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    OpenPayerNPI Medicare & MedicaidRichard Stone
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    Richard Stone — Billing Profile & Reimbursement Data

    NPI 1548262801 · Provo, UT · Dermatology Physician

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    Richard Stone is a dermatology physician provider located in Provo, Utah. This profile covers 15 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
    OrganizationRichard Stone
    Address1275 N University Ave Ste 23
    CityProvo
    StateUT
    ZIP84604
    TaxonomyDermatology Physician
    NPI EnumeratedJune 1, 2005

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

    Payer SourceTotal Paid
    Medicare$152K
    Medicaid$0

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.690$40$25.6K
    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…410$50$20.4K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.170$110$19K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…570$30$18.7K
    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.270$70$17.4K
    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…3,740$1$15K
    88305The 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…460$30$13.4K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…80$80$6.2K
    11103The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…120$40$4.3K
    17282The provider destroys a malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion…20$150$3.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830563150360$40$23.4K
    992143,7644,08080$80$11.6K
    170041411050$110$9.9K
    1700012270130$30$6.8K
    111021320090$50$6.6K
    992131753,68060$50$6.4K
    171107718070$70$6.2K
    17281222030$110$3.8K
    170035230510$1$3.7K
    1728252020$130$3.7K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael PetersonUTDermatology Physician$644.3K$26.9K
    Springville Dermatology & Diagnostics PCUTDermatopathology Physician$0$368.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$44.3M
    Revere Health PCUTMulti-Specialty Clinic/Center$0$24M
    Utah Valley Pediatrics L.L.C.UTPediatrics Physician$0$11.9M
    Riverwoods Surgery Center, LLCUTAmbulatory Surgical Clinic/Center$737.9K$5M
    Utah Valley Emergency Physicians IncUTEmergency Medicine Physician$0$4.7M
    Ryan IsomUTRetina Specialist (Ophthalmology) Physician$3.7M$0
    Jack StringhamUTRetina Specialist (Ophthalmology) Physician$3.4M$0
    Ihc Health Services IncUTDurable Medical Equipment & Medical Supplies$0$3.3M
    Richard CoreyUTRetina Specialist (Ophthalmology) Physician$3M$50.1K
    Provo City Board Of EducationUTLocal Education Agency (LEA)$0$3M

    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. Utah Distribution
    Richard Stone — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah