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NPI 1750517736 · Lehi, UT · Dermatology Physician
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James Macdonald is a dermatology physician provider located in Lehi, Utah. This profile covers 23 Medicare and 1 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 | James Macdonald |
| Address | 220 N 1200 E Ste 203 |
| City | Lehi |
| State | UT |
| ZIP | 84043 |
| Taxonomy | Dermatology Physician |
| NPI Enumerated | June 4, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $415.3K |
| Medicaid | $26.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,970 | $50 | $151.2K |
| 88321 | A qualified provider, typically a pathologist, provides consultation and a report on slides prepared elsewhere. A unit of service is the surgical case regardless of the number of slides received. | 820 | $70 | $57.1K |
| 88325 | A qualified provider, typically a pathologist, provides a comprehensive consultation, with review of records and specimens, and prepares a report on referred material, such as a tissue block or… | 330 | $120 | $38.3K |
| 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… | 400 | $60 | $25.3K |
| 17282 | The provider destroys a malignant lesion on the face, ears, eyelids, nose, lips, or mucous membrane using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion… | 190 | $120 | $21.6K |
| 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… | 370 | $60 | $20.9K |
| 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… | 230 | $90 | $19.5K |
| 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. | 630 | $30 | $17.1K |
| 88312 | The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets… | 160 | $80 | $13.1K |
| 17272 | The 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… | 130 | $90 | $12.2K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 88325 | 1 | 10 | 330 | $120 | $38.4K |
| 88305 | 5 | 150 | 360 | $40 | $23.4K |
| 99214 | 778 | 4,080 | 80 | $80 | $11.6K |
| 88312 | 13 | 60 | 50 | $60 | $7.4K |
| 17000 | 13 | 270 | 130 | $30 | $6.8K |
| 11102 | 144 | 200 | 90 | $50 | $6.6K |
| 99213 | 183 | 3,680 | 60 | $50 | $6.4K |
| 17110 | 2 | 180 | 70 | $70 | $6.2K |
| 88341 | 83 | 90 | 140 | $30 | $5K |
| 88342 | 104 | 100 | 80 | $40 | $4.5K |
Showing 1–10 of 23
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 360 | $70 | $26.4K |
How this provider's Medicaid billing volume and revenue compare to other Utah providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Utah median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 53 | 100 | 440 | $40 | $70.3K |
Other providers in the same ZIP code as James Macdonald, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Mountain West Anesthesia LLC | UT | Anesthesiology Physician | $0 | $7.5M |
| Jordan Valley Medical Center LP | UT | General Acute Care Hospital | $0 | $5.6M |
| Lehi City Municipal Corporation | UT | Ambulance | $129.1K | $1.8M |
| Post Acute Rehabilitation Physicians LLC | UT | Physical Medicine & Rehabilitation Physician | $0 | $1.7M |
| Covington Senior Living Of Lehi | UT | Assisted Living Facility | $0 | $667.2K |
| Alpine Pain & Spinal Rehabilitation Inc | UT | Interventional Pain Medicine Physician | $0 | $645.9K |
| Troy Hardy | UT | Pediatric Dentistry | $0 | $460.7K |
| Ryan Burt | UT | Pediatric Dentistry | $0 | $369.7K |
| David Smith | UT | Internal Medicine Physician | $355.8K | $0 |
| I Am Recovery LLC | UT | Recovery Care Clinic/Center | $0 | $340.2K |
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