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    OpenPayerNPI Medicare & MedicaidMountain West Derm - Blackhart PLLC
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    Mountain West Derm - Blackhart PLLC — Billing Profile & Reimbursement Data

    NPI 1619517539 · Spokane Valley, WA · Ambulatory Surgical Clinic/Center

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    Mountain West Derm - Blackhart PLLC is a ambulatory surgical clinic/center provider located in Spokane Valley, Washington. This profile covers 8 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.

    Table of contents

    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMountain West Derm - Blackhart PLLC
    Address1807 N Hutchinson Rd
    CitySpokane Valley
    StateWA
    ZIP99212
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 8, 2020

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

    Payer SourceTotal Paid
    Medicare$407.2K
    Medicaid$0

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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 cm2.70$1,350$89K
    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…110$710$74.8K
    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.100$710$72.9K
    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.90$690$61.3K
    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.60$690$38.1K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…50$700$34.5K
    14021The provider repairs lesions in the patient’s scalp, arms, or legs by using the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2.40$700$27.3K
    15240This 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.10$660$9.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1430153020$850$26.3K
    1526015030$690$24.1K
    1404114020$670$20.2K
    1402131020$610$17.1K
    1406016020$540$16.2K
    1406112020$730$14.6K
    1404034020$530$14.3K
    1524031010$610$8.6K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Mountain West Derm - Blackhart PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael ZumwaltNVDermatology Physician$1.1M$0
    Whitney HovenicNVProcedural Dermatology Physician$855.6K$0
    Jeffrey ShackeltonNVDermatology Physician$747K$4.2K
    Kevin KieneNVDermatology Physician$750.8K$0
    Michael HeaphyNVDermatopathology Physician$686.7K$0
    Peter EhrnstromAKMOHS-Micrographic Surgery Physician$642.7K$0
    Joseph CvancaraWAProcedural Dermatology Physician$571.5K$0
    Joshua MayORDermatology Physician$562.5K$0
    Chadd SukutWAMOHS-Micrographic Surgery Physician$558.8K$0
    William DelgadoNCMOHS-Micrographic Surgery Physician$515.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Mountain West Derm - Blackhart PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Geneva Woods Health Supplies Pnw, LLCWADurable Medical Equipment & Medical Supplies$0$23.7M
    Wchs IncWAMethadone Clinic$250.9K$15.7M
    Pathways Of Washington, LLCWAMental Health Clinic/Center (Including Community Mental Health Center)$0$15.8M
    The Healing Lodge Of The Seven NationsWAFederally Qualified Health Center (FQHC)$0$5M
    Providence Health & Services - WashingtonWAHome Health Agency$0$3.7M
    Pathways Of Washington, LLCWACase Management Agency$0$3.5M
    Parents And Children, PLLCWAMental Health Counselor$0$2.6M
    United Seating And Mobility LLCWADurable Medical Equipment & Medical Supplies$0$2.6M
    Joel SearsWAProcedural Dermatology Physician$344.7K$0
    Paul DunnWADermatology Physician$332K$0

    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. Washington Distribution
    Mountain West Derm - Blackhart PLLC — 4 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington