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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Paula Bourelly (NPI 1700884855)

Field	Value
Entity Type	Individual
Organization	Paula Bourelly
Address	3800 Reservoir Rd Nw
City	Washington
State	DC
ZIP	20007
Taxonomy	Dermatology Physician
NPI Enumerated	July 12, 2005

Payer Source	Total Paid
Medicare	$319.3K
Medicaid	$0

Key Findings

Provider tenure and scale: PAULA BOURELLY has an NPI enumeration date of 2005-07-12 (~21 years ago) and reports total Medicare revenue of $319.3K. There is no Medicaid billing on file, so the provider operates effectively as a Medicare-only biller in the available dataset.

Revenue concentration: The top three Medicare codes (99213, 17110, 17000) together account for 67.4% of this provider's total Medicare revenue. Individually, 99213 generated $132.1K (1.8K claims, $73 avg paid/claim; 41.3% of Medicare revenue), 17110 generated $42.5K (434 claims, $98 avg paid/claim; 13.3%), and 17000 generated $41K (855 claims, $48 avg paid/claim; 12.8%).

Service-line profile: The code mix is characteristic of outpatient dermatology focused on office E/M visits and lesion destruction — the highest-volume code is 99213 (established office visits) and the two next-highest codes are lesion destruction codes 17110 and 17000. This pattern suggests a practice model driven by frequent, lower-complexity follow-up visits and procedural management of benign and premalignant skin lesions rather than a high volume of large excisions or complex reconstructive procedures.

Medicare competitive standing on E/M: The provider is a marked outlier nationally on 99213, ranking #1211 of 457151 providers and described as an "extreme outlier, far above typical national volume for this code." That rank and label indicate unusually high national billing volume for routine established-patient visits compared with peers.

Procedural competitiveness: For lesion destruction the provider is also well above typical national volume: 17110 ranks #1129 of 19650 providers (94th percentile; notably above typical national volume) and 17000 ranks #1214 of 21879 providers (94th percentile; notably above typical national volume). These ranks show the provider is comparatively active in cryo/chemo/electrosurgery for benign and premalignant lesions relative to most peers.

Mixed procedural depth with limited major excisions: Higher-complexity excision and repair codes appear as modest contributors: 11102 produced $15.1K (4.7% of Medicare revenue, 186 claims) and 12032 produced $7.2K (2.2%, 30 claims), while 11603 and other larger excision codes contribute only small amounts. This indicates the practice performs some surgical procedures but derives the bulk of Medicare dollars from visits and lesion destruction rather than extensive surgical oncology or complex repairs.

Payer and business implications: With total Medicare revenue of $319.3K and no Medicaid billing on file, the provider is effectively single-payer (Medicare) in scope for the observed dataset, which concentrates financial exposure to Medicare reimbursement trends and utilization patterns. The heavy reliance on three codes (67.4% of Medicare revenue) creates operational sensitivity to changes in E/M and lesion-destruction payment policies or utilization management for those specific services.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,810	$70	$132.1K
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…	430	$100	$42.5K
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.	860	$50	$41K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	160	$130	$20.1K
99203	The provider sees a new 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 provider…	200	$90	$17.3K
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.	190	$80	$15.1K
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.	30	$240	$7.2K
17281	The provider destroys a malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion…	40	$160	$7K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	40	$150	$6.3K
17261	The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 0.6 cm to 1.0 cm in…	40	$120	$4.8K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Paula Bourelly — 6 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99215	120	660	50	$130	$12.3K
12032	9	10	40	$240	$10.5K
17110	3	50	60	$90	$10.1K
17000	3	50	100	$40	$8.8K
99213	2	1,200	50	$70	$8.5K
17004	12	20	40	$140	$7.4K
10061	2	10	40	$180	$7.3K
11102	6	50	60	$70	$7.1K
99205	159	330	30	$170	$5.6K
11603	8	10	20	$130	$4.9K

Showing 1–10 of 19

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. John's Community Services-dc	DC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$99M
Medstar - Georgetown Medical Center, Inc.	DC	General Acute Care Hospital	$0	$45.6M
Mgmc, LLC	DC	General Practice Physician	$0	$18.1M
Mina Akhlaghi	DC	Dentist	$0	$2.1M
Medstar Georgetown Medical Center, Inc	DC	Internal Medicine Physician	$0	$923.4K
Anisa Omar	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$892K
Fred Mo	DC	Orthopaedic Surgery of the Spine Physician	$688.8K	$0
Parham Farid	DC	Diagnostic Radiology Physician	$642.7K	$0
Siamak Majidi	DC	Pediatric Dentistry	$0	$618.1K
Andrea Singer	DC	Internal Medicine Physician	$608.6K	$0

Paula Bourelly — 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

Nearby Providers

Frequently Asked Questions

References