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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Brian Knutson (NPI 1720054539)

Field	Value
Entity Type	Individual
Organization	Brian Knutson
Address	6701 S Minnesota Ave
City	Sioux Falls
State	SD
ZIP	57108
Taxonomy	Dermatology Physician
NPI Enumerated	February 23, 2006

Payer Source	Total Paid
Medicare	$304.1K
Medicaid	$0

Key Findings

This provider has $304.1K in total Medicare revenue on file and no Medicaid billing on file, making their public payer footprint effectively single-payer (Medicare) in the available data. The lack of Medicaid activity indicates analysts should treat this as a Medicare-centric practice when evaluating payer mix and network penetration in-state.

Revenue is highly concentrated in a small set of procedural codes: the top 3 Medicare codes by revenue account for 68.3% of this provider's total Medicare revenue. In particular, code 17311 alone represents 49.7% of Medicare revenue ($151K), with 13132 contributing $32.5K (10.7%) and 17313 contributing $24.1K (7.9%).

The code mix is dominated by Mohs micrographic surgery and complex wound repairs, implying an operating model centered on surgical dermatology rather than office-based longitudinal management. High-revenue Mohs codes (17311, 17312, 17313) and multiple complex closure codes (13132, 13152, 13121) indicate the practice likely maintains procedure-focused capacity—staffing, instruments, and workflow suited for multi-staged excisions and layered surgical repairs.

Despite the dominant role of Mohs surgery in revenue share, national rank labels for the lead Mohs code are mixed: 17311 ranks #301 of 2969 providers nationally (90th percentile) and is described in the source as "typical, unremarkable volume for this code." This suggests that while 17311 generates most of this provider's Medicare dollars, their observed volume falls into the dataset's characterization of typical activity for Mohs at this percentile.

Several repair and lesion-destruction codes show above-typical national volume, signaling pockets of stronger competitive standing: 13132 ranks #122 of 3088 providers (96th percentile; notably above typical national volume), 13152 ranks #69 of 1365 (95th percentile; notably above typical national volume), and 17262 ranks #269 of 6198 (96th percentile; notably above typical national volume). These elevated percentiles for reconstructive and lesion-destruction codes indicate the provider performs more of these procedures than most peers nationally.

Evaluation-and-management and pathology services are present but secondary: 99213 accounts for $12.4K (4.1% of Medicare revenue) and ranks #53186 of 457151 providers (88th percentile; typical, unremarkable volume for this code), while 88305 contributes $11.8K (3.9% of Medicare revenue) and ranks #7763 of 14580 providers (47th percentile; typical, unremarkable volume for this code). The relative size of these line items supports a procedure-heavy revenue mix with moderate pathology utilization.

From an operational and service-line perspective, the billing profile implies this clinician runs a procedure-oriented dermatology practice with capacity for Mohs and complex closures rather than a high-volume general dermatology clinic focused on medical management. The presence of multiple mid- and high-complexity surgical codes alongside modest E&M billing suggests scheduling, revenue cycle, and resource allocation are optimized for surgical throughput.

The provider's NPI was enumerated on 2006-02-23 (~20 years ago), indicating long tenure in the Medicare program; combined with lifetime Medicare revenue of $304.1K, this points to an established but relatively modest Medicare-scale practice overall, driven primarily by a concentrated set of procedural services. Analysts should consider that the practice's market impact is concentrated in specific procedural niches rather than broad outpatient care volume.

Medicare: Complete Services Breakdown

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

26 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…	630	$240	$151K
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…	280	$120	$32.5K
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.	120	$210	$24.1K
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.	130	$140	$18.4K
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…	330	$40	$12.4K
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…	440	$30	$11.8K
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.	100	$100	$9.4K
13152	The physician performs closure of a wound/laceration for at least one of the following anatomic areas: eyelids, nose, ears, lips. The repair performed is of a complex nature, which involves more than…	70	$130	$9K
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	$30	$7.9K
17262	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 1.1 cm to 2.0 cm in…	130	$60	$7.2K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Brian Knutson — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	2	10	410	$320	$120.5K
17312	7	10	130	$270	$43.5K
88305	40	60	1,030	$30	$39.1K
13132	1	20	80	$160	$17.1K
17313	1	10	40	$310	$14.9K
99214	1,443	1,660	90	$70	$11.4K
13121	2	10	50	$190	$9.9K
17000	37	100	200	$30	$8.5K
11102	73	80	110	$40	$7.3K
17110	58	80	90	$50	$7.2K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Avera Mckennan	SD	Family Medicine Physician	$0	$10.6M
Avera Mckennan	SD	Psychiatry Physician	$0	$9.1M
Avera Mckennan	SD	Home Infusion Agency	$0	$6.7M
Avera Mckennan	SD	Air Ambulance	$0	$5.3M
Avera St Marys	SD	Multi-Specialty Clinic/Center	$0	$4.6M
Avera Mckennan	SD	Emergency Medicine Physician	$0	$4.1M
Avera Mckennan	SD	General Acute Care Hospital	$0	$3.7M
Avera Mckennan	SD	Diagnostic Radiology Physician	$0	$3.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vance Thompson Vision Surgery Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$4.5M	$22.7K
Siouxland Oral Surgery	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$3.9M
Avera Home Medical Equipment, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$3.4M
Ryan Geraets	SD	Ophthalmology Physician	$3M	$0
Anderson-smith Speech Therapy, LLC	SD	Speech-Language Pathologist	$0	$1.9M
Ophthalmology Ltd Eye Surgery Center L L C	SD	Ambulatory Surgical Clinic/Center	$1.8M	$16.2K
Elizabeth Atchison	SD	Ophthalmology Physician	$1.7M	$0
Dakota Vision Center, LLC	SD	Optometrist	$0	$1.2M
Usc Ambulatory Surgical Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$1.1M	$44.2K
Avera Mckennan	SD	Physical Therapist	$0	$1M

Brian Knutson — 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