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    OpenPayerNPI Medicare & MedicaidHoward Brooks
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    Howard Brooks — Billing Profile & Reimbursement Data

    NPI 1568687739 · Washington, DC · Dermatology Physician

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    Howard Brooks is a dermatology physician provider located in Washington, District of Columbia. This profile covers 20 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
    OrganizationHoward Brooks
    Address2233 Wisconsin Ave Nw
    CityWashington
    StateDC
    ZIP20007
    TaxonomyDermatology Physician
    NPI EnumeratedApril 14, 2007

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

    Payer SourceTotal Paid
    Medicare$331.2K
    Medicaid$0

    Key Findings

    This provider is effectively a single‑payer Medicare practice: lifetime Medicare revenue is $331.2K and there is no Medicaid billing on file. Absence of any Medicaid activity means payer mix is heavily concentrated on Medicare-covered services rather than dual Medicaid/Medicare flows.

    Revenue concentration is high: the precomputed top‑3 Medicare codes account for 66.2% of the provider's total Medicare revenue. Those top three codes are 17110 ($90.7K, 27.4%), 99213 ($90K, 27.2%), and 17000 ($38.2K, 11.5%), indicating a small number of services drive most revenue.

    The code mix indicates an office‑based dermatology practice focused on lesion destruction and evaluation/management visits: high volumes appear for destructive procedures (17110, 17000, 17003) alongside routine E/M visits (99213, 99203, 99212). Procedure counts such as 1.1K claims for 17110 and 1.5K claims for 99213, plus 3K claims for add‑on code 17003, support a workflow centered on diagnosis, biopsy, and same‑day or follow‑up lesion treatments.

    17110 is a standout national outlier: 1.1K claims produced $90.7K (27.4% of Medicare revenue) and the code ranks #85 of 19650 providers nationally (100th percentile; extreme outlier). This suggests the provider performs far more lesion‑destruction procedures billed under 17110 than typical peers.

    Evaluation and management visits are also unusually concentrated: 99213 generated 1.5K claims and $90K (27.2% of Medicare revenue) and ranks #2262 of 457151 providers nationally (100th percentile; extreme outlier). The combination of very high volumes for 99213 and substantive new‑patient visits (99203: 380 claims, $27.4K, 8.3%) points to a high patient throughput with frequent follow‑up and procedure visits.

    Other procedure codes show mixed competitive positions: 17000 (1.1K claims, $38.2K, 11.5%) ranks #700 of 21879 providers (97th percentile; notably above typical), while biopsy and excision codes such as 11102 (321 claims, $20.5K) sit in more typical ranges (11102 rank #2799 of 18797, 85th percentile). This pattern indicates dominance in certain lesion‑destruction services while maintaining average volumes for diagnostic biopsies and excisions.

    The provider's NPI was enumerated on 2007-04-14 (~19 years ago), indicating long tenure in the market. Extended registration time combined with the concentrated service mix is consistent with an established practice model that likely relies on repeat Medicare referrals and a steady procedural caseload.

    From a contracting and operational viewpoint, the absence of Medicaid billing and concentration of revenue in a few high‑volume codes (17110, 99213, 17000) mean the practice has limited payer diversification and significant dependence on lesion‑destruction/E&M services for Medicare revenue. That profile is important for payers and network managers to consider when evaluating utilization patterns, capacity, and the impact of any fee or coverage changes affecting those specific codes.

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,120$80$90.7K
    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…1,480$60$90K
    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.1,060$40$38.2K
    99203The 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…380$70$27.4K
    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.320$60$20.5K
    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…3,030$10$15.1K
    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,…300$40$11.5K
    11104The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.60$90$5.2K
    11602The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.30$150$4.1K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.30$120$3.9K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,0021,40090$100$15.3K
    1711015060$90$10.1K
    17000250100$40$8.8K
    9921361,20050$70$8.5K
    17004152040$140$7.4K
    1110245060$70$7.1K
    9920460767030$130$6.4K
    1726261020$130$3.8K
    99203143030$80$3.8K
    17003250410$10$3.8K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Burke Dermatology, PADEDermatology Physician$0$2.4M
    Adam TinklepaughVADermatology Physician$544.2K$0
    Aton HolzerDEMOHS-Micrographic Surgery Physician$492.7K$0
    Nicole BrightMDDermatology Physician$477.1K$0
    Conrad BenedettoPAMOHS-Micrographic Surgery Physician$462.3K$0
    Alexander DaneFLDermatology Physician$446.9K$0
    Thomas BurkeDEDermatology Physician$445.3K$0
    Gina CaputoDEDermatology Physician$259K$0
    Gerard StroupDEPhysician Assistant$255.4K$0
    Drew VenablesDEPhysician Assistant$147.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. John's Community Services-dcDCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$99M
    Medstar - Georgetown Medical Center, Inc.DCGeneral Acute Care Hospital$0$45.6M
    Mgmc, LLCDCGeneral Practice Physician$0$18.1M
    Mina AkhlaghiDCDentist$0$2.1M
    Medstar Georgetown Medical Center, IncDCInternal Medicine Physician$0$923.4K
    Anisa OmarDCOrthodontics and Dentofacial Orthopedics Dentistry$0$892K
    Fred MoDCOrthopaedic Surgery of the Spine Physician$688.8K$0
    Parham FaridDCDiagnostic Radiology Physician$642.7K$0
    Siamak MajidiDCPediatric Dentistry$0$618.1K
    Andrea SingerDCInternal Medicine Physician$608.6K$0

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. District of Columbia Distribution
    Howard Brooks — 9 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia