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NPI 1710555180 · Lincoln, RI · Physician Assistant
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Taylor Dryden is a physician assistant provider located in Lincoln, Rhode Island. This profile covers 7 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Taylor Dryden |
| Address | 3 Wake Robin Rd Ste 5 |
| City | Lincoln |
| State | RI |
| ZIP | 02865 |
| Taxonomy | Physician Assistant |
| NPI Enumerated | June 14, 2021 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $306K |
| Medicaid | $70.1K |
TAYLOR DRYDEN is a Physician Assistant based in LINCOLN, RI, with an NPI enumerated on 2021-06-14 (~5 years ago), indicating roughly five years of billing activity under this enrollment date. The provider reports both Medicare and Medicaid activity, enabling payer-comparative analysis across institutional and office-based service lines.
Medicare revenue ($306K) is materially larger than Medicaid revenue ($70.1K), so overall financial scale is driven primarily by Medicare cases rather than Medicaid. This payer mix suggests the provider’s highest-dollar activity is concentrated in services paid by Medicare.
Medicare revenue is highly concentrated: the top three Medicare codes — 99308, 11042, and 99309 — account for 83.7% of the provider’s total Medicare revenue. Those codes reflect a mix of nursing facility follow-up visits (99308 and 99309) and debridement procedures (11042), indicating a service line emphasis on post-acute/nursing facility care combined with wound care or debridement procedures.
At the national level the provider shows exceptional volume on specific Medicare codes: 99308 ranks #357 of 25763 providers (99th percentile; extreme outlier, far above typical national volume) and 11042 ranks #348 of 10712 providers (97th percentile; notably above typical national volume). By contrast, 99309 is at the 75th percentile (typical, unremarkable volume), so the provider appears to be a national outlier for subsequent nursing facility visits at lower-intensity levels and materially above peers for surgical debridement.
Medicaid revenue is tightly concentrated as well: the top three Medicaid codes — 99213, 99203, and 17110 — together account for 94.8% of Medicaid revenue. Those codes are office/outpatient E/M visits (established and new patients) and destruction of benign lesions, which points to an outpatient clinic footprint for Medicaid patients focused on routine E/M and lesion procedures.
Within the state peer set, Medicaid volumes are generally typical rather than dominant: 99213 is at the 70th percentile, 99203 at the 68th percentile, and 17110 is at the 77th percentile (all labeled typical, unremarkable volume). This profile indicates a modest-to-competent in-state presence for office-based E/M and lesion-destruction services rather than a uniquely dominant Medicaid market position.
The juxtaposition of Medicare-focused nursing facility/debridement work and Medicaid-focused office E/M/lesion destruction suggests the provider operates across care settings — institutional post-acute visits and outpatient procedural clinic work — with Medicare-weighted revenue. In practical terms, the physician assistant’s top-line is driven by institutional and procedural Medicare activity while primary-care-style office visits and lesion procedures drive most Medicaid dollars.
Revenue concentration in a small set of codes (top three Medicare codes = 83.7% of Medicare revenue; top three Medicaid codes = 94.8% of Medicaid revenue) implies operational and reimbursement sensitivity: changes in reimbursement or utilization for nursing facility visits or debridement (Medicare) and office E/M or lesion-destruction (Medicaid) could materially affect the provider’s revenue. Given the pronounced outlier status on Medicare 99308 and high placement on 11042, monitoring policy and utilization trends for SNF E/M and debridement services is especially relevant for payer/provider analysts.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 3,040 | $50 | $152.2K |
| 11042 | The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2. | 720 | $90 | $64.3K |
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 540 | $70 | $38.7K |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 420 | $50 | $22.1K |
| 11043 | The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or… | 110 | $170 | $18.8K |
| 11045 | The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately… | 240 | $30 | $6.7K |
| 11046 | The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at… | 40 | $50 | $2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 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… | 840 | $40 | $35.9K |
| 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… | 230 | $70 | $15.7K |
| 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… | 420 | $30 | $14.1K |
| 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… | 30 | $60 | $2K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 50 | $30 | $1.6K |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1,425 | 1,730 | 220 | $70 | $75.2K |
| 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… | 613 | 2,050 | 300 | $50 | $72.3K |
| 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… | 110 | 350 | 80 | $90 | $40.5K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 294 | 500 | 90 | $50 | $24.9K |
| 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… | 6 | 20 | 120 | $30 | $12.7K |
Other providers in the same ZIP code as Taylor Dryden, ranked by combined Medicare and Medicaid revenue.
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