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    OpenPayerNPI Medicare & MedicaidBlake Sampson
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    Blake Sampson — Billing Profile & Reimbursement Data

    NPI 1588007520 · Salt Lake City, UT · Dermatology Physician

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    Blake Sampson is a dermatology physician provider located in Salt Lake City, Utah. This profile covers 26 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
    OrganizationBlake Sampson
    AddressUniversity Of Utah Department Of Dermatology
    CitySalt Lake City
    StateUT
    ZIP84132
    TaxonomyDermatology Physician
    NPI EnumeratedApril 9, 2013

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

    Payer SourceTotal Paid
    Medicare$592.7K
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is the sole payer footprint on file: total Medicare revenue is $592.7K and there is no Medicaid billing on file. That concentration makes the practice effectively single‑payer at the public program level and suggests revenue is driven almost entirely by Medicare patients rather than a mixed Medicaid/Medicare panel.

    Revenue is highly concentrated in a small set of surgical codes: the precomputed top‑3 Medicare codes account for 58.0% of total Medicare revenue. Two Mohs surgery codes alone—17311 (27.1% of Medicare revenue, $160.2K) and 17312 (24.3% of Medicare revenue, $143.7K)—are the largest individual contributors, indicating procedural revenue is dominant.

    The code mix indicates a surgical dermatology practice focused on skin cancer excision and reconstruction: high revenue from Mohs surgery codes 17311, 17312, 17313, and 17314, together with reconstructive graft/repair codes such as 14041 ($39.4K, 6.6%), 15260 ($28K, 4.7%), and 14301 ($22.8K, 3.8%). These line items point to a workflow of Mohs resections followed by local flap/graft repairs and complex closures rather than an emphasis on routine medical dermatology.

    Competitive standing against national Medicare peers is modest-to-strong but not dominant. For example, 17312 ranks #190 of 2770 providers nationally (93th percentile) and is reported as typical, unremarkable volume; 14041 ranks #136 of 1009 (87th percentile) and is also labeled typical, unremarkable volume; 17311 ranks #758 of 2969 (74th percentile) and likewise is described as typical, unremarkable volume—together these suggest above‑median procedural volumes in certain Mohs and reconstructive codes without extreme outlier status.

    Procedural work substantially outweighs office evaluation & management revenue: E/M code 99213 generates just $5.8K (1.0% of Medicare revenue) and 99212/99214 together contribute only a few thousand dollars more. That distribution signals a practice model centered on operative procedures and post‑operative care rather than routine clinic visits as the primary revenue stream.

    The provider shows breadth within surgical/reconstructive offerings beyond Mohs: multiple complex repair codes (13121 $18.7K, 13132 $24.1K, 13101 $5.4K) and several local flap codes (14060, 14061, 14021, 14040) appear across the top‑25 list and generally rank in above‑median percentiles (several in the 70th–80th percentiles) and are described as typical, unremarkable volume. This pattern suggests the clinician is performing a steady mix of complex closures and flap/graft procedures consistent with a surgical dermatology referral practice.

    Tenure on file is long enough to indicate an established practice: the NPI was enumerated on 2013-04-09 (~13 years ago). That duration, combined with a consistent Mohs/reconstruction code mix and no Medicaid billing, suggests an established, Medicare‑facing surgical dermatology operation with a stable referral base.

    There are no extreme statistical outliers in the code set; most codes are labeled in the data as typical, unremarkable volume at their reported percentiles. A few codes sit at low national ranks (for example 88331 at the 7th percentile and 17110 at the 0th percentile) but these represent very small shares of revenue, reinforcing that the meaningful clinical and revenue signal is the concentrated Mohs + reconstruction suite rather than atypical billing behavior.

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs 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…430$380$160.2K
    17312Mohs 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.440$330$143.7K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…60$700$39.4K
    17313Mohs 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.90$420$35.6K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.40$780$28K
    13132The 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…130$190$24.1K
    17314Mohs 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.80$310$23.6K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.30$840$22.8K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.40$590$20.5K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.30$720$19.5K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311640160$410$86.3K
    1430141030$680$31.3K
    1731214070$280$31.3K
    1731332040$390$19.7K
    1404111030$590$17.8K
    1526022020$680$14.3K
    1402171020$540$13K
    1406043020$540$13K
    1406111020$670$12K
    992144,0034,08080$80$11.6K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Oregon Healthcare Resources, LLCORMulti-Specialty Clinic/Center$0$8.8M
    Diman LamichhaneTXRheumatology Physician$2.1M$0
    William HinzORRheumatology Physician$1.2M$0
    Dermatology Associates PllpMTDermatology Physician$0$690.3K
    Andrew ShorsMTDermatology Physician$654.8K$0
    Dane DoughertyORRheumatology Physician$505.9K$0
    Steven WilhelmWADiagnostic Radiology Physician$439.1K$0
    Thomas GeorgeMTDermatology Physician$405.3K$0
    Todd KnappORMOHS-Micrographic Surgery Physician$369.3K$0
    Norbert YeeWADiagnostic Radiology Physician$320.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of UtahUTGeneral Acute Care Hospital$0$221.3M
    University Of Utah Adult ServicesUTEmergency Medicine Physician$0$6.9M
    University Of Utah Adult ServicesUTDiagnostic Radiology Physician$0$4M
    University Of Utah Adult ServicesUTInternal Medicine Physician$0$3.5M
    University Of Utah Adult ServicesUTOphthalmology Physician$0$3.1M
    University Of Utah Pediatric ServicesUTPediatrics Physician$0$3.1M
    University Of Utah Adult ServicesUTAnesthesiology Physician$0$3M
    Dermatology Division University Of Utah Medical CenterUTDermatology Physician$0$1.4M
    University Of Utah Specialty ServicesUTMaternal & Fetal Medicine Physician$0$1.4M
    University Of Utah Adult ServicesUTCardiovascular Disease Physician$0$1.2M

    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. Utah Distribution
    Blake Sampson — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah