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

Why is the Medicaid comparison limited to Georgia 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. Georgia (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 Freeman (NPI 1649267667)

Field	Value
Entity Type	Individual
Organization	William Freeman
Address	136 S Houston Lake Rd
City	Warner Robins
State	GA
ZIP	31088
Taxonomy	Specialist
NPI Enumerated	October 4, 2005

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

This provider reports $2.2M in lifetime Medicare revenue and has no Medicaid billing on file (none below), meaning the practice’s public-payer footprint is effectively single‑payer Medicare. The three top Medicare codes by revenue account for 56.5% of the provider’s total Medicare revenue, indicating concentrated dependence on a small set of services.

The top revenue driver is J3245 ($781K, 38.3% of Medicare revenue), identified as tildrakizumab injection, which alongside high-volume office visits suggests the practice blends ongoing biologic medical management with frequent visit-based care. Complementary high-revenue procedural codes such as 12032 and multiple lesion destruction/excision codes point to a mixed medical and procedural dermatology model rather than a pure primary‑care mix.

The top three codes are J3245 ($781K, 38.3%), 99213 ($232.8K, 11.4%), and 12032 ($138.3K, 6.8%), which together make up the precomputed 56.5% revenue concentration; this level of concentration indicates business risk if utilization or reimbursement of any one of these codes changes. Heavy reliance on a single biologic code plus high volumes of E/M and intermediate repair services shapes both revenue stability and operational focus.

Competitive standing is uneven across code types: J3245 ranks #35 of 225 providers nationally (85th percentile; typical, unremarkable volume), indicating biologic administration is in line with many peers, while 12032 ranks #2 of 6420 (100th percentile; extreme outlier) and 99213 ranks #75 of 457151 (100th percentile; extreme outlier), showing nationally outsized activity on specific procedural and E/M services. These rank/percentile combinations signal the provider is a major outlier for certain dermatologic procedures and routine office visit volume even as biologic injection volume is more typical.

The claims mix shows a high-throughput procedural practice: examples include 17003 (10.1K claims, $50.5K revenue, 2.5%) and 11301 (1K claims, $67K revenue, 3.3%), both flagged as extreme outliers, plus multiple shave, excision, and destruction codes (11302, 11311, 11306, 11310, 11312) with elevated national ranks. This pattern—large counts of relatively low‑paid lesion treatments combined with substantial procedure payments—is consistent with a procedure-focused dermatology office that processes many discrete lesion interventions.

Several high-revenue codes are characterized explicitly as "extreme outlier" in national comparisons (for example 99213, 12032, 17000, 11301, 11302), reflecting utilization far above typical national volumes for those services. The presence of many extreme outlier codes across E/M and procedural categories suggests unusually concentrated clinical activity that will materially shape payer experience with this NPI.

The provider's NPI was enumerated on 2005-10-04 (~21 years ago), indicating long-established billing activity and an extended operational history in the Medicare program. Longevity combined with the documented utilization profile supports that these patterns are persistent rather than short-term anomalies.

Absence of Medicaid billing (none below) means Medicaid plans and state programs have no on-file claims history to evaluate for this provider; all public-payer exposure documented here is Medicare-centric ($2.2M). For payers and network planners, that represents a concentrated counterparty where commercial and Medicaid risk/contracting decisions will not be informed by Medicaid claims data for this NPI.

Medicare: Complete Services Breakdown

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

68 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3245	Injection, tildrakizumab, 1 mg	7,100	$110	$781K
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…	3,880	$60	$232.8K
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.	620	$220	$138.3K
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.	3,330	$40	$116.5K
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…	1,110	$90	$97.4K
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…	170	$500	$86.3K
11301	The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the trunk, arms, or legs.	1,020	$70	$67K
11302	The provider shaves off a single epidermal or dermal lesion of 1.1 to 2.0 cm in diameter from the skin of the trunk, arms, or legs.	570	$90	$50.6K
17003	In 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…	10,100	$10	$50.5K
11311	The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.	560	$80	$45.7K

Showing 1–10 of 68

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 68 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

68 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3245	1	10	5,900	$110	$609.5K
17311	58	80	290	$440	$166K
17312	56	80	140	$310	$66.3K
15260	31	40	20	$690	$22.1K
13132	83	110	60	$210	$20K
14040	13	40	20	$540	$19.3K
99214	235	13,640	120	$80	$17.8K
14060	19	70	20	$550	$17K
J7308	5	50	30	$300	$16.4K
96574	24	20	40	$190	$13.2K

Showing 1–10 of 68

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Palmer	GA	Nurse Practitioner	$54.9K	$0
Jamie Givens	GA	Medical Physician Assistant	$43.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Regeneration Project LLC	GA	Community/Behavioral Health Agency	$0	$4.2M
Warner Robins Partners	GA	Ophthalmologic Surgery Clinic/Center	$1.4M	$0
Women's Healthcare Of Middle Ga, Inc	GA	Obstetrics & Gynecology Physician	$0	$1.4M
Lakeview Surgery Center, LLC	GA	Ambulatory Surgical Clinic/Center	$987.4K	$0
Darryl Hodson	GA	Dermatology Physician	$914.2K	$0
Comprehensive Care Medical Offices, LLC	GA	Infectious Disease Physician	$0	$511.4K
Johnny Gayton	GA	Ophthalmology Physician	$438.5K	$0
Dinakara Shetty	GA	Internal Medicine Physician	$433.7K	$0
Darla Jackson	GA	Professional Counselor	$0	$405.1K
Sagar Patel	GA	Pain Medicine (Anesthesiology) Physician	$395K	$0

William Freeman — Billing Profile & Reimbursement Data

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William Freeman — 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