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

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

Knoxville Dermatology Group PC (NPI 1760419014)

Knoxville Dermatology Group PC is a dermatology physician provider located in Knoxville, Tennessee. This profile covers 0 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Knoxville Dermatology Group PC
Address	123 Fox Rd
City	Knoxville
State	TN
ZIP	37922
Taxonomy	Dermatology Physician
NPI Enumerated	June 26, 2006

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	24,910	$30	$772.2K
99203	The provider sees a new 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 provider…	8,790	$60	$492.1K
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…	8,500	$60	$467.5K
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…	9,150	$50	$457.4K
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…	1,740	$120	$205.3K
99204	The provider sees a new 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 provider…	2,260	$90	$200.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	4,810	$40	$187.6K
11102	The 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.	3,250	$40	$136.5K
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…	4,620	$20	$73.9K
99212	The 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,…	3,520	$20	$59.8K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

Claims Volume vs. Tennessee Distribution

Knoxville Dermatology Group PC — 6 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	365	3,760	610	$40	$202.3K
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…	173	4,050	620	$30	$183.9K
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…	36	200	600	$30	$168.3K
99204	The provider sees a new 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 provider…	76	1,080	120	$80	$90.7K
99203	The provider sees a new 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 provider…	22	1,240	120	$60	$53.1K
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…	1	10	240	$110	$49.8K
11900	This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…	8	10	30	$20	$40.8K
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…	56	60	120	$30	$37.9K
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…	1	50	180	$50	$32.6K
99212	The 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,…	88	1,170	170	$20	$23.8K

Showing 1–10 of 24

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward Primka	TN	Dermatology Physician	$910.2K	$0
Robert Gathings	TN	MOHS-Micrographic Surgery Physician	$896.5K	$0
Matthew Hanggi	TN	MOHS-Micrographic Surgery Physician	$491.2K	$0
Myles Jerdan	GA	Dermatology Physician	$413.1K	$0
Drew Miller	TN	MOHS-Micrographic Surgery Physician	$286K	$124.3K
George Keough	SC	Dermatology Physician	$370K	$0
Robert Unkefer	TN	MOHS-Micrographic Surgery Physician	$340.3K	$0
Lee Dittrich	TN	Dermatology Physician	$333.8K	$0
Kevin Blazer	TN	Physician Assistant	$131.6K	$189.1K
Amy Maurer	TN	Physician Assistant	$281.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gi For Kids, PLLC	TN	Pediatric Gastroenterology Physician	$0	$18.9M
Children's West Surgery Center	TN	Ambulatory Surgical Clinic/Center	$0	$10M
C A H Managment Company, LLC	TN	Urgent Care Clinic/Center	$0	$9.8M
Orthotennessee, PC	TN	Orthopaedic Surgery Physician	$0	$7.2M
Rocky Top Pediatric Dentistry, LLC	TN	Pediatric Dentistry	$0	$4.6M
Knoxville Eye Surgery Center LLC	TN	Ambulatory Surgical Clinic/Center	$4.1M	$180
Knoxville Orthopaedic Surgery Center LLC	TN	Ambulatory Surgical Clinic/Center	$3.1M	$19.1K
Recovery Strategies LLC	TN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.8M
Fort Sanders West Op Surgery Center	TN	Ambulatory Surgical Clinic/Center	$2.1M	$10
Kimberly Grande	TN	Specialist	$963.5K	$0

Knoxville Dermatology Group PC — Billing Profile & Reimbursement Data

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Knoxville Dermatology Group PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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