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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Thomas Matzke (NPI 1639121304)

Field	Value
Entity Type	Individual
Organization	Thomas Matzke
Address	4656 40th Ave S
City	Fargo
State	ND
ZIP	58104
Taxonomy	Dermatology Physician
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicare	$633.8K
Medicaid	$0

Key Findings

This provider reports $633.8K in lifetime Medicare revenue and has no Medicaid billing on file, making their claims profile effectively single‑payer (Medicare) in scale. The provider’s NPI was enumerated 2006-05-17 (~20 years ago), indicating long tenure and an established presence in the market.

Revenue is highly concentrated in a small set of surgical and pathology codes: the top three Medicare codes (17311, 88305, 17312) account for 65.0% of this provider’s total Medicare revenue. In particular, 17311 alone represents 38.0% of Medicare revenue, showing that a single Mohs surgery code drives the largest share of income.

The code mix strongly indicates a Mohs-focused dermatologic surgery practice with integrated specimen processing and reconstruction. High revenue and claim counts for Mohs codes 17311 and 17312 alongside substantial billing for 88305, 88342, and 88341 suggest the practice performs multi-stage excisions with on-site pathology and ancillary immunostains.

On competitive standing for Mohs, 17311 ranks #83 of 2969 providers nationally (97th percentile; notably above typical national volume for this code), marking the provider as a high-volume national outlier for that specific Mohs procedure. 17312 also ranks highly at #234 of 2770 (92th percentile; typical, unremarkable volume for this code), reinforcing a specialty emphasis on Mohs techniques.

Pathology and lab services contribute meaningfully to revenue and show above-average national placement: 88305 generates $103.9K (17.1% of Medicare revenue) and ranks #812 of 14580 providers nationally (94th percentile; typical, unremarkable volume for this code). Additional lab codes such as 88342 (94th percentile; typical, unremarkable volume) and 88341 (73th percentile; typical, unremarkable volume) point to routine histopathology and immunostain activity supporting surgical cases.

Reconstructive and repair codes are another notable service line: intermediate and complex closure codes (12032, 12052, 13132, 13121, 13152) appear in the top codes and several rank at or above the 90th percentile (for example, 12052 ranks #57 of 1767, 97th percentile; notably above typical national volume for this code). This mix indicates that the practice routinely performs reconstruction and complex closures following excisions, consistent with a surgical dermatology workflow.

Absence of Medicaid billing ("none below — this provider has no Medicaid billing on file") means the provider’s payer mix is heavily skewed toward Medicare, which has implications for network contracting and revenue diversification. Analysts should view this as a concentrated payer exposure and consider how that single-payer orientation might affect access and referral patterns in the local market.

There are also mixed-volume items within the portfolio: some graft and flap codes (15260, 15240, 14060) generate meaningful revenue but show varied national positioning (15260 at the 70th percentile; typical, unremarkable volume, while 15240 ranks #146 of 179, 10th percentile; typical, unremarkable volume). This suggests selective use of certain reconstructive techniques rather than uniformly high volumes across all graft and flap procedures.

Medicare: Complete Services Breakdown

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

48 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…	960	$240	$230.6K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	4,000	$30	$103.9K
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.	410	$150	$60K
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…	220	$130	$28.4K
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.	30	$660	$19.9K
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…	310	$50	$15.3K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	520	$30	$13.5K
12032	This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.	130	$100	$13K
12052	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.	160	$80	$13K
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	$510	$12.8K

Showing 1–10 of 48

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Thomas Matzke — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

48 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	1	10	410	$290	$114.3K
88305	4	40	980	$30	$52.1K
17312	1	10	130	$180	$28.6K
13132	2	10	160	$160	$22.2K
15260	1	10	20	$690	$14.5K
14060	3	10	30	$500	$14K
13121	2	10	60	$190	$13.4K
17313	2	10	50	$280	$13K
12052	1	10	160	$80	$13K
99214	647	1,470	90	$60	$10.4K

Showing 1–10 of 48

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Sanford Medical Center Fargo	ND	General Acute Care Hospital	$0	$50.2M
Sanford Health Of Northern Minnesota	MN	Internal Medicine Physician	$0	$27.2M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
Lake Region Healthcare Corporation	MN	General Acute Care Hospital	$0	$25.3M
St. Marys Regional Health Center	MN	Rural Acute Care Hospital	$0	$18.7M
Essentia Health Virginia, LLC	MN	General Acute Care Hospital	$0	$12.9M
Sanford Medical Center Fargo	ND	Air Ambulance	$0	$12M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Therapy Partners, Inc.	ND	Early Intervention Provider Agency	$0	$7M
Marina Gilca	ND	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Fargo Maple View LLC	ND	Alzheimer Center (Dementia Center)	$0	$4M
Beyond Boundaries Occupational Therapy, Inc.	ND	Multi-Specialty Clinic/Center	$0	$3.9M
Max Johnson	ND	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
St. Sophie's, LLC	ND	Adolescent and Children Mental Health Clinic/Center	$0	$2.7M
Shangri-la Home Care	ND	Home Health Agency	$0	$2M
Beyond Boundaries Speech Language Therapy, Inc.	ND	Speech-Language Pathologist	$0	$2M
About Smiles Dental, LLC	ND	Dental Clinic/Center	$0	$1.7M
Center For Pain Medicine Surgery Center LLC	ND	Ambulatory Surgical Clinic/Center	$1.2M	$0

Thomas Matzke — 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