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

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

Forefront Dermatology, S.c. (NPI 1487969507)

Forefront Dermatology, S.c. is a dermatopathology physician provider located in Manitowoc, Wisconsin. This profile covers 0 Medicare and 20 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Forefront Dermatology, S.c.
Address	801 York St
City	Manitowoc
State	WI
ZIP	54220
Taxonomy	Dermatopathology Physician
NPI Enumerated	August 12, 2010

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	41,660	$30	$1.4M
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	2,870	$20	$60.2K
88304	The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	2,110	$20	$38K
99204	The provider sees a new 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 provider…	130	$120	$14.8K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	2,010	$10	$14.1K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	680	$20	$11.5K
80076	The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes.	1,200	$10	$9.6K
84478	The lab analyst measures the amount of triglycerides in the patient specimen. The provider typically orders the triglycerides test for a patient with atherosclerosis or other arterial diseases or for…	1,550	$10	$7.8K
84460	The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme alanine amino transferase, or ALT, also called SGPT, serum glutamate pyruvate transaminase.…	1,130	$10	$5.7K
84450	The lab analyst performs the technical lab test, typically using serum or plasma, to quantitate the enzyme aspartate amino transferase, or AST, also called SGOT, serum glutamic oxaloacetic…	1,060	$10	$5.3K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wisconsin Distribution

Forefront Dermatology, S.c. — 1 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	231	260	3,590	$20	$232.2K
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…	1,143	1,630	270	$40	$205.3K
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…	5	190	940	$20	$115.2K
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	168	300	3,190	$10	$91.3K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	139	230	1,030	$10	$56.3K
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…	263	440	90	$50	$41K
99204	The provider sees a new 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 provider…	157	330	110	$70	$37.7K
80076	The lab analyst performs a hepatic function panel test in which he measures the blood levels of total protein, albumin, alkaline phosphatase, bilirubin, both total and direct, and liver enzymes.	39	100	610	$10	$24K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	3	40	180	$10	$9.9K
88341	The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…	23	30	100	$20	$9.8K

Showing 1–10 of 20

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marguerite Germain	SC	Dermatology Physician	$1.8M	$0
Kelli Hutchens	WI	Dermatopathology (Pathology) Physician	$1.7M	$23.6K
Forefront Dermatology, S.c.	AL	Dermatology Physician	$0	$1.7M
Francessca Brettschneider	FL	Dermatopathology (Pathology) Physician	$1.6M	$0
Luke Hyder	FL	Dermatology Physician	$1.5M	$0
Douglas Hansen	WI	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$2.9K
Craig Abbott	OK	Dermatopathology Physician	$1.3M	$0
Ling Xia	WI	Dermatopathology Physician	$1.2M	$41K
John Perrotto	FL	Dermatology Physician	$1.2M	$0
Charles Schultz	WI	Anatomic Pathology & Clinical Pathology Physician	$1.1M	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Manitowoc Co Human Services Dept	WI	Community/Behavioral Health Agency	$0	$18.8M
Lakeshore Community Health Care, Inc	WI	Federally Qualified Health Center (FQHC)	$0	$9.2M
Holy Family Memorial Inc	WI	General Acute Care Hospital	$0	$5M
Core Treatment Services, Inc.	WI	Community/Behavioral Health Agency	$0	$4.3M
Manitowoc Public School District	WI	Local Education Agency (LEA)	$0	$2.4M
Clint Rau	WI	Pediatric Dentistry	$0	$2.2M
Homecare Health Services Inc	WI	Home Health Agency	$0	$1.8M
City Of Manitowoc	WI	Land Ambulance	$417.9K	$1M
Bruce Leckey	WI	Dermatopathology Physician	$773.5K	$0
Willmar Patino Cadavid	WI	Anatomic Pathology & Clinical Pathology Physician	$693.5K	$0

Forefront Dermatology, S.c. — Billing Profile & Reimbursement Data

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Forefront Dermatology, S.c. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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