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    OpenPayerNPI Medicare & MedicaidMark Hinkson
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    Mark Hinkson — Billing Profile & Reimbursement Data

    NPI 1538257431 · Idaho Falls, ID · Dermatology Physician

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    Mark Hinkson is a dermatology physician provider located in Idaho Falls, Idaho. This profile covers 31 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
    OrganizationMark Hinkson
    Address3425 Merlin Dr
    CityIdaho Falls
    StateID
    ZIP83404
    TaxonomyDermatology Physician
    NPI EnumeratedOctober 10, 2006

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

    Payer SourceTotal Paid
    Medicare$535.2K
    Medicaid$0

    Key Findings

    This provider’s Medicare billing is heavily concentrated in a small set of radiation-therapy–related codes: 77280 ($200.5K, 37.8% of Medicare revenue), G6001 ($141.1K, 26.6%), and 77427 ($32.7K, 6.2%). The precomputed summary states the top 3 Medicare codes by revenue account for 70.6% of this provider's total Medicare revenue, indicating a very high revenue concentration in these procedures. These three codes together drive the majority of the $535.2K in reported Medicare revenue.

    Code-level mix suggests the practice is performing substantial radiation therapy planning and delivery activities rather than being limited to routine dermatologic office visits: high-revenue items include simulation/planning (77280), ultrasonic guidance for radiation fields (G6001), and radiation treatment delivery (77427), and there are multiple supporting radiation-planning and physics codes reported (for example, 77401 $29.2K and 77336 $8.6K). That pattern is notable given the provider taxonomy listed as Dermatology Physician and implies the operation’s service line is materially centered on radiation therapy procedures in the Medicare population.

    On competitive standing, the provider is a high-volume national outlier for simulation/planning work: 77280 ranks #92 of 3348 providers nationally and is described as notably above typical national volume for this code (97th percentile). By contrast, G6001 (rank #70 of 280, 75th percentile) and 77427 (rank #1295 of 4720, 72th percentile) are in the mid-to-upper range versus peers and are described as typical, unremarkable volumes for those codes, indicating dominant presence on 77280 specifically but more modest positioning for other radiation codes.

    Although the practice bills common dermatology office and procedure codes, these generate only a minority of Medicare revenue: 99213 accounts for $28.3K (5.3%), 11102 $14.1K (2.7%), and 17000 $11.6K (2.2%). These established-office and lesion-procedure codes form secondary revenue streams alongside the radiation therapy–focused top codes, showing a mixed procedural profile rather than pure office-based dermatology billing.

    The provider appears effectively single-payer in scope on file: total Medicare revenue is $535.2K while there is no Medicaid billing on file. The absence of any Medicaid claims means the billing footprint is concentrated in Medicare and suggests payer-mix sensitivity — program-level reimbursement or regulatory changes to Medicare radiation codes could have outsized impact on total revenue.

    There are distinctive utilization patterns in lower-revenue items that are operationally meaningful: J7345 shows 6.6K claims but only $6.6K revenue ($1 avg paid/claim), indicating very high claim volume with extremely low per-claim reimbursement for this topical drug. Separately, 77401 (deleted effective Jan. 1, 2026) currently represents $29.2K (5.5%) of Medicare revenue, so the scheduled deletion of this code may materially affect future revenue reporting and should be watched.

    Tenure and billing history are long-standing: the NPI enumeration date is 2006-10-10 (~20 years ago), which aligns with an established billing history and durable Medicare activity. This length of enumeration supports the interpretation that the radiation-focused billing profile is not a short-lived artifact but a persistent pattern over many years.

    Several support and specialty radiation codes are reported at low national volumes, which refines the service-line picture: for example, 77334 ranks #4415 of 4463 (1th percentile) and 77300 ranks #3881 of 4719 (17th percentile), both described as typical, unremarkable volumes for those codes. Taken together with the high rank on 77280, this suggests the provider concentrates on specific simulation/planning services rather than offering the full spectrum of specialized dosimetry/device construction services at high volume.

    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77280The 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.1,040$190$200.5K
    G6001Ultrasonic guidance for placement of radiation therapy fields1,090$130$141.1K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…230$140$32.7K
    77401Deleted effective Jan. 1, 2026.1,010$30$29.2K
    99213The 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…520$60$28.3K
    11102The 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.240$60$14.1K
    17000The 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.360$30$11.6K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…140$60$8.6K
    J7345Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg6,600$1$6.6K
    17003In 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…1,210$10$6.1K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6001110650$130$81.3K
    774271220320$140$41.3K
    7728012050$160$21.8K
    77401110230$30$11.9K
    J73455107,600$1$11.3K
    992141,3422,69090$70$10.4K
    773342530130$50$9.4K
    77336510100$60$7.7K
    773002130160$30$7.7K
    1700041160200$30$7.6K

    Showing 1–10 of 31

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain View Hospital LLCIDGeneral Acute Care Hospital$0$45.7M
    Eastern Idaho Health Services IncIDGeneral Acute Care Hospital$0$12.1M
    Rm Lab LLCIDClinical Medical Laboratory$1.1M$8.2M
    Medical Center For Children & Adolescents, PAIDPediatrics Physician$0$8.8M
    Aaa American Healthcare LLCIDMental Health Counselor$0$8.7M
    Intermountain Emergency PhysiciansIDEmergency Medicine Physician$0$6.6M
    24-7 Professional SolutionsIDIn Home Supportive Care Agency$0$5.9M
    Just 4 Kids Health LLCIDUrgent Care Clinic/Center$0$5.2M
    Foothills Rehabilitation & Performance Services, PLLCIDPhysical Therapist$0$5M
    Innovative Health Care Concepts, IncIDDevelopmental Disabilities Clinic/Center$0$4.8M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Idaho Distribution
    Mark Hinkson — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho