenure, however, suggest established referral patterns and clinical specialization that likely sustain volume within the Medicare population.

Medicare: Complete Services Breakdown

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

68 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3245	Injection, tildrakizumab, 1 mg	8,100	$110	$891K
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…	790	$420	$328.7K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	3,930	$50	$196.3K
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…	3,060	$60	$174.2K
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.	460	$300	$137.1K
99214	The 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…	940	$80	$79.3K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	2,290	$30	$73.2K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	1,210	$60	$66.4K
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…	340	$180	$60.5K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	9,820	$10	$49.1K

Showing 1–10 of 68

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 68 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Charles Moon — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

68 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3245	1	10	4,100	$110	$475.4K
17311	3	60	240	$400	$128.4K
17312	3	50	140	$300	$48.7K
88305	8	290	540	$30	$30.7K
17313	8	40	60	$400	$26.5K
13132	3	60	70	$190	$20.4K
J7308	3	10	30	$300	$20K
14041	3	20	20	$660	$19.7K
15260	27	30	20	$700	$18.3K
14060	5	40	20	$550	$18.1K

Showing 1–10 of 68

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Saint Francis Medical Center	MO	General Acute Care Hospital	$0	$56.4M
Saint Francis Medical Center	MO	Internal Medicine Physician	$0	$11.7M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$8.8M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$7.5M
Saint Francis Medical Center	MO	Rural Health Clinic/Center	$0	$4.7M
Richard Limbert	MO	Dermatology Physician	$2.5M	$0
Justin Floyd	IL	Medical Oncology Physician	$1.3M	$336.2K
Matthew Hughes	GA	Dermatology Physician	$1.1M	$0
Michael Mccall	KY	Dermatology Physician	$938.6K	$0
William Adams	KY	Dermatology Physician	$883.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeast Hospital	MO	General Acute Care Hospital	$0	$34.7M
Southeast Missouri Area Agency On Aging, Inc.	MO	Home Delivered Meals	$0	$25.8M
Catholic Charities Of Southern Missouri For Cape County	MO	Case Management Agency	$0	$9.2M
Aspirations For Independent Living LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.4M
At Home Help, LLC Dba Comfort Keepers	MO	Home Health Agency	$0	$7.8M
Cape County Private Ambulance Service, Inc.	MO	Ambulance	$1.3M	$5.5M
Southeast Missouri Hospital Physicians, LLC	MO	Family Medicine Physician	$0	$6.6M
Extra Hands Incorporated	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$5.4M
Southeast Mo Area Agency On Aging	MO	Case Management Agency	$0	$5.4M
Southeast Missouri State University	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.2M

Charles Moon — Billing Profile & Reimbursement Data

Sign up for Charles Moon — Billing Profile & Reimbursement Data policy alerts

Charles Moon — Billing Profile & Reimbursement Data

Sign up for Charles Moon — 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