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

Why is the Medicaid comparison limited to Massachusetts 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. Massachusetts (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.

Emily Tierney (NPI 1609087774)

Field	Value
Entity Type	Individual
Organization	Emily Tierney
Address	120 Yarmouth Rd
City	Hyannis
State	MA
ZIP	02601
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	May 24, 2007

Payer Source	Total Paid
Medicare	$2.1M
Medicaid	$0

Key Findings

This provider’s service mix is consistent with a Mohs-focused surgical practice: the top revenue drivers are Mohs surgery codes 17311 ($459.5K), 17312 ($260.9K), and 17313 ($220.5K), and the profile also includes substantial reconstructive work (15220 $173K, 15260 $129.4K, 15240 $101.3K) and complex repairs (13132 $80.2K). Together, the mix of staged excisions, skin grafts, and layered repairs indicates end-to-end management of skin cancer cases—from biopsy and excision through reconstruction—rather than a primary focus on purely medical dermatology.

Revenue concentration is high: the precomputed top-3 Medicare codes (the Mohs codes 17311/17312/17313) account for 45.2% of this provider’s total Medicare revenue, and total Medicare revenue on file is $2.1M. This means nearly half of reported Medicare dollars are tied to multi-staged Mohs procedures, making those codes the dominant revenue stream for the practice.

This is effectively a single-payer Medicare practice: Medicare revenue is $2.1M while Medicaid billing is listed as none (no Medicaid billing on file). There is no in-state Medicaid activity to offset or diversify payer mix in the dataset, so analyses and forecasts should treat Medicare as the primary commercial lens.

The provider ranks as a clear high-volume national performer on multiple procedure lines: 17313 ranks #9 of 2300 providers (100th percentile, extreme outlier), 17312 ranks #43 of 2770 (98th percentile, extreme outlier), and 17311 ranks #61 of 2969 (98th percentile, notably above typical volume). Reconstruction and graft codes are also exceptional nationally—15220 ranks #1 of 133 providers and 15240 ranks #1 of 179 providers (both 100th percentile, extreme outlier)—indicating the provider is a dominant outlier for multiple reconstructive procedures.

Clinical throughput extends beyond Mohs: high-volume diagnostic and office activity appears alongside surgery—11102 shows 1K claims and $75K revenue and 99213 shows 2K claims and $138.9K revenue—demonstrating substantial biopsy and E/M engagement that supports a full-service surgical dermatology workflow. This mix suggests the practice manages both procedural volume and the follow-up/consultation load associated with surgical case management.

While many codes are extreme outliers or notably above typical national volume (multiple codes are labeled “extreme outlier” or “notably above typical national volume”), some billed services are within typical ranges—for example, 99214 ($49.3K) is characterized as 90th percentile/typical, and several excision codes (e.g., 11603, 11604) sit in the mid-to-upper percentiles but are not flagged as outliers. This indicates the practice combines extraordinarily high-volume specialty procedures with a set of routine procedural and E/M services that track more closely with national medians.

The provider’s national competitive standing is concentrated: several top items are among the very highest ranks nationally (multiple 100th-percentile and #1 placements), so the practice should be viewed as a regional/national leader specifically for Mohs and certain reconstructive graft procedures rather than as a generalized dermatology competitor. Given these rankings, payers and network managers should treat the provider as a high-capacity Mohs center when assessing network adequacy and specialty access.

NPI tenure is long-standing—enumerated 2007-05-24 (~19 years ago)—which supports interpretation that high volumes are likely established rather than transient. The combination of nearly two decades of Medicare enrollment and repeated extreme-percentile rankings on procedural codes suggests a sustained, specialized surgical practice rather than a short-term billing anomaly.

Medicare: Complete Services Breakdown

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

37 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…	1,040	$440	$459.5K
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.	770	$340	$260.9K
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.	520	$420	$220.5K
15220	This CPT code is for a free full–thickness skin graft of the scalp, arms, and/or legs that is 20 cm2 or less in size.	280	$620	$173K
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…	2,040	$70	$138.9K
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.	160	$810	$129.4K
15240	This code is for a free full–thickness skin graft of the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet that is 20 cm2 or less in size.	130	$760	$101.3K
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…	410	$200	$80.2K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	630	$130	$79K
11102	The 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.	1,010	$70	$75K

Showing 1–10 of 37

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 37 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Emily Tierney — 17 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

37 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	2	60	360	$450	$169.9K
17312	1	60	180	$320	$70.8K
17313	1	60	90	$440	$45.1K
15260	1	50	20	$810	$29.2K
15220	1	10	20	$600	$23.9K
13132	2	60	70	$220	$21.7K
15240	1	10	20	$720	$21.5K
99214	1,177	15,410	110	$80	$15.6K
13121	2	70	40	$240	$14.1K
17314	1	50	30	$310	$11.7K

Showing 1–10 of 37

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohammad Suhail	RI	Internal Medicine Physician	$126.3K	$16M
Medical Affiliates Of Cape Cod, Inc.	MA	Internal Medicine Physician	$0	$5.9M
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

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cape Cod Hospital Inc	MA	General Acute Care Hospital	$0	$86.9M
Relief Home Health Services Inc	MA	Home Health Agency	$0	$37.2M
Harbor Health Services, Inc.	MA	Community Health Clinic/Center	$0	$21.8M
Capeabilities	MA	Developmentally Disabled Services Day Training Agency	$0	$18M
Duffy Health Center, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$16.8M
Coastal Medical Transportation Services LLC	MA	Land Ambulance	$5.2M	$10.2M
Coastal Ambulance LLC	MA	Land Ambulance	$5.1M	$8.2M
The Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$9M
Advantage Home Health Care Services LLC	MA	Home Health Agency	$0	$8.5M
Habilitation Assistance Corportation	MA	Developmentally Disabled Services Day Training Agency	$0	$7.3M

Emily Tierney — 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