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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKaren Mitchell
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    Karen Mitchell — Billing Profile & Reimbursement Data

    NPI 1619986114 · Marlborough, MA · Dermatopathology Physician

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    Karen Mitchell is a dermatopathology physician provider located in Marlborough, Massachusetts. This profile covers 11 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
    OrganizationKaren Mitchell
    Address340 Maple St
    CityMarlborough
    StateMA
    ZIP01752
    TaxonomyDermatopathology Physician
    NPI EnumeratedAugust 5, 2006

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

    Payer SourceTotal Paid
    Medicare$57.3K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…300$60$19.1K
    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…110$90$9.4K
    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…100$90$9.4K
    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.60$80$5.1K
    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.120$40$4.9K
    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…40$70$3K
    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…450$10$2.7K
    11104The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.20$100$2.2K
    11103The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…20$40$950
    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,…20$40$660

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,01415,410110$80$15.6K
    17000420640170$40$10.7K
    11102422600110$70$10.6K
    1711025360090$80$10.3K
    992131,69813,70070$60$8.8K
    17003309590490$10$4.2K
    992031,6984,29030$80$4.1K
    1110334943050$40$3.2K
    992122,1442,66030$40$2.4K
    111048524020$90$2.3K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrew NelsonFLProcedural Dermatology Physician$959.9K$0
    Carl SchanbacherMADermatology Physician$703.9K$0
    Thanh-nga TranMADermatology Physician$553.5K$0
    Helena KuhnRIDermatology Physician$126.4K$74.3K
    Dennis PortoNYMOHS-Micrographic Surgery Physician$194.2K$0
    Cheryl LevinMADermatology Physician$117K$28.4K
    Ganary DabiriMADermatology Physician$109.8K$4.4K
    Alison AvramMADermatology Physician$74.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quest Diagnostics LLCMAClinical Medical Laboratory$27.2M$209.7M
    Quest Diagnostics Massachusetts LLCMAClinical Medical Laboratory$27.8M$199.9M
    Lifeline Systems CompanyMAPersonal Emergency Response Attendant$0$76.4M
    Baypath Elder Services, IncMACase Management Agency$0$49.6M
    Advocates, Inc.MAMental Health Clinic/Center (Including Community Mental Health Center)$0$48.9M
    Option Care Enterprises IncMAHome Infusion Therapy Pharmacy$0$37M
    Umass Memorial Medical Center, Inc.MAGeneral Acute Care Hospital$0$26.7M
    Brookhaven Hospice LLCMACommunity Based Hospice Care Agency$0$15.3M
    Adult Day Health, Inc.MAAdult Day Care Clinic/Center$0$12.9M
    Community Ems, Inc.MALand Ambulance$921.3K$4M

    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. Massachusetts Distribution
    Karen Mitchell — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts