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

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

Sandra Surbrugg (NPI 1699742957)

Field	Value
Entity Type	Individual
Organization	Sandra Surbrugg
Address	123 Western Hills Blvd
City	Cheyenne
State	WY
ZIP	82009
Taxonomy	Dermatology Physician
NPI Enumerated	March 7, 2006

Payer Source	Total Paid
Medicare	$664.9K
Medicaid	$0

Key Findings

This provider is effectively single‑payer: lifetime Medicare revenue is $664.9K and there is no Medicaid billing on file, so Medicaid does not contribute to this provider’s reported public-payer activity. That concentration means analyses of public-payer volume and revenue should focus on Medicare patterns rather than cross‑payer comparisons.

Revenue is highly concentrated in a small set of Medicare codes: the precomputed top three Medicare codes account for 72.1% of this provider’s total Medicare revenue, and a single code, 88305, represents 58.6% of Medicare revenue with $387.9K attributed to it. This degree of concentration indicates the practice’s Medicare economics are driven by a narrow procedural/pathology mix rather than a broad distribution of office‑based E/M revenue.

The code mix and dollar distribution point to a procedural dermatology practice that generates substantial surgical specimens and excisions. High‑revenue surgical pathology (88305) and multiple excision codes (for example 11604 at $18.7K, 11644 at $15.3K, and 11624 at $11.9K) show the practice performs many biopsies and larger malignant lesion excisions in addition to routine repairs.

88305 performance versus national peers is notable: it ranks #355 of 14580 providers nationally (98th percentile; notably above typical national volume), which indicates this provider is a major national outlier for surgical pathology specimen work relative to most dermatology peers. That standing suggests the provider produces an above‑typical throughput of tissue specimens sent for pathologic examination.

Several excision codes are statistical outliers for volume: 11604 ranks #2 of 553 providers nationally (100th percentile; extreme outlier) and 11644 ranks #2 of 68 providers nationally (99th percentile; extreme outlier), with meaningful Medicare revenues ($18.7K and $15.3K respectively). These extreme outlier rankings for larger excisions on the trunk and face/ears imply unusually high volumes of sizable malignant lesion removals compared with peers.

Office‑visit and minor procedure activity is present but secondary to pathology and excision revenue: 99213 accounts for $38.7K and ranks #16300 of 457151 providers nationally (96th percentile; notably above typical national volume), while 99214 contributes $11.3K but sits near the median (55th percentile). The mix suggests steady established‑patient visits supporting a procedural practice rather than a dominant primary‑care E/M business model.

Beyond the dominant pathology code, many common dermatologic biopsy and shave codes (for example 11102 at $12.8K, 11311 at $14.1K, and 11103 at $5.7K) appear at typical to above‑typical national volumes, reinforcing a workflow centered on lesion evaluation and removal. The spread of these codes indicates consistent lesion management and sampling at scale, feeding the high 88305 pathology volume.

The provider has been enrolled long enough to be considered established: NPI enumeration occurred on 2006-03-07 (~20 years ago). That tenure combined with concentrated, high‑percentile procedure volumes suggests a mature, procedure‑oriented dermatology practice with entrenched referral or patient flow patterns rather than a newly established clinic.

Medicare: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88305	The 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…	7,920	$50	$387.9K
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	$230	$50.4K
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…	660	$60	$38.7K
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.	180	$180	$31.7K
11604	The provider excises a cancerous (malignant) lesion, including margins, of 3.1 to 4.0 cm in diameter, from the skin of the trunk, arms, or legs.	230	$80	$18.7K
11644	The provider excises a cancerous (malignant) lesion, including margins, of 3.1 to 4.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.	140	$110	$15.3K
11311	The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the face, ears, eyelids, nose, lips, or mucous membranes.	160	$90	$14.1K
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.	260	$50	$12.8K
11301	The provider shaves off a single epidermal or dermal lesion of 0.6 to 1.0 cm in diameter from the skin of the trunk, arms, or legs.	180	$70	$12.1K
11624	The provider excises a cancerous (malignant) lesion, including margins, of 3.1 to 4.0 cm in diameter, from the skin of the scalp, neck, hands, feet, or genitalia (sex organs).	130	$100	$11.9K

Showing 1–10 of 31

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Sandra Surbrugg — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

31 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	1	20	600	$40	$43.1K
11624	2	10	140	$280	$38K
13132	2	10	120	$200	$34.1K
11644	2	10	140	$290	$29.5K
11604	2	10	120	$150	$20.3K
13121	2	10	70	$180	$20.2K
99214	318	780	100	$80	$14.8K
13101	2	10	50	$170	$10.5K
99213	34	850	110	$60	$9.9K
11102	10	40	130	$60	$9.6K

Showing 1–10 of 31

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Dentistry LLC	WY	Pediatric Dentistry	$0	$8M
Emg Cheyenne Sh LLC	WY	Assisted Living Facility	$0	$5.8M
Liv In-home Counseling & Care Management, LLC	WY	Primary Care Clinic/Center	$0	$5.7M
Lucy Russell	WY	Developmentally Disabled Services Day Training Agency	$0	$5.4M
Pediatric Dentistry LLC	WY	Pediatric Dentistry	$0	$4.1M
Bridges Of Wyoming, Inc	WY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$2.2M
Renee Dreher	WY	Clinical Social Worker	$0	$817.9K
Breanna Barnes	WY	Pediatric Dentistry	$0	$794.4K
College Drive Urgent Care LLC	WY	Urgent Care Clinic/Center	$0	$770.4K
Center For Dermatologic Surgery	WY	Ambulatory Surgical Clinic/Center	$656.4K	$0

Sandra Surbrugg — 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