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

Why is the Medicaid comparison limited to South 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. South 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.

William Brunner (NPI 1639125818)

Field	Value
Entity Type	Individual
Organization	William Brunner
Address	1310 W 22nd St
City	Sioux Falls
State	SD
ZIP	57105
Taxonomy	Dermatology Physician
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicare	$885.1K
Medicaid	$0

Key Findings

This provider bills almost exclusively to Medicare, with total Medicare lifetime revenue of $885.1K and no Medicaid billing on file; the absence of Medicaid activity makes this an effectively single-payer Medicare profile that should be treated differently in payer mix analyses. The practice’s billing footprint therefore reflects Medicare-driven volume and reimbursement patterns rather than a blended state-level payer mix.

Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 37.7% of this provider’s total Medicare revenue. Those top three codes are 17282 ($129.7K, 15.1% of Medicare revenue), 17281 ($119.8K, 13.9%), and 99214 ($74.9K, 8.7%), indicating a small set of high-impact services driving a large share of payments.

The code mix and claim volumes point to a procedure-focused dermatology operation centered on lesion destruction and minor surgical procedures. High counts and revenues for malignant-lesion destruction codes (17281: 2.6K claims, $119.8K revenue; 17282: 1.9K claims, $129.7K revenue) alongside numerous related codes (17272, 17271, 17280, 17262, 17261, 17270) indicate routine, high-volume removal/destruction of cutaneous malignancies across multiple anatomic sites.

Competitive standing is unusually strong for lesion-destruction procedures: the provider ranks #1 nationally (100th percentile; labeled “extreme outlier”) for multiple malignant-lesion codes including 17282, 17281, 17272, 17271, 17280, 17262, 17261, and 17270. At the same time the E/M code 99214 also appears at high national standing (1.1K claims, $74.9K revenue; ranks #9331 of 479517 providers, 98th percentile; labeled “extreme outlier”), showing both procedural and office visit volume well above typical peers.

Several procedural categories beyond lesion destruction contribute meaningfully to Medicare revenue, suggesting a mixed minor-surgery practice rather than purely office-based care. Incision and drainage codes (10061: 447 claims, $56.3K revenue, 6.5% of Medicare revenue; rank #8 of 788, 99th percentile, “extreme outlier”) and wound repair (13132: $13K revenue) together with a surgical pathology code (88305: $25.7K revenue, 3.0% of Medicare revenue; 74th percentile, “typical”) indicate in-office procedural throughput plus pathology utilization.

The provider reports very high volumes of low-unit add-on coding for premalignant lesion destruction (17003: 4.6K claims, $2 avg paid/claim, $9.3K revenue), which represents frequent treatment of multiple lesions per encounter but contributes a modest share of revenue (1.1%). This pattern—large counts with low average payment—aligns with a workflow that treats many small lesions per visit and should be considered when assessing per-encounter resource use and documentation practices.

NPI tenure is long-standing: the provider was enumerated 2006-05-26 (~20 years ago), indicating an established practice history in Sioux Falls, SD. The combination of long tenure and concentrated, high-volume procedural billing suggests an experienced dermatology practice with a reproducible service model.

From a payer-analytics perspective, two features warrant attention but not judgment: the concentration of Medicare revenue in a few high-volume lesion-destruction codes (top 3 = 37.7% of Medicare revenue) and multiple codes flagged as “extreme outlier” at the national level. These characteristics make the profile suitable for benchmarking against high-volume dermatologic procedural practices and for targeted utilization review or comparative peer analysis, especially given the provider’s lack of Medicaid billing to complement Medicare data.

Medicare: Complete Services Breakdown

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

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17282	The provider destroys a malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion…	1,910	$70	$129.7K
17281	The provider destroys a malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion…	2,600	$50	$119.8K
99214	The 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…	1,090	$70	$74.9K
17272	The provider destroys a malignant lesion on the scalp, neck, hands, feet, or genitalia using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to…	1,220	$50	$58.4K
17271	The provider destroys a malignant lesion on the scalp, neck, hands, feet, or genitalia using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 0.6 cm to…	1,400	$40	$57.5K
10061	The provider incises the area of abscess and drains the collection of pus, such as those related to a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	450	$130	$56.3K
17280	The provider destroys a malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion…	1,430	$30	$48.7K
17110	The 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…	1,630	$30	$45.6K
17262	The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to 2.0 cm in…	990	$50	$44.3K
17000	The 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.	1,470	$20	$30.9K

Showing 1–10 of 43

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

William Brunner — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

43 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
10061	1	10	450	$130	$56.5K
88305	28	60	1,030	$30	$39.1K
17270	1	10	750	$40	$27.8K
17280	1	10	730	$30	$24.7K
17282	1	10	40	$80	$17.6K
13132	9	20	80	$160	$17.1K
17281	1	10	30	$50	$13.8K
67850	1	10	240	$60	$13.7K
99214	11	1,660	90	$70	$11.4K
17271	1	10	20	$40	$11.1K

Showing 1–10 of 43

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Sanford Medical Center	SD	General Acute Care Hospital	$0	$24.4M
Sanford Medical Center	SD	Clinical Medical Laboratory	$1.8M	$18M
Sanford Medical Center	SD	Air Ambulance	$0	$11.9M
Sanford Clinic	SD	Diagnostic Radiology Physician	$0	$6M
Sanford Clinic	SD	Pediatrics Physician	$0	$5.5M
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
NPI 1588636484	—	—	$3.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Dakota Achieve	SD	Developmental Disabilities Clinic/Center	$0	$166.9M
Dakotabilities	SD	Voluntary or Charitable Agency	$0	$77.8M
Volunteers Of America, Dakotas	SD	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$60.9M
Southeastern Behavioral Healthcare	SD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$59.1M
Resouces For Human Development, Inc.	SD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$31.1M
Childrens Dental Center	SD	Pediatric Dentistry	$0	$24M
Avera Mckennan	SD	Family Medicine Physician	$0	$10.6M
Avera Mckennan	SD	Air Ambulance	$0	$5.3M
Avera Mckennan	SD	Emergency Medicine Physician	$0	$4.1M
Avera Mckennan	SD	General Acute Care Hospital	$0	$3.7M

William Brunner — 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