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    OpenPayerNPI Medicare & MedicaidRobert Dyer
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    Robert Dyer — Billing Profile & Reimbursement Data

    NPI 1588866719 · East Greenwich, RI · Dermatology Physician

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    Robert Dyer is a dermatology physician provider located in East Greenwich, Rhode Island. This profile covers 17 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
    OrganizationRobert Dyer
    Address3461 S County Trl
    CityEast Greenwich
    StateRI
    ZIP02818
    TaxonomyDermatology Physician
    NPI EnumeratedJune 1, 2007

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

    Payer SourceTotal Paid
    Medicare$313.7K
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the reported data: Total Medicare revenue is $313.7K and there is no Medicaid billing on file. The absence of Medicaid activity indicates the available claims data reflect a Medicare‑centred payer mix rather than a dual‑payer footprint.

    Revenue is highly concentrated in a small set of services: the top 3 Medicare codes (96910, 99213, 17000) account for 68.1% of this provider's total Medicare revenue. That level of concentration suggests financial sensitivity to changes in utilization or reimbursement for those specific services.

    The code mix is characteristic of an office‑based dermatology practice that emphasizes phototherapy, routine office visits, and lesion treatment: 96910 (UVB/tar phototherapy), 99213 (established outpatient visits), and 17000 (destruction of a premalignant lesion) are the top generators. Additional supporting codes—11102 (shave biopsy), 17110 (destruction of benign lesions), and the add‑on 17003—underscore a workflow built around lesion diagnosis and outpatient procedures rather than inpatient or hospital‑based care.

    99213 shows exceptional volume relative to national peers: 1.2K claims, $62 avg paid/claim, $76.1K revenue (24.3% of Medicare revenue) and it ranks #3812 of 457151 providers nationally (99th percentile; extreme outlier). This indicates an unusually high throughput of routine established‑patient visits for a dermatologist and is a key driver of the practice’s revenue profile.

    96910 and 17000 both sit well above typical national participation for their cohorts but with different contextual signals: 96910 produced $98.8K (31.6% of Medicare revenue) and ranks #23 of 560 (96th percentile; labeled typical, unremarkable volume), while 17000 produced $38.3K (12.2%) and ranks #1052 of 21879 (95th percentile; notably above typical). Together these ranks imply the provider is a major local performer in phototherapy and lesion destruction among the subset of clinicians who bill those services.

    The presence of high unit counts on add‑on and ancillary procedure codes points to multi‑lesion treatment patterns: 17003 shows 2.7K claims and $13.7K revenue (4.4% of Medicare revenue), and 11102 shows 300 claims and $21.9K revenue (7.0%). These data indicate frequent multiple‑lesion procedures per encounter and a steady pipeline of diagnostic biopsies feeding the treatment mix.

    Despite concentrated Medicare revenue, procedural diversity beyond the top 3 is modest: several E/M levels (99214, 99212, 99203) and procedure codes appear at typical national percentiles and together account for the residual Medicare revenue not captured by the top three codes. This pattern suggests an established ambulatory dermatology practice with a stable, repeat patient base receiving routine follow‑up and procedural care.

    The provider has long tenure in the NPI registry (NPI enumerated 2007-06-01 (~19 years ago)), which supports the interpretation that the observed billing patterns reflect sustained practice behavior rather than a short‑term anomaly. Combined with the concentrated revenue mix and the extreme outlier status on 99213, the data point to a mature, high‑volume outpatient dermatology operation focused on phototherapy and lesion management.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    96910The provider applies tar or petrolatum to the skin and exposes the area to ultraviolet B, or UVB, rays to treat certain skin diseases such as psoriasis.1,040$100$98.8K
    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…1,230$60$76.1K
    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.910$40$38.3K
    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.300$70$21.9K
    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…240$90$20.1K
    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…2,730$10$13.7K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…130$90$11.3K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.60$130$8.1K
    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,…170$40$7K
    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…100$70$6.5K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    969101101,040$100$99K
    992147881,950100$80$11.7K
    170002100210$40$9.3K
    171101110090$80$9.2K
    11102990110$60$8.6K
    J730881010$300$7.5K
    9921311,95070$60$7.4K
    17004113040$120$6.6K
    9920445574030$110$4.6K
    17003390520$1$3.7K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vincent CriscioneRIDermatology Physician$159.2K$0
    Nancy StaleyRIMedical Physician Assistant$114.1K$5.9K
    Jennifer JohnsonRINurse Practitioner$89.3K$0
    Victoria KaczynskiRIPhysician Assistant$65.5K$5.1K
    Kathryn SlineyRIMedical Physician Assistant$60K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joanne LewisRIPediatric Dentistry$0$2.1M
    Healthy Babies, Happy Moms Inc.RICustomized Equipment (DME)$0$1.5M
    Daniel CollinsRIFamily Medicine Physician$24.4K$902.1K
    Sargent Rehabilitation Center, Inc.RIComprehensive Outpatient Rehabilitation Facility (CORF)$0$819.5K
    Egp IncRIPediatrics Physician$0$708.2K
    Bayside Endoscopy Center LLCRIAmbulatory Surgical Clinic/Center$650.4K$0
    Robert GianfroccoRIEmergency Medicine Physician$14.7K$633.9K
    Joseph WyllieRICardiovascular Disease Physician$110.6K$537.2K
    Nathaniel JellinekRIMOHS-Micrographic Surgery Physician$638.1K$0
    Natasha BicaRIFamily Medicine Physician$0$606.3K

    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. Rhode Island Distribution
    Robert Dyer — 4 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island