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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

David Judy (NPI 1619144433)

Field	Value
Entity Type	Individual
Organization	David Judy
Address	4610 Kanawha Ave Sw
City	Charleston
State	WV
ZIP	25309
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	May 12, 2008

Payer Source	Total Paid
Medicare	$728.2K
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the dataset: total Medicare revenue is $728.2K and there is no Medicaid billing on file. The absence of any Medicaid claims means reimbursement exposure and patient mix are concentrated in Medicare beneficiaries rather than split across payers.

The NPI was enumerated on 2008-05-12 (~18 years ago), indicating an established practice tenure that could reflect stable referral relationships and sustained surgical volume over time. Long enrollment tenure supports interpretation of observed code mix as an entrenched operating pattern rather than a temporary or new service line.

Clinical/service-line profile is strongly procedural and Mohs‑surgery focused: the top revenue codes are 17311, 17312, and 17313, each describing staged Mohs micrographic surgery for malignant lesions. The top-25 list also includes multiple reconstructive and grafting codes (for example 13132, 15260, 14301), which together point to a practice that pairs Mohs excisions with reconstructive closures and grafts rather than predominantly office‑based medical dermatology.

Revenue is highly concentrated in a small set of Mohs codes: the precomputed top-3 Medicare codes account for 68.2% of Medicare revenue, and code 17311 alone contributes $303.1K (41.7% of Medicare revenue). This concentration implies that changes in Mohs reimbursement or local competition for Mohs procedures would disproportionately affect overall revenue.

Competitive standing for Mohs procedures is above many peers by rank but is described in the source as routine: 17311 ranks #251 of 2969 (92th percentile; typical, unremarkable volume for this code), 17312 ranks #174 of 2770 (94th percentile; typical, unremarkable volume for this code), and 17313 ranks #458 of 2300 (80th percentile; typical, unremarkable volume for this code). In plain terms, the provider sits in high national percentiles for Mohs activity while the dataset characterizes those volumes as within the typical/unremarkable range for specialists who perform these procedures.

Reconstructive and complex closure work appears to be a relative strength: 13132 generated $47.8K and ranks #147 of 3088 (95th percentile; notably above typical national volume), and 13152 produced $13.3K and ranks #72 of 1365 (94th percentile; notably above typical national volume). These high percentile placements and the presence of several sizable closure and graft codes suggest a practice that performs more complex reconstructions at above‑typical rates versus national peers.

Office evaluation-and-management revenue is present but small relative to procedures: 99213 accounts for $11.5K (1.6% of Medicare revenue) and 99212 for $8.5K (1.2% of Medicare revenue), indicating the practice’s revenue mix is dominated by surgical/procedural codes rather than E/M visits. Even though 99212 ranks relatively high (#5117 of 99011, 95th percentile; typical, unremarkable volume for this code), E/M services do not materially drive overall revenue.

From a payer‑strategy and risk perspective, the combination of single‑payer concentration (Medicare only) and reliance on a small set of Mohs codes (top 3 = 68.2% of Medicare revenue) creates sensitivity to shifts in Medicare policy or local Mohs capacity. Conversely, the above‑typical national percentile placements on reconstructive codes indicate a potential competitive advantage for complex closures and grafting that payers and contracting teams may want to account for in network design or value assessments.

Medicare: Complete Services Breakdown

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

28 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…	680	$450	$303.1K
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.	460	$300	$138.2K
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.	120	$460	$54.3K
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…	260	$180	$47.8K
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.	40	$700	$29.9K
13121	This is for a complex repair of a wound to the scalp, arms, and/or legs. This wound should be 2.6 to 7.5 cm in size.	140	$170	$22.4K
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.	20	$810	$18.5K
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.	20	$710	$15.6K
14060	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 cm2 or less.	30	$560	$15.1K
13152	The physician performs closure of a wound/laceration for at least one of the following anatomic areas: eyelids, nose, ears, lips. The repair performed is of a complex nature, which involves more than…	70	$190	$13.3K

Showing 1–10 of 28

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

David Judy — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

28 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	4	10	460	$400	$193.5K
17312	2	10	240	$290	$83.9K
17313	4	10	100	$400	$47.6K
14041	4	10	30	$660	$31K
14060	3	10	60	$550	$29.6K
15260	3	10	40	$710	$27.7K
14061	3	10	20	$690	$18.6K
14301	3	10	20	$760	$15.9K
13132	1	20	30	$220	$15.8K
13152	1	10	50	$210	$10.9K

Showing 1–10 of 28

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timothy Douglas	WV	Medical Physician Assistant	$147.5K	$0
Katie Bloxton	WV	Medical Physician Assistant	$86.8K	$0
Lauren Shaffer	WV	Medical Physician Assistant	$48.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Urgent Care, Inc.- West Virginia	WV	Urgent Care Clinic/Center	$0	$66.9M
Herbert J. Thomas Memorial Hospital Association	WV	General Acute Care Hospital	$0	$26.1M
Mountaineer Family Medicine, Inc.	WV	Family Medicine Physician	$0	$19.5M
Ths Physician Partners Inc	WV	Internal Medicine Physician	$0	$9.2M
Appalachian Medical LLC	WV	Durable Medical Equipment & Medical Supplies	$0	$8M
Pulmonary Associates Of Char LLC	WV	Pulmonary Disease Physician	$0	$5.5M
Maccorkle Emergency Physicians PLLC	WV	Emergency Medicine Physician	$0	$4.4M
Patel & Patel Md Inc	WV	Obstetrics & Gynecology Physician	$0	$4M
Wecare Medical LLC	WV	Oxygen Equipment & Supplies (DME)	$0	$3.7M
Woman Care Clinic Inc	WV	Obstetrics & Gynecology Physician	$0	$3.5M

David Judy — Billing Profile & Reimbursement Data

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David Judy — 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