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    OpenPayerNPI Medicare & MedicaidKenneth Galeckas
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    Kenneth Galeckas — Billing Profile & Reimbursement Data

    NPI 1659342558 · South Portland, ME · Dermatology Physician

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    Kenneth Galeckas is a dermatology physician provider located in South Portland, Maine. This profile covers 17 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
    OrganizationKenneth Galeckas
    Address100 Foden Road, West
    CitySouth Portland
    StateME
    ZIP04106
    TaxonomyDermatology Physician
    NPI EnumeratedJanuary 30, 2006

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

    Payer SourceTotal Paid
    Medicare$325.8K
    Medicaid$0

    Key Findings

    This provider’s Medicare business is concentrated in procedural dermatology: the top revenue-driving codes are 17311 ($139.4K, 42.8% of Medicare revenue), 17312 ($36K, 11.0%), and 13132 ($25.7K, 7.9%), and the precomputed top-3 share is 61.7% of total Medicare revenue. Those line items (Mohs surgery codes and complex wound repair) indicate an operating profile focused on surgical excision and reconstruction rather than primarily medical dermatology or high-volume primary care visits.

    Total Medicare revenue reported across the provider’s lifetime is $325.8K while there is no Medicaid billing on file. This makes the practice effectively single-payer in the public programs shown here, which has implications for payer mix, revenue risk, and negotiation leverage with commercial plans compared with a multi‑payer profile.

    Competitive standing on Mohs surgery is modest: 17311 ranks #1153 of 2969 providers nationally (61th percentile) and 17312 ranks #1528 of 2770 (45th percentile), both labeled as typical, unremarkable volume. By contrast, the reconstructive repair code 13132 ranks #626 of 3088 (80th percentile), indicating this provider is relatively higher-volume on complex closures compared with national peers.

    Evaluation-and-management coding shows a mixed pattern: 99204 generated $23K (7.1% of Medicare revenue) and is described as notably above typical national volume (rank #5849 of 227068, 97th percentile), suggesting the provider sees a meaningful number of new, higher-acuity consults. Established-patient visits (99213 and 99214) appear at more typical volumes—99213 ranks in the 76th percentile and 99214 in the 39th percentile—supporting a workflow that mixes surgical procedures with office-based consultations.

    Other procedure-level signals reinforce a surgery-forward practice: 15260 (full-thickness graft, $25.4K, 7.8% of revenue) ranks #350 of 1336 (73th percentile) and multiple complex repair codes (13152, 14060, 12032) appear in the top code list. The presence and revenue weight of grafting and complex closure codes indicate regular reconstructive work following excisions, consistent with a Mohs/reconstructive dermatology service line.

    The provider’s national rank profiles are mostly described as “typical, unremarkable volume” for many high-revenue codes, with the notable exception of 99204 being “notably above typical national volume.” This pattern suggests a steady surgical practice with occasional higher-than-average new-patient consult intensity rather than dominant market share across most technical dermatologic procedures.

    Tenure in the Medicare program is long: the NPI was enumerated on 2006-01-30 (~20 years ago). That duration, combined with the concentrated procedural mix and absence of Medicaid billing, may reflect an established, procedure-focused practice serving a Medicare-heavy patient base in South Portland, ME.

    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.

    17 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…310$450$139.4K
    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.110$330$36K
    13132The 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…130$190$25.7K
    15260This 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.30$790$25.4K
    99204The provider sees a new 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 provider…190$120$23K
    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.40$470$20.1K
    14060The 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.20$610$12.8K
    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…180$70$12.4K
    13152The physician performs closure of a wound/laceration for at least one of the following anatomic areas: eyelids, nose, ears, lips. The repair performed is of a complex nature, which involves more than…40$200$7.8K
    99214The 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…70$90$6.7K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311210200$390$86.6K
    1731241090$270$26.5K
    1526011020$740$16.2K
    1313221050$180$15.6K
    1731331040$390$15.3K
    1406021020$560$14K
    11102627090$60$9.3K
    170006090140$40$7.5K
    992141,2352,50070$70$7.2K
    1203272030$180$6.4K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Intermed, PAMEInternal Medicine Physician$0$821.2K
    Daniel LoiselleMEInternal Medicine Physician$300.5K$0
    Caroline WilmotMEPrimary Care Nurse Practitioner$174.8K$0
    Victoria LazarethMEAdult Health Nurse Practitioner$165.7K$3.5K
    Paul McgrathMECardiovascular Disease Physician$97.6K$0
    James ZeitlinMEInternal Medicine Physician$89.1K$0
    Robert FraserMEInternal Medicine Physician$87.3K$0
    Kathy BushMEDermatology Physician$86.9K$0
    James ParkerMECardiovascular Disease Physician$78.5K$0
    Peter EmeryMEInternal Medicine Physician$75K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alpha OneMECase Management Agency$0$121.3M
    Port ResourcesMEIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$82.9M
    The Opportunity AllianceMEMental Illness Community Based Residential Treatment Facility$0$50.6M
    Community Home Health CareMEIn Home Supportive Care Agency$0$40.3M
    Serenity Residential Care, LLCMEIn Home Supportive Care Agency$0$34.4M
    Noreast Home Care, LLCMEIn Home Supportive Care Agency$0$24.7M
    Center For Behavioral Health Me, Inc.MESubstance Use Disorder Rehabilitation Clinic/Center$536.2K$20.1M
    Connections For KidsMESocial Worker$0$13.8M
    Vna Home Health & HospiceMEHome Health Agency$227.2K$10.4M
    Standard Care, LLCMEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$10.2M

    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. Maine Distribution
    Kenneth Galeckas — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine