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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSethelle Flowers
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    Sethelle Flowers — Billing Profile & Reimbursement Data

    NPI 1730209289 · Ridgeland, MS · Dermatology Physician

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    Sethelle Flowers is a dermatology physician provider located in Ridgeland, Mississippi. This profile covers 27 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
    OrganizationSethelle Flowers
    Address299 Highway 51
    CityRidgeland
    StateMS
    ZIP39157
    TaxonomyDermatology Physician
    NPI EnumeratedMarch 29, 2007

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

    Payer SourceTotal Paid
    Medicare$238.8K
    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.

    27 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…1,280$50$62.5K
    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.550$50$29.7K
    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…360$70$25.8K
    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.810$30$23.4K
    17262The 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…180$100$17.7K
    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…160$60$10.1K
    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…2,340$1$9.4K
    17272The provider destroys a malignant lesion on the scalp, neck, hands, feet, or genitalia using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to…60$110$6.4K
    99212The 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,…190$30$6.4K
    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$5.6K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,0774,110170$70$21.9K
    1711060130150$60$12.7K
    111028130160$50$11.9K
    17004668060$100$10.9K
    1700019160190$30$10.6K
    99213604,000100$50$10.3K
    11305510170$60$9.7K
    1130231030$60$9.1K
    992048562,15040$100$5.8K
    1700324130930$1$5.2K

    Showing 1–10 of 27

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern Healthcare Agency, Inc.MSNursing Care Agency$0$83.7M
    Youth Villages, Inc.MSMental Health Clinic/Center (Including Community Mental Health Center)$0$52.4M
    Tolley ValerieMSParenteral & Enteral Nutrition Supplies (DME)$0$16M
    Caring Hands Prescribed Pediatric Extended CareMSMedically Fragile Infants and Children Day Care$0$11.4M
    Bond Pharmacy IncMSHome Infusion Therapy Pharmacy$680.7K$10.4M
    Jackson Pediatric AssociatesMSSpecialist$0$6.8M
    Homecare Plus, Inc.MSCommunity/Retail Pharmacy$0$6.3M
    Mea Primary Care Plus LLCMSFamily Medicine Physician$0$4.8M
    Pafford Ems Of Mississippi, IncMSAmbulance$0$4.3M
    Embassy Home Care, LLCMSNursing Care Agency$0$3.7M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Mississippi Distribution
    Sethelle Flowers — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi