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

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

Kerry Lavigne (NPI 1700052792)

Field	Value
Entity Type	Individual
Organization	Kerry Lavigne
Address	195 Union St
City	Rockport
State	ME
ZIP	04856
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	April 30, 2008

Payer Source	Total Paid
Medicare	$268K
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: lifetime Medicare revenue is $268K and there is no Medicaid billing on file. The top three Medicare codes (17311, 99214, 11102) account for 54.7% of the provider’s total Medicare revenue, indicating a concentrated revenue base within Medicare.

The clinical mix is skin‑surgery centric with Mohs procedures as the primary surgical service line. Codes 17311, 17313, and 17312 are Mohs surgery codes and together with excision (11603), destruction (17000/17003), and multiple repair codes (13132, 13121, 13101) the pattern is consistent with a practice focused on skin cancer removal and subsequent reconstruction.

Revenue concentration is high around a small number of services: 17311 alone represents 30.9% of Medicare revenue ($82.9K) and 99214 contributes 16.4% ($43.9K). That concentration means changes in referral patterns or reimbursement for these few codes would disproportionately affect overall Medicare revenue.

Office evaluation and management activity is substantial relative to peers, supporting an active follow‑up and consult practice. The provider reported 505 claims for 99214 (average paid $87) and 299 claims for 99213 (average paid $60); 99214 ranks in the 90th percentile nationally and 99213 in the 87th percentile, which points to above‑typical office visit throughput even as surgical volume is more modest.

Despite Mohs being the top revenue driver, the provider is not a dominant national Mohs volume leader. 17311 ranks #1715 of 2969 providers (42th percentile) and companion Mohs codes 17312 and 17313 rank at lower percentiles (11th and 32th respectively), so the practice is a modest participant in Mohs relative to national peers rather than a high‑volume center.

The practice performs a meaningful amount of diagnostic and minor procedure work alongside surgery, with high biopsy activity and frequent minor lesion treatments. Biopsy codes 11102 and 11103 show elevated percentiles (84th and 89th) and 17003 has a large claim count (591) with a low average paid/claim ($5), consistent with many small lesion destructions and diagnostic biopsies feeding the surgical workflow.

Reconstructive procedures are present but episodic: for example, 14061 has a high average paid/claim ($743) and accounts for $8.2K (3.0%) of Medicare revenue from 11 claims, yet it ranks #775 of 830 providers (0th percentile). This suggests occasional higher‑payment reconstructive cases rather than consistent high volume of large reconstructions.

The provider shows long tenure in the Medicare program, with an NPI enumerated 2008-04-30 (~18 years ago), which signals an established practice presence that may support steady referral relationships and continuity of care for a surgical dermatology/Mohs practice.

Medicare: Complete Services Breakdown

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

22 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…	190	$450	$82.9K
99214	The 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…	510	$90	$43.9K
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.	310	$70	$20.1K
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…	300	$60	$17.9K
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	$430	$15.5K
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…	50	$210	$11.2K
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.	30	$300	$10.3K
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.	260	$40	$9.2K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	120	$80	$9.1K
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.	10	$740	$8.2K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Kerry Lavigne — 2 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	6	10	200	$390	$86.6K
17312	8	10	90	$270	$26.5K
13132	4	10	50	$180	$15.6K
17313	5	10	40	$390	$15.3K
11102	11	70	90	$60	$9.3K
14061	4	10	10	$670	$8.7K
17000	26	90	140	$40	$7.5K
99214	30	2,500	70	$70	$7.2K
17110	24	70	70	$70	$6.6K
12032	16	20	30	$180	$6.4K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	General Acute Care Hospital	$0	$142.6M
Mainehealth	ME	Community/Behavioral Health Agency	$0	$115M
Mainehealth	ME	General Acute Care Hospital	$0	$70.7M
Mainehealth	ME	General Acute Care Hospital	$0	$40M
Mainehealth	ME	General Acute Care Hospital	$0	$31.5M
Mainehealth	ME	General Acute Care Hospital	$0	$22.7M
Mainehealth	ME	Rural Health Clinic/Center	$0	$16.7M
Mainehealth	ME	Multi-Specialty Clinic/Center	$0	$10.9M
Mainehealth	ME	Rural Health Clinic/Center	$0	$10M
Mainehealth	ME	Rural Health Clinic/Center	$0	$9.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bfli	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$39.6M
Knox County Homeless Coalition	ME	Case Management Agency	$0	$4.5M
Mainehealth	ME	General Acute Care Hospital	$0	$4.3M
Penobscot Bay Physicians & Associates	ME	Multi-Specialty Clinic/Center	$0	$414.6K
John Mamon	ME	Diagnostic Radiology Physician	$105.3K	$194.5K
Robert Fisher	ME	Urology Physician	$225.8K	$0
Nancy Coyne	ME	Physical Therapist	$174.3K	$0
Eric Elton	ME	Gastroenterology Physician	$92.5K	$730
Maine Molecular Imaging, LLC	ME	Diagnostic Radiology Physician	$80.1K	$0
Joseph Scordino	ME	Orthopaedic Surgery Physician	$73.6K	$0

Kerry Lavigne — 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