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    OpenPayerNPI Medicare & MedicaidSiri Knutsen Larson
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    Siri Knutsen Larson — Billing Profile & Reimbursement Data

    NPI 1659696672 · Rapid City, SD · Dermatology Physician

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    Siri Knutsen Larson is a dermatology physician provider located in Rapid City, South Dakota. This profile covers 21 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
    OrganizationSiri Knutsen Larson
    Address717 Meade St
    CityRapid City
    StateSD
    ZIP57701
    TaxonomyDermatology Physician
    NPI EnumeratedApril 1, 2010

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

    Payer SourceTotal Paid
    Medicare$338.4K
    Medicaid$0

    Key Findings

    SIRI KNUTSEN LARSON’s Medicare billing is concentrated in procedural dermatology with a heavy emphasis on Mohs micrographic surgery and reconstruction: the top three Medicare codes (17311, 99213, 14060) together account for 45.6% of the provider's total Medicare revenue. Individually those top codes are 17311 ($81K, 24.0% of Medicare revenue), 99213 ($38.9K, 11.5%), and 14060 ($34.3K, 10.1%), which signals a practice mix that combines tissue‑sparing oncologic excision with substantial reconstructive work and high office visit volume.

    The code mix (17311, 17312, 17313, 14060, 14040, 14041, 11102/11103, 17000) describes a surgical dermatology practice that performs Mohs surgery, surgical excisions, reconstructive flap/graft repairs, in‑office biopsies, and lesion destruction. High revenue from reconstructive codes 14060 ($34.3K) and 14040 ($29.7K) alongside Mohs codes indicates that removal and immediate repair/reconstruction are routine elements of the service line rather than occasional ancillary procedures.

    This provider is effectively a single‑payer Medicare biller: total Medicare revenue on file is $338.4K and there is no Medicaid billing on file. The absence of Medicaid billing suggests the practice’s Medicare exposure dominates its publicly available payer mix and any analysis of volume, utilization, or financial risk should be interpreted in that Medicare‑centric context.

    Competitive standing is mixed by service line: for Mohs, 17311 ranks #711 of 2969 providers nationally (76th percentile) and is labeled “typical, unremarkable volume,” indicating solid but not dominant national standing for primary Mohs procedures. By contrast, 99213 ranks #7710 of 457151 providers (98th percentile) and is labeled an “extreme outlier, far above typical national volume,” showing unusually high office visit throughput relative to national peers and implying a large established‑patient panel or high visit frequency.

    Several codes are statistical high performers by the provided labels: 17000 (827 claims, $28.9K) is at the 94th percentile and described as “notably above typical national volume,” and 11102 (589 claims, $9.4K) is at the 96th percentile and likewise “notably above typical national volume.” These patterns point to consistently high utilization of lesion destruction and biopsy services in addition to surgical excisions.

    Pathology and specimen processing appear as a meaningful downstream revenue and service linkage: 88305 accounts for $13.4K (4.0% of Medicare revenue) with 496 claims and is characterized as typical volume (50th percentile), consistent with routine submission of surgical specimens for level IV pathology in support of procedural care. This supports an operational model where in‑office procedures drive ancillary pathology workstreams.

    Tenure on file shows the NPI was enumerated 2010-04-01 (~16 years ago), indicating roughly a decade‑and‑a‑half presence in the Medicare program. That longevity, combined with high 99213 volume, suggests an established referral base and sustained outpatient panel of Medicare patients.

    Revenue concentration in a few high‑value procedure codes (top three codes = 45.6% of Medicare revenue) means business risk is concentrated in maintaining Mohs, reconstructive procedures, and high office‑visit volume; changes in referrals, local competition, or Medicare policy affecting those codes would disproportionately affect the provider’s Medicare revenue stream.

    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.

    21 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$180$81K
    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…930$40$38.9K
    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.70$490$34.3K
    14040The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…70$440$29.7K
    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.830$40$28.9K
    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.170$150$24.2K
    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…150$120$17.4K
    14041The 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…30$560$13.9K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…500$30$13.4K
    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…170$60$10.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311610410$320$120.5K
    17312610130$270$43.5K
    8830539601,030$30$39.1K
    1406031040$510$25.7K
    1404011050$520$22.2K
    1404141030$630$22.2K
    1313262080$160$17.1K
    1731371040$310$14.9K
    992145371,66090$70$11.4K
    1312161050$190$9.9K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monument Health Rapid City Hospital, IncSDMulti-Specialty Clinic/Center$0$18.7M
    Monument Health Rapid City Hospital, Inc.SDGeneral Acute Care Hospital$0$11.5M
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Monument Health Rapid City Hospital, Inc.SDMulti-Specialty Clinic/Center$0$5.2M
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    John BormesSDOphthalmology Physician$2.6M$0

    Nearby Providers

    Other providers in the same ZIP code as Siri Knutsen Larson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavior Management Systems, Inc.SDCommunity/Behavioral Health Agency$0$19.8M
    Community Health Center Of The Black Hills IncSDFederally Qualified Health Center (FQHC)$0$10.2M
    Jrk Services, IncSDHome Health Agency$0$10.1M
    Black Hills Pediatrics, LLPSDPediatrics Physician$0$9.7M
    Rapid City Emergency Services PASDEmergency Medicine Physician$0$8.2M
    Wellspring Inc.SDPsychiatry Physician$0$7.4M
    Radiology Associates Prof, LLCSDDiagnostic Radiology Physician$0$5.3M
    City Of Rapid CitySDAmbulance$1.4M$3.7M
    Rapid City Medical Center, LLPSDMulti-Specialty Clinic/Center$0$4.5M
    Black Hills Oral & Maxillofacial Surgery PCSDOral and Maxillofacial Pathology Dentistry$0$3.2M

    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. South Dakota Distribution
    Siri Knutsen Larson — 5 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota