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    OpenPayerNPI Medicare & MedicaidKendra Watson
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    Kendra Watson — Billing Profile & Reimbursement Data

    NPI 1740623776 · Sioux Falls, SD · Dermatology Physician

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    Kendra Watson is a dermatology physician provider located in Sioux Falls, South Dakota. This profile covers 35 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
    OrganizationKendra Watson
    Address4950 S Minnesota Ave
    CitySioux Falls
    StateSD
    ZIP57108
    TaxonomyDermatology Physician
    NPI EnumeratedApril 9, 2013

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

    Payer SourceTotal Paid
    Medicare$374.6K
    Medicaid$0

    Key Findings

    KENDRA WATSON’s Medicare billing profile is heavily Mohs‑surgery driven: CPT 17311 and 17312 together generate $127.3K and $68.1K respectively and, along with pathology code 88305, comprise the top revenue drivers. The report notes that the top 3 Medicare codes by revenue account for 60.4% of this provider’s total Medicare revenue, which aligns the practice squarely around excision (Mohs) plus associated histopathology services.

    Revenue concentration is material: lifetime Medicare revenue is $374.6K and the top three codes alone represent 60.4% of that sum, indicating a narrow revenue base focused on surgical skin cancer management and pathology. This concentration suggests financial sensitivity to volume changes in Mohs procedures or pathology billing rather than a highly diversified case mix.

    This provider is effectively single‑payer from the claims dataset: there is no Medicaid billing on file, so Medicare represents the dominant (and only reported) public payer stream. The absence of Medicaid activity means comparisons and network risk analyses should treat this entity as Medicare‑centric when modeling payer mix or access for low‑income populations.

    Competitive standing for Mohs: 17311 (rank #1319 of 2969, 55th percentile) is at a typical, unremarkable volume for this code, while 17312 (rank #785 of 2770, 72th percentile) is above median but still characterized as typical, unremarkable volume. In plain terms, the provider performs Mohs at a modest-to-above‑average level nationally but does not appear as a dominant national outlier in Mohs volume.

    Pathology and evaluation services show comparatively stronger placement: 88305 ranks #4281 of 14580 (71th percentile) and is described as typical, unremarkable volume, while 99213 ranks #33376 of 457151 (93th percentile) and is likewise labeled typical, unremarkable volume. The high percentile for 99213 indicates relatively robust outpatient visit activity versus national peers, suggesting steady office throughput that supports the surgical practice.

    The procedure mix beyond Mohs underscores an operative dermatology practice with lesion destruction and repair capability: codes such as 17110 ($11.6K revenue), 12051 ($7.4K revenue, rank #93 of 950 at the 90th percentile), and 12032 ($7.5K revenue) indicate frequent benign lesion destruction and intermediate repair work. The 90th‑percentile standing on 12051 points to relatively strong facial repair volume compared with peers, reinforcing a clinical footprint that includes cosmetic/reconstructive repair in addition to oncologic excision.

    Provider tenure is stable: the NPI was enumerated on 2013-04-09 (~13 years ago), indicating an established billing history with Medicare that spans more than a decade. That tenure, paired with lifetime Medicare receipts of $374.6K, supports the view of a steady, small-to-midsize dermatologic surgical practice rather than a recent entrant or high-growth aggregator.

    There are some procedure areas where this provider is under‑indexed compared with peers: 17313 (rank #1819 of 2300, 20th percentile) and several repair codes such as 13132 (17th percentile) and 12042 (14th percentile) are at lower relative volumes and are still described as typical, unremarkable volume for those codes. These lower percentiles suggest selective service focus or referral patterns that limit certain complex reconstructions or specific Mohs variants, which may be relevant when evaluating partnership or network coverage gaps.

    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.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs 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…270$480$127.3K
    17312Mohs 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.220$310$68.1K
    88305The 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…920$30$24.9K
    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…440$60$24.8K
    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…200$80$16.6K
    17313Mohs 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.30$450$11.7K
    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$70$11.6K
    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.270$30$9K
    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.40$190$7.5K
    12051This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes that are 2.5 cm or less in size.60$120$7.4K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311910410$320$120.5K
    17312410130$270$43.5K
    8830531601,030$30$39.1K
    13132132080$160$17.1K
    17313111040$310$14.9K
    1728181030$50$13.8K
    992144571,66090$70$11.4K
    1727121020$40$11.1K
    1700034100200$30$8.5K
    17272111030$60$7.4K

    Showing 1–10 of 35

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mayo ClinicMNClinical Medical Laboratory$12.2M$15.2M
    Mayo Clinic Health System-southeast Minnesota RegionMNMulti-Specialty Clinic/Center$0$13.7M
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Mayo Clinic Health System-fairmontMNGeneral Acute Care Hospital$0$9M
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Mayo Clinic Health System-fairmontMNMulti-Specialty Clinic/Center$0$4.7M
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Brendan GirschekAZOphthalmology Physician$3.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Avera MckennanSDPsychiatry Physician$0$9.1M
    Vance Thompson Vision Surgery Center Prof LLCSDAmbulatory Surgical Clinic/Center$4.5M$22.7K
    Siouxland Oral SurgerySDOral and Maxillofacial Surgery (Dentist)$0$3.9M
    Avera Home Medical Equipment, LLCSDDurable Medical Equipment & Medical Supplies$0$3.4M
    Ryan GeraetsSDOphthalmology Physician$3M$0
    Anderson-smith Speech Therapy, LLCSDSpeech-Language Pathologist$0$1.9M
    Ophthalmology Ltd Eye Surgery Center L L CSDAmbulatory Surgical Clinic/Center$1.8M$16.2K
    Elizabeth AtchisonSDOphthalmology Physician$1.7M$0
    Dakota Vision Center, LLCSDOptometrist$0$1.2M
    Usc Ambulatory Surgical Center Prof LLCSDAmbulatory Surgical Clinic/Center$1.1M$44.2K

    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. South Dakota Distribution
    Kendra Watson — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota