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    OpenPayerNPI Medicare & MedicaidDennis Polley
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    Dennis Polley — Billing Profile & Reimbursement Data

    NPI 1649291394 · Wilson, NC · Dermatology Physician

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    Dennis Polley is a dermatology physician provider located in Wilson, North Carolina. This profile covers 15 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
    OrganizationDennis Polley
    Address1806 Glendale Dr Sw
    CityWilson
    StateNC
    ZIP27893
    TaxonomyDermatology Physician
    NPI EnumeratedJuly 21, 2006

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

    Payer SourceTotal Paid
    Medicare$2.2M
    Medicaid$0

    Key Findings

    DENNIS POLLEY is a Dermatology Physician based in WILSON, NC with an NPI enumerated 2006-07-21 (~20 years ago). His lifetime Medicare billing totals $2.2M and there is no Medicaid billing on file (none below), so the observable payer exposure is effectively single-payer Medicare in scale. Analysts should treat this profile as Medicare‑centric when assessing revenue and utilization patterns.

    Revenue is highly concentrated: the precomputed top‑3 Medicare codes by revenue account for 88.2% of this provider's total Medicare revenue, led by 77280 (47.2%), G6001 (34.2%), and 77401 (6.9%). This concentration indicates a small set of procedure codes is driving nearly all Medicare payments to this provider, making overall revenue sensitive to utilization or reimbursement changes for those specific codes.

    The provider’s code mix is dominated by radiation therapy planning and guidance services: leading codes 77280 (simulation/imaging to determine radiation ports), G6001 (ultrasonic guidance for radiation fields), and 77401 (radiation therapy code) point to high-volume simulation/field‑guidance operations rather than typical dermatologic office procedures. In practical terms, the billed services are consistent with running or participating in high-throughput radiation therapy planning and delivery workflows rather than routine dermatology visits.

    For several radiation planning codes the provider is a national volume outlier: 77280 ranks #4 of 3348 providers and is described as an extreme outlier, far above typical national volume for this code; G6001 ranks #5 of 280 providers and is likewise an extreme outlier; 77401 ranks #6 of 426 providers and is an extreme outlier. These rank and percentile positions indicate DENNIS POLLEY is operating at a scale for these services that is well above typical national peers, making him a dominant participant for those specific CPT/HCPCS codes.

    Additional code-level signals reinforce the radiation‑therapy orientation: 77427 (943 claims, $139.6K, 6.2% of Medicare revenue) ranks #20 of 4720 and is labeled an extreme outlier, and 77261 ranks #4 of 222 providers and is an extreme outlier as well. At the same time, medical physics and device design codes such as 77336 (684 claims; 96th percentile; notably above typical national volume for this code) contribute more modestly to revenue but align with ongoing treatment consultation and device construction activities.

    Common office E/M and dosimetry codes are present but represent small shares of revenue: 99213 appears with 243 claims ($17K, 0.8% of Medicare revenue) and is characterized as 83th percentile with a typical, unremarkable volume for this code, while 77300 (dosimetry) is at the 80th percentile with typical, unremarkable volume. These entries suggest routine outpatient evaluation and dosimetry support services exist in the billing mix but are not primary revenue drivers compared with the top radiation therapy codes.

    Payer mix implications are straightforward: Medicare accounts for all recorded public‑payer revenue ($2.2M) and Medicaid shows none on file (none below), so reimbursement risk and business performance are concentrated in Medicare payment policies and beneficiary volumes. For contracting or network risk assessments, this provider should be modeled as largely Medicare‑dependent with little to no Medicaid exposure.

    Given a long NPI tenure (enumerated 2006-07-21 (~20 years ago)) combined with consistently extreme national ranks on multiple radiation planning codes, analysts should prioritize operational due diligence on service setting and affiliations (facility-based radiation therapy center, equipment ownership, or contractual arrangements) when interpreting the billing profile. The mismatch between the Dermatology Physician taxonomy and a radiation therapy–dominated code mix is a notable signal to verify practice setting and billing permits, but it does not, by itself, indicate any impropriety—only that further context is required for accurate benchmarking.

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.5,200$200$1.1M
    G6001Ultrasonic guidance for placement of radiation therapy fields5,640$140$767.3K
    77401Deleted effective Jan. 1, 2026.4,980$30$154.4K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…940$150$139.6K
    77336This code is for reporting ongoing medical physics consultation. When a patient is undergoing radiation treatment for a particular span of time with a number of therapy sessions every week, the…680$70$44.5K
    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…240$70$17K
    77300Radiation therapy is one of the most effective treatment methods for cancerous tumors. Due to its negative side effects like damage to the healthy cells, radiation therapy involves thorough planning…340$50$16.8K
    77261The provider decides the location and the number of ports, or the points for the radiation beams to enter the body, the design and location of the shielding blocks, and the modes of therapy, e.g.,…210$60$11.6K
    77285In this procedure, the provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy.30$330$9.9K
    77332The provider participates in the design, construction, and selection of simple treatment devices such as a simple block or simple bolus. Providers use these devices for proper dose delivery to the…250$30$7.3K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6001110660$140$149.4K
    77280112030$180$28.5K
    77401120630$30$27K
    774272160160$150$26.7K
    77336240130$60$12.3K
    77334141150140$50$8.1K
    7726314315060$130$8K
    992132,31616,32070$50$7.1K
    7730026160190$30$6.6K
    7728511020$340$6.1K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Polley Clinic Of Dermatology & Dermatologic SurgeryNCDermatopathology Physician$0$9.1M
    Jalal AlghabraVAPhysician Assistant$378.2K$0
    Clifford AmosMDPhysician Assistant$122.7K$0
    Cassie McgeeNCPhysician Assistant$112.4K$0
    Frank FerrittoNCPhysician Assistant$90.2K$0
    Ryan HooverNCPhysician Assistant$73.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    A Caring Heart Case Management, Inc.NCDevelopmentally Disabled Services Day Training Agency$0$127.5M
    Stepping Stones Community Resources, IncorporatedNCCommunity/Behavioral Health Agency$0$38.2M
    Eastern Carolina Pediatrics PANCPediatrics Physician$0$24.6M
    Phillips Home Health CareNCHome Health Agency$0$18M
    Bridges Of Hope IncNCMulti-Specialty Clinic/Center$0$18M
    Interim Healthcare - Morris Group, Inc.NCHome Health Agency$0$14.8M
    Phillips Home Health Care AgencyNCHome Health Agency$0$13.9M
    Wilson House LLCNCAdult Care Home Facility$0$11.7M
    Dlp Wilson Medical Center LLCNCGeneral Acute Care Hospital$0$11.5M
    Frederick MylesNCHome Health Aide$0$9.2M

    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. North Carolina Distribution
    Dennis Polley — 9 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina