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    OpenPayerNPI Medicare & MedicaidSteven Kolenik
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    Steven Kolenik — Billing Profile & Reimbursement Data

    NPI 1649292798 · Norwalk, CT · Dermatology Physician

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    Steven Kolenik is a dermatology physician provider located in Norwalk, Connecticut. This profile covers 28 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
    OrganizationSteven Kolenik
    Address761 Main Ave
    CityNorwalk
    StateCT
    ZIP06851
    TaxonomyDermatology Physician
    NPI EnumeratedJuly 24, 2006

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

    Payer SourceTotal Paid
    Medicare$739.2K
    Medicaid$0

    Key Findings

    This provider’s Medicare business is concentrated: total Medicare revenue is $739.2K and the precomputed top 3 codes (17311, 17313, 99213) account for 57.8% of that Medicare revenue. Those top codes indicate Medicare dollars are driven primarily by Mohs procedures (17311 and 17313) together with high-volume established patient office visits (99213).

    Clinical/service-line mix points to a surgical dermatology practice with substantial Mohs activity plus heavy procedural aftercare and repair work. The largest single-code revenue line is 17311 ($253.6K, 34.4% of Medicare revenue) and 17313 ($105.7K, 14.4%), both Mohs surgery codes, while high counts for intermediate repair codes (12032, 12031, 12051, 12041) and biopsy codes (11102, 11103) reinforce a procedural, surgery‑centric workflow.

    Revenue concentration and payer mix show this provider is effectively single-payer: Medicare accounts for $739.2K in lifetime revenue and there is no Medicaid billing on file, so Medicaid contributes $0 to this profile and the practice should be treated as Medicare‑dependent. This absence of Medicaid billing suggests limited engagement with state programs or a practice focus on Medicare-age patients.

    Competitive standing across codes is mixed: for Mohs, 17311 ranks #708 of 2969 (76th percentile; typical, unremarkable volume) and 17313 ranks #157 of 2300 (93th percentile; typical, unremarkable volume), indicating solid but not dominant national positioning in Mohs. By contrast, certain repair and E/M codes are far above peers — 99213 ranks #6391 of 457151 (99th percentile; extreme outlier, far above typical national volume) and 12032 ranks #33 of 6420 (100th percentile; extreme outlier, far above typical national volume) — showing unusually high activity in routine visits and wound repairs relative to national providers.

    Several individual codes are flagged as notable outliers, signaling areas of extraordinary relative volume that may define the practice’s operational throughput. High-volume labels include 99213 (extreme outlier), 12032 and 12051 (each listed as extreme outlier, far above typical national volume), and 12041 (rank #1 of 170; 100th percentile, extreme outlier), while biopsy codes such as 11102 (96th percentile; notably above typical national volume) and 11103 (97th percentile; notably above typical national volume) are also elevated. These patterns suggest a steady throughput of lesion evaluation, excision, and repair.

    The mix of high-volume low-reimbursement add-on and destruction codes (for example 17003 with 1K claims and $5.1K revenue) alongside high-revenue Mohs codes indicates the practice balances many small, frequent procedures with fewer high-value surgeries. This operational profile is consistent with a clinic that manages a large number of lesion encounters per day and escalates a subset to Mohs surgery.

    Tenure is long enough to establish local presence: the NPI was enumerated on 2006-07-24 (~20 years ago), which supports interpretation of the billing mix as a mature practice rather than a recent startup. Given that history, the persistent absence of Medicaid billing likely reflects deliberate payer targeting or patient panel composition rather than temporary lag in enrollment.

    For payers and network planners, the combination of concentrated Medicare revenue ($739.2K) and no Medicaid billing suggests contracting and utilization reviews should prioritize Medicare-based trends and procedural throughput. Attention to high-volume E/M, biopsy, Mohs, and intermediate repair activity—especially codes flagged as “extreme outlier” or “notably above typical”—will be most relevant for utilization management and capacity planning for this provider.

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs 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…440$580$253.6K
    17313Mohs 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.200$530$105.7K
    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…1,000$70$66.3K
    12032This 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.300$180$53.5K
    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.610$80$46.2K
    17312Mohs 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.100$360$35.1K
    12051This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes that are 2.5 cm or less in size.180$130$22.4K
    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…440$40$18.4K
    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.390$40$16.9K
    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…160$90$14.7K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311630300$490$149.1K
    173122030150$350$59.2K
    1731313070$500$37.8K
    992142,2316,48090$90$14.2K
    111024270100$70$9.7K
    1203217030$210$9.2K
    17314122020$340$8.9K
    1205232050$150$8.8K
    J730891020$300$8.1K
    99213356,44070$60$8.1K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marcelo HorensteinNJDermatopathology Physician$1.7M$90.4K
    Brent MichaelsNVDermatology Physician$309.3K$0
    Frank PintoCTDermatology Physician$297.7K$0
    Susun MichaelsMADermatology Physician$202.6K$77.5K
    Debra MillerCTDermatology Physician$133.7K$0
    John JasinskiCTMedical Physician Assistant$126.4K$0
    Grace BandowCTDermatology Physician$71.6K$0
    Christina ChaoCTPhysician Assistant$59.2K$0
    Rhonda KleinCTDermatology Physician$55.5K$0
    Michael ThibaultCTPhysician Assistant$47K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Center For Advanced Pediatrics, P.CCTPediatrics Physician$0$7M
    Mid-fairfield Child Guidance CenterCTCommunity/Behavioral Health Agency$0$5.5M
    Simon Bangiyev Dds, Md, PC Dba Premier Oral SurgeryCTOral and Maxillofacial Surgery (Dentist)$0$5.3M
    Keystone House Inc.CTMental Illness Community Based Residential Treatment Facility$0$3.4M
    Allergy Center Of Connecticut, PCCTAllergy & Immunology Physician$0$2.6M
    Richard A. Fichman, Md PCCTOphthalmology Physician$0$2.5M
    Myeyedr Optometry Of Connecticut, LLCCTOptometrist$0$2.3M
    East Avenue Pediatrics PCCTPediatrics Physician$0$1.8M
    Robert L. Weiss, Md, PCCTSpecialist$0$1.8M
    Erol VerterCTOphthalmology Physician$1.7M$0

    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. Connecticut Distribution
    Steven Kolenik — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut