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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Julia Baltz (NPI 1588082200)

Field	Value
Entity Type	Individual
Organization	Julia Baltz
Address	1672 S County Trl Ste 101
City	East Greenwich
State	RI
ZIP	02818
Taxonomy	Dermatology Physician
NPI Enumerated	March 31, 2014

Payer Source	Total Paid
Medicare	$529.7K
Medicaid	$0

Key Findings

This provider’s revenue profile is effectively single‑payer: total Medicare revenue is $529.7K while Medicaid billing is none, with no Medicaid billing on file. The provider’s NPI was enumerated 2014-03-31 (~12 years ago), indicating roughly a decade of Medicare activity to generate this revenue mix.

The top revenue drivers are Mohs surgery codes 17311, 17312, and 17313, which together account for 57.2% of Medicare revenue. Individually, 17311 generates $190.4K (36.3% of total Medicare revenue), 17312 generates $55.9K (10.7%), and 17313 generates $54.1K (10.3%), signaling a practice centered on staged excisions for skin cancer.

Beyond Mohs, the code mix shows a substantial reconstructive and repair practice: codes for flap/adjacent tissue transfer and grafts (14061 $40.8K, 14301 $37.5K, 15260 $20.2K) and intermediate/complex repairs (12032 $21.9K, 12034 $8K, 12053 $6.8K) together represent material follow‑on revenue consistent with in‑house reconstruction after excision. This pattern suggests the provider is capturing both excision (Mohs) and same‑session or planned repair work rather than acting only as a diagnostic or consultative clinician.

Revenue concentration is high: the precomputed top‑3 share is 57.2%, indicating more than half of Medicare revenue comes from the Mohs suite of codes. With 17311 alone comprising 36.3% of Medicare revenue ($190.4K), the practice’s financial performance is heavily dependent on high‑complexity procedural dermatologic surgery.

Competitive standing on Mohs is modestly above typical peers: 17311 ranks #752 of 2969 providers nationally (75th percentile; typical, unremarkable volume for this code), 17313 ranks #504 of 2300 (78th percentile; typical, unremarkable volume for this code), and 17312 ranks #1089 of 2770 (61th percentile; typical, unremarkable volume for this code). These ranks indicate consistent, above‑median procedural volume nationally but not dominance at a specialty level.

Several repair codes show unusually high relative activity versus national peers: 12032 ranks #323 of 6420 providers nationally (95th percentile; notably above typical national volume for this code), 12034 ranks #30 of 633 (95th percentile; notably above typical national volume for this code), and 12053 ranks #22 of 382 (94th percentile; notably above typical national volume for this code). The elevated percentiles on intermediate repairs point to a procedure‑heavy workflow and capacity for larger or more frequent reconstructive closures.

Evaluation & management (E/M) services represent a small portion of Medicare revenue relative to procedures: 99213 accounts for $13.9K (2.6% of Medicare revenue) and 99214 accounts for $2.3K (0.4% of Medicare revenue). The lower E/M share compared with procedural codes reinforces that the provider’s revenue base is driven primarily by operative dermatology rather than clinic visit volume.

Absence of Medicaid billing constrains the payer mix and market exposure: with Medicare only ($529.7K) and Medicaid none, the provider is effectively operating without Medicaid patient revenue on file, which may reflect patient demographics, contractual participation choices, or billing channeling but should be considered when modeling capacity and payer‑risk exposure for this clinician.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17311	Mohs 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	$450	$190.4K
17312	Mohs 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.	170	$340	$55.9K
17313	Mohs 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.	110	$480	$54.1K
14061	The 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.	50	$800	$40.8K
14301	The 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.	40	$870	$37.5K
12032	This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.	140	$160	$21.9K
15260	This 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.	30	$780	$20.1K
13132	The 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…	90	$200	$16.9K
99213	The 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…	200	$70	$13.9K
17314	Mohs 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.	30	$330	$9.1K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Julia Baltz — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	4	10	310	$440	$137.5K
17312	4	10	150	$320	$58.4K
17313	4	10	100	$440	$46.4K
13132	7	10	130	$190	$26.5K
14061	1	10	30	$810	$25.9K
14301	1	10	30	$790	$22.1K
17314	4	10	30	$320	$13.6K
15260	1	10	20	$750	$12.7K
99214	1,683	1,950	100	$80	$11.7K
13121	6	10	30	$190	$10.7K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohammad Suhail	RI	Internal Medicine Physician	$126.3K	$16M
Yusef Haj-darwish	MA	Emergency Medicine Physician	$744K	$5M
Andrew Lipman	FL	Medical Oncology Physician	$5.6M	$0
David Rabady	NY	Retina Specialist (Ophthalmology) Physician	$3.8M	$1.1M
Babak Jian Seyedahmadi	MA	Ophthalmology Physician	$4.4M	$0
Richard Lim	RI	Internal Medicine Physician	$52.2K	$3.4M
Frankie Alvarado	PR	Pulmonary Disease Physician	$7.3K	$2.4M
Marianeli Rodriguez	MA	Ophthalmology Physician	$2.4M	$0
Lawrence Proano	RI	Emergency Medicine Physician	$48.4K	$2.3M
Namrata Nandakumar	MA	Ophthalmology Physician	$2.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joanne Lewis	RI	Pediatric Dentistry	$0	$2.1M
Healthy Babies, Happy Moms Inc.	RI	Customized Equipment (DME)	$0	$1.5M
Daniel Collins	RI	Family Medicine Physician	$24.4K	$902.1K
Sargent Rehabilitation Center, Inc.	RI	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$819.5K
Egp Inc	RI	Pediatrics Physician	$0	$708.2K
Bayside Endoscopy Center LLC	RI	Ambulatory Surgical Clinic/Center	$650.4K	$0
Robert Gianfrocco	RI	Emergency Medicine Physician	$14.7K	$633.9K
Joseph Wyllie	RI	Cardiovascular Disease Physician	$110.6K	$537.2K
Nathaniel Jellinek	RI	MOHS-Micrographic Surgery Physician	$638.1K	$0
Natasha Bica	RI	Family Medicine Physician	$0	$606.3K

Julia Baltz — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References