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

Why is the Medicaid comparison limited to Idaho 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. Idaho (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.

Daniel Winchester (NPI 1740628023)

Field	Value
Entity Type	Individual
Organization	Daniel Winchester
Address	1618 S Millenium Way Ste 100
City	Meridian
State	ID
ZIP	83642
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	June 10, 2013

Payer Source	Total Paid
Medicare	$430.6K
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the available data: lifetime Medicare revenue is $430.6K while there is no Medicaid billing on file. The absence of Medicaid claims suggests the provider’s footprint and revenue generation are concentrated in the Medicare population rather than a mixed payer panel.

Revenue concentration is heavily weighted to a small set of Mohs codes: the top three Medicare codes account for 69.9% of the provider’s total Medicare revenue. In particular, 17311 represents $199.2K (46.2% of Medicare revenue), 17312 represents $64.9K (15.1%), and 17313 represents $37.4K (8.7%), indicating most dollars are derived from staged Mohs procedures.

The CPT mix demonstrates a Mohs‑focused surgical practice with same‑episode reconstruction: the top lines are Mohs surgery (17311/17312/17313) accompanied by significant reconstructive codes such as 13132 ($24.7K, 5.7%), 14060 ($17.1K, 4.0%), 15260 ($15.8K, 3.7%), and 14061 ($15.1K, 3.5%). This pattern is consistent with an operator who performs excisions and immediate complex repairs and grafting rather than a clinic centered on medical dermatology or office‑only visits.

Competitive standing on core Mohs codes is modest nationally: 17311 ranks #625 of 2969 providers nationally (79th percentile; typical, unremarkable volume for this code), 17312 ranks #795 of 2770 providers nationally (71th percentile; typical, unremarkable volume for this code), and 17313 ranks #708 of 2300 providers nationally (69th percentile; typical, unremarkable volume for this code). Those placements indicate the provider performs Mohs at volumes above many peers but is not a dominant national outlier.

By contrast, several repair and closure codes show relatively stronger percentile placement versus peers, suggesting a comparative strength in reconstruction: 13132 ranks #594 of 3088 (81th percentile) and 13152 ranks #173 of 1365 (87th percentile), while intermediate repair 12034 ranks #54 of 633 providers nationally (91th percentile) and 12054 ranks #4 of 33 providers nationally (81th percentile). These higher percentile positions imply the provider’s reconstruction and complex closure activity is more prominent relative to national peers than its Mohs volume alone would suggest.

Operationally, visits and ancillary destruction codes play a secondary role in revenue: 99213 accounts for $6.6K (1.5%) with 106 claims, 99212 accounts for $2.8K (0.7%) with 78 claims, and lesion destruction add‑on 17003 shows 363 claims but only $1.8K (0.4%). This mix reinforces that the practice’s revenue is procedure‑driven (surgical excision and reconstruction) rather than visit‑driven.

The provider’s NPI was enumerated on 2013-06-10 (~13 years ago), indicating a decade-plus tenure in the Medicare program. Combined with $430.6K lifetime Medicare revenue, this suggests a stable, lower‑to‑moderate overall billing footprint consistent with an independent or small‑volume Mohs surgeon rather than a high‑volume regional center.

Medicare: Complete Services Breakdown

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

19 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…	470	$420	$199.2K
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.	220	$300	$64.9K
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.	90	$430	$37.4K
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…	140	$180	$24.7K
14060	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.	30	$550	$17.1K
15260	This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.	20	$720	$15.8K
14061	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.	20	$720	$15.1K
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.	70	$160	$11.7K
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…	50	$190	$9.4K
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…	110	$60	$6.6K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Daniel Winchester — 5 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	2	30	160	$390	$76.5K
17312	3	20	60	$280	$27.1K
14061	2	10	20	$720	$14.3K
17313	2	20	20	$380	$13.1K
15260	2	10	20	$680	$12.2K
14060	1	10	20	$530	$11.1K
13132	3	20	40	$190	$10.8K
17000	93	160	200	$30	$7.6K
13121	1	10	30	$200	$7K
11102	85	120	110	$50	$6.9K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Thorpe	ID	MOHS-Micrographic Surgery Physician	$525.8K	$0
Ada West Dermatology, PC	ID	Dermatology Physician	$0	$344.7K
Randall Burr	ID	Dermatology Physician	$187K	$0
Mark Schwendiman	ID	Dermatology Physician	$185K	$0
Gregory Wells	ID	Dermatology Physician	$162.5K	$0
Peter Boothman	ID	MOHS-Micrographic Surgery Physician	$140.5K	$0
Brian Hoyt	WA	Dermatology Physician	$118.8K	$0
Brian Friedt	ID	Medical Physician Assistant	$98.1K	$0
Stephen Frelly	ID	Medical Physician Assistant	$90.2K	$0
Alan Pitt	ID	Dermatology Physician	$84.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norco, Inc.	ID	Durable Medical Equipment & Medical Supplies	$0	$41M
Joint School District No. 2	ID	Local Education Agency (LEA)	$0	$34.2M
Chatterbox Speech & Language Center	ID	Speech-Language Pathologist	$0	$10.6M
St. Fillan's, LLC	ID	In Home Supportive Care Agency	$0	$10.5M
Southern Idaho Health Partners LLC	ID	General Practice Physician	$0	$9.2M
Gem State Developmental Center LLC	ID	Developmentally Disabled Services Day Training Agency	$0	$9.1M
Addus Healthcare, Inc.	ID	In Home Supportive Care Agency	$0	$6.1M
Northwest Neurobehavioral Health, LLC	ID	Clinical Social Worker	$0	$5.2M
Idaho Pediatric Therapy Clinic PLLC	ID	Physical Therapist	$0	$3.1M
Cpapnow Inc	ID	Durable Medical Equipment & Medical Supplies	$0	$3.1M

Daniel Winchester — 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