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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAshley Privalle
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    Ashley Privalle — Billing Profile & Reimbursement Data

    NPI 1710340757 · Madison, WI · Dermatology Physician

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    Ashley Privalle is a dermatology physician provider located in Madison, Wisconsin. This profile covers 20 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
    OrganizationAshley Privalle
    Address1 S Park St
    CityMadison
    StateWI
    ZIP53715
    TaxonomyDermatology Physician
    NPI EnumeratedMarch 29, 2016

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

    Payer SourceTotal Paid
    Medicare$102.4K
    Medicaid$0

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…430$50$23.4K
    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…220$70$16.3K
    11102The 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.240$50$11.2K
    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.250$30$7.8K
    17110The 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$60$7.4K
    99204The provider sees a new 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 provider…70$90$6.1K
    99203The 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…90$70$5.7K
    11103The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…170$30$4.7K
    12032This 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$160$4.4K
    17003In 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…670$1$2.7K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,6009,80080$70$9.2K
    17000104350140$30$6.5K
    171109532080$60$6.1K
    120325612030$170$6K
    111022730080$50$5.5K
    992131729,38060$50$4.7K
    992043943,39030$100$3.7K
    17262417020$100$3K
    17003105310410$1$2.5K
    992032392,82030$60$2.4K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Wisconsin Hospitals And Clinics AuthorityWIGeneral Acute Care Hospital$0$120M
    University Of Wisconsin Medical Foundation, IncWIMulti-Specialty Clinic/Center$0$15.2M
    St. Joseph's Health Services, Inc.WICritical Access Hospital$0$3.9M
    Anil Rama RaoAZAnatomic Pathology & Clinical Pathology Physician$1.3M$0
    Philip BrunettiAKOphthalmology Physician$1.1M$0
    Noemi BrunnerWIDiagnostic Radiology Physician$35.1K$739.2K
    Nevein IbrahimILDiagnostic Radiology Physician$668.4K$0
    Michael IpCAOphthalmology Physician$635.3K$0
    Gordon CrabtreeWIOphthalmology Physician$618.1K$2.2K
    Justin GottliebWIOphthalmology Physician$506K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dean Health Systems, IncWIAllergy & Immunology Physician$0$26.3M
    Meriter Hospital, Inc.WIGeneral Acute Care Hospital$0$25.5M
    Ssm Health Care Of Wisconsin, Inc.WIGeneral Acute Care Hospital$0$14.7M
    Ssm Health Care Of Wisconsin, IncWIClinical Medical Laboratory$0$6.4M
    Madison Surgery Center, Inc.WIAmbulatory Surgical Clinic/Center$3.6M$549.2K
    Ryan Bros Ambulance LLCWILand Ambulance$1.5M$2.3M
    Madison Emergency Physicians, ScWIEmergency Medicine Physician$0$3.2M
    Dean Health Systems, Inc.WIAmbulatory Surgical Clinic/Center$2M$856.3K
    Emergency Medicine Associates Of Madison, ScWIEmergency Medicine Physician$0$2.1M
    Amol KulkarniWIOphthalmology Physician$2.1M$0

    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. Wisconsin Distribution
    Ashley Privalle — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin