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

Why is the Medicaid comparison limited to Montana 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. Montana (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 Shors (NPI 1669552659)

Field	Value
Entity Type	Individual
Organization	Andrew Shors
Address	60 Four Mile Drive Ste 11
City	Kalispell
State	MT
ZIP	59901
Taxonomy	Dermatology Physician
NPI Enumerated	October 16, 2006

Payer Source	Total Paid
Medicare	$654.8K
Medicaid	$0

Key Findings

This provider is effectively a single‑payer Medicare practice: lifetime Medicare revenue is $654.8K and there is no Medicaid billing on file. The lack of any Medicaid activity means payer mix is heavily concentrated in Medicare, leaving limited Medicaid diversification for population- or payer-driven growth strategies.

Revenue is heavily concentrated in a small set of codes: the top 3 Medicare codes (17311, 99213, 17312) account for 50.8% of total Medicare revenue. In dollar terms those three codes include 17311 at $177.9K (28.2%), 99213 at $74.2K (11.8%), and 17312 at $68.2K (10.8%), indicating that Mohs surgery plus routine E/M visits drive the majority of billings.

The procedural mix indicates a dermatologic surgical practice with a strong Mohs and lesion‑management focus: high revenue and claim counts appear for Mohs codes 17311 ($177.9K, 410 claims) and 17312 ($68.2K, 208 claims), along with substantial payments for lesion destruction (17000 $38.6K, 1K claims) and reconstructive work (14060 $33.3K, 56 claims). This combination of Mohs, destruction codes, and intermediate repairs suggests an operation that performs both definitive skin cancer excisions and same‑site reconstructive closures.

Competitive standing is mixed by service line: Mohs activity is broadly typical rather than dominant — 17311 ranks #805 of 2969 providers nationally (73th percentile; typical, unremarkable volume) and 17312 ranks #831 of 2770 (70th percentile; typical, unremarkable volume). By contrast, office E/M volumes are unusually large versus national peers, signaling a different competitive posture in ambulatory care.

Office visit codes are extreme outliers in national volume, implying a large Medicare outpatient panel or heavy clinic throughput: 99213 generated $74.2K from 1.3K claims and ranks #3249 of 457151 providers nationally (99th percentile; extreme outlier), while 99203 produced $14.3K from 231 claims and ranks #2796 of 161519 providers nationally (98th percentile; extreme outlier). These E/M outlier ranks suggest the provider is a major source of routine and new outpatient visits relative to peers.

The practice shows particularly high utilization of lesion‑destruction add‑ons and common dermatologic procedures: 17003 appears with 4.8K claims and $24.2K revenue and ranks #365 of 19643 providers nationally (98th percentile; notably above typical national volume), and 17000 has $38.6K from 1K claims and ranks #796 of 21879 providers nationally (96th percentile; notably above typical national volume). This pattern is consistent with treating multiple premalignant lesions per encounter and high throughput procedural care.

Surgical and reconstructive reimbursements are meaningful contributors to revenue and reflect higher per‑claim payments: 14060 paid $594/claim for $33.3K revenue (5.3%) and ranks #234 of 2135 providers nationally (89th percentile; typical, unremarkable volume), while graft/repair codes such as 15260 ($9.5K, 12 claims) rank lower (#1144 of 1336 providers nationally, 7th percentile; typical, unremarkable volume). Together these line items show the practice performs moderate‑complexity closures and occasional grafting in addition to excisions.

Long tenure in Medicare billing may support steady referral flows: the NPI was enumerated 2006-10-16 (~20 years ago), indicating an established presence in the market. Coupled with the absence of Medicaid billing, the provider appears to operate a long‑standing, Medicare‑focused dermatology practice with concentrated revenue streams and high outpatient visit volumes.

Medicare: Complete Services Breakdown

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

39 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…	410	$430	$177.9K
99213	The 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…	1,300	$60	$74.2K
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.	210	$330	$68.2K
17000	The 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.	1,020	$40	$38.6K
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.	60	$590	$33.3K
11102	The 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.	430	$60	$27.4K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	4,840	$10	$24.2K
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.	40	$470	$20.8K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	170	$120	$19.7K
12032	This 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.	100	$170	$17.2K

Showing 1–10 of 39

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Andrew Shors — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

39 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	6	10	400	$390	$144.4K
17312	5	10	150	$300	$52.6K
14040	2	10	20	$580	$44.9K
15260	7	10	30	$770	$23.1K
14060	2	10	30	$570	$20.1K
17313	5	10	40	$380	$16.2K
13132	7	10	40	$190	$14K
14041	2	10	20	$720	$12.9K
99214	1,021	1,810	100	$70	$12.4K
14021	3	10	10	$640	$10.3K

Showing 1–10 of 39

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dermatology Associates Pllp	MT	Dermatology Physician	$0	$690.3K
Blake Sampson	UT	Dermatology Physician	$592.7K	$0
Thomas George	MT	Dermatology Physician	$405.3K	$0
Darrell Fader	WA	MOHS-Micrographic Surgery Physician	$274.3K	$0
Kathryn Hansen	MT	Dermatology Physician	$267.3K	$0
Julie Gessler	MI	Dermatology Physician	$154.3K	$0
Arthur Ide	MN	Dermatology Physician	$153.9K	$0
Jordan Cook	OR	Dermatology Physician	$149.6K	$0
Coe Mcgrath	TN	Medical Physician Assistant	$141.9K	$0
Lucy Ledyard	MT	Dermatology Physician	$101.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flathead Industries	MT	Community/Behavioral Health Agency	$0	$40.7M
A Plus Health Care Inc	MT	In Home Supportive Care Agency	$0	$28.2M
Gabriel Dawson	MT	Pediatric Dentistry	$0	$10.7M
Kalispell Regional Medical Center Inc	MT	General Acute Care Hospital	$0	$8.8M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$6.8M
Kiddsteeth PLLC	MT	Pediatric Dentistry	$0	$6.7M
Kalispell Regional Medical Center, Inc	MT	Clinic/Center	$0	$6.2M
Kalispell Public Schools	MT	Local Education Agency (LEA)	$0	$6M
Kalispell Regional Medical Center Inc	MT	Psychiatry Physician	$0	$5.9M
Kalispell Regional Medical Center Inc	MT	Emergency Medicine Physician	$0	$5.4M

Andrew Shors — 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