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

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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.

Andrew Kelsey (NPI 1649664731)

Field	Value
Entity Type	Individual
Organization	Andrew Kelsey
Address	1078 W Main St
City	Waterbury
State	CT
ZIP	06708
Taxonomy	Dermatology Physician
NPI Enumerated	March 26, 2015

Payer Source	Total Paid
Medicare	$737.2K
Medicaid	$0

Key Findings

This provider is a Mohs-focused dermatologic surgeon: three Mohs surgery codes (17311, 17312, 17313) and related reconstructive/procedural skin codes dominate the profile, and the top 3 Medicare codes by revenue account for 59.2% of total Medicare revenue. The presence of multiple Mohs codes alongside grafting and complex repair codes (e.g., 15260, 14060, 13132) indicates the practice performs both staged cancer excision and subsequent reconstructive procedures in-office or within their clinical workflow.

Medicare is effectively the sole public payer for this clinician: lifetime Medicare revenue is $737.2K while there is no Medicaid billing on file. That absence of Medicaid activity makes this provider functionally single-payer in the public program mix, so Medicare payment patterns will be the primary driver of observed public-sector volume and revenue trends.

Revenue concentration is high and driven by a small number of procedure codes: the precomputed top-3 share shows 59.2% of Medicare revenue is generated by the three Mohs codes (17311, 17312, 17313). This concentration means changes in reimbursement, referral patterns, or case complexity for Mohs surgery would materially affect the provider’s Medicare revenue.

Volume and national ranking for the lead Mohs codes show this clinician operates at a moderate-to-high intensity relative to peers: 17311 contributes $249.1K (33.8% of Medicare revenue) and the provider ranks #364 of 2969 nationally (88th percentile), while 17312 contributes $140.4K (19.0%) and ranks #206 of 2770 (93rd percentile). Those percentiles indicate consistently above-typical but not extreme specialization in Mohs within the national dermatology population.

The provider performs a notable amount of reconstructive and complex closure work alongside Mohs: codes such as 15260 ($46.6K, 6.3%), 14060 ($43.2K, 5.9%), and 13132 ($43.3K, 5.9%) each contribute non-trivial shares of Medicare revenue and rank in the upper national percentiles (around the 89–94th percentiles). This mix suggests the practice captures downstream reconstructive procedures following excisions rather than solely performing diagnostic or basic clinic visits.

Competitive standing across codes is generally above typical but not dominant: many listed CPTs are in the 69th–94th percentile ranges, reflecting higher-than-average procedure volumes for a dermatologist but stops short of being an extreme outlier. A few codes sit in mid- or lower-percentile positions (for example, 13101 at the 28th percentile and some E/M codes in the 42nd–62nd percentiles), indicating the practice is procedure-heavy rather than oriented toward high-volume office evaluation visits.

Tenure is long enough to establish an ongoing Medicare presence: the NPI was enumerated on 2015-03-26 (~11 years ago), which supports the observed lifetime revenue accumulation of $737.2K and the development of an established procedural referral base for Mohs and reconstruction in the Waterbury, CT market.

The absence of Medicaid billing eliminates any ability to compare in-state Medicaid competitive standing or to evaluate payer diversification; analysts should treat this profile as Medicare-dominant and investigate commercial payer and self-pay mixes separately if broader market positioning is required.

Medicare: Complete Services Breakdown

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

23 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…	590	$420	$249.1K
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.	420	$330	$140.4K
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.	60	$800	$46.6K
17313	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.	90	$500	$43.6K
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	$200	$43.3K
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.	70	$600	$43.2K
13121	This is for a complex repair of a wound to the scalp, arms, and/or legs. This wound should be 2.6 to 7.5 cm in size.	140	$180	$26.1K
14041	The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…	40	$720	$25.3K
15240	This code is for a free full–thickness skin graft of the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet that is 20 cm2 or less in size.	30	$740	$23.7K
14061	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 10.1 cm2 to 30.0 cm2 in size.	20	$760	$16.7K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Andrew Kelsey — 6 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	2	30	300	$490	$149.1K
17312	2	30	150	$350	$59.2K
17313	10	30	70	$500	$37.8K
15260	2	10	30	$810	$33.3K
14041	3	10	20	$740	$24.5K
14061	3	10	20	$830	$20.7K
14060	1	20	20	$620	$19.9K
15240	1	10	30	$720	$18K
13132	1	30	50	$210	$15.5K
14040	4	10	20	$570	$14.9K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Connecticut Health Center	CT	General Practice Physician	$0	$34.8M
University Dentists	CT	Dental Clinic/Center	$0	$13.8M
Health First Medical Group, LLC	FL	General Practice Physician	$0	$7.7M
Nauman Chaudhry	CT	Retina Specialist (Ophthalmology) Physician	$5.1M	$0
Juner Colina-biscotto	CT	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Julie Bell	FL	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$0
Ashish Dalal	FL	Medical Oncology Physician	$3M	$0
Michael Ruddat	CT	Ophthalmology Physician	$2.7M	$0
Amit Barochia	FL	Medical Oncology Physician	$2.4M	$0
Boris Havkin	FL	Urology Physician	$2.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prospect Waterbury, Inc.	CT	General Acute Care Hospital	$0	$84.6M
Access Rehab Centers, LLC	CT	Rehabilitation Clinic/Center	$0	$36.9M
Emergency Physicians Of Connecticut PC	CT	Emergency Medicine Physician	$0	$10.8M
Connecticut Counseling Centers Inc	CT	Methadone Clinic	$196.2K	$9.9M
Pediatric Assoc Of Conn PC	CT	Pediatrics Physician	$0	$8.5M
Refocus Eye Health Of Central Connecticut, P.C.	CT	Ophthalmology Physician	$0	$8.2M
Myeyedr Optometry Of Connecticut, LLC	CT	Optometrist	$0	$4.7M
General Hearing	CT	Hearing Instrument Specialist	$0	$4.3M
Connecticut Neurodevelopmental Services	CT	Neurology with Special Qualifications in Child Neurology Physician	$0	$4M
Easter Seal Rehabilitation Center	CT	Rehabilitation Clinic/Center	$0	$3.9M

Andrew Kelsey — 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