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

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

Theresa Flament (NPI 1770775249)

Field	Value
Entity Type	Individual
Organization	Theresa Flament
Address	590 Farrington Hwy
City	Kapolei
State	HI
ZIP	96707
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	August 17, 2007

Payer Source	Total Paid
Medicare	$303.9K
Medicaid	$0

Key Findings

THERESA FLAMENT is enumerated as an MOHS-Micrographic Surgery Physician in KAPOLEI, HI (NPI enumerated: 2007-08-17 (~19 years ago)) and her lifetime Medicare revenue on file is $303.9K with no Medicaid billing on file; operationally she appears to be effectively a Medicare-only billing practice based on the available claims data.

Revenue is highly concentrated in Mohs surgery: the precomputed top-3 Medicare codes account for 58.7% of this provider's total Medicare revenue, driven by 17311 ($108.1K; 215 claims; $503 avg paid/claim, 35.6% of total Medicare revenue), 17312 ($36.9K; 103 claims; $358 avg paid/claim, 12.1% of total Medicare revenue), and 17313 ($33.3K; 70 claims; $476 avg paid/claim, 11.0% of total Medicare revenue).

The code mix strongly indicates a surgical dermatology practice centered on Mohs micrographic surgery and immediate reconstruction: high-revenue Mohs codes 17311/17312/17313 dominate, while intermediate repair and complex closure codes such as 12032 (114 claims, $25.2K) and 13132 (104 claims, $21.3K) show routine post-excisional reconstructive work consistent with same-session repairs following tumor extirpation. Additional excision codes (11603, 11602) and biopsy/destruction codes (11102, 17000) support a workflow of lesion diagnosis, surgical removal, and reconstruction.

Competitive standing for her Mohs volumes is modest nationally: 17311 ranks #1562 of 2969 providers (47th percentile; typical, unremarkable volume for this code), 17312 ranks #1589 of 2770 providers (42th percentile; typical, unremarkable volume for this code), and 17313 ranks #911 of 2300 providers (60th percentile; typical, unremarkable volume for this code), indicating she is neither a high-volume national Mohs leader nor an outlier but operates at typical program scale.

While Mohs codes are typical in national ranking, the provider shows relatively stronger standing on several reconstructive and excision codes: 12032 ranks #468 of 6420 providers (93th percentile; typical, unremarkable volume for this code) and 11603 ranks #193 of 3144 providers (94th percentile; typical, unremarkable volume for this code), suggesting above-average procedural throughput for intermediate repairs and certain excisions compared with peers.

Office visit activity appears consistent with a procedure-focused practice rather than a primary care panel: 99213 has 169 claims ($12.2K, $72 avg paid/claim) and ranks #117655 of 457151 providers (74th percentile; typical, unremarkable volume for this code), while 99212 has 150 claims ($6.6K, $44 avg paid/claim) and ranks #8758 of 99011 providers (91th percentile; typical, unremarkable volume for this code), indicating moderate clinic-level evaluation and management volume accompanying the surgical caseload.

The data labels attached to most codes emphasize "typical, unremarkable volume for this code," and there are no plain-English labels indicating extreme outlier behavior; one notable data point is 12051 which the dataset records as ranking #889 of 950 providers (0th percentile; typical, unremarkable volume for this code), reflecting a low relative standing on that specific facial intermediate repair code even though the provider performs other higher-percentile repairs.

From a payer and contracting perspective, the absence of any Medicaid billing on file combined with $303.9K in Medicare revenue signals a narrow payer mix concentrated on Medicare; payers or networks evaluating access to Medicaid populations should note this provider does not appear to serve Medicaid enrollees in the claims on record.

Medicare: Complete Services Breakdown

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

23 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…	220	$500	$108.1K
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.	100	$360	$36.9K
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.	70	$480	$33.3K
12032	This 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.	110	$220	$25.2K
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…	100	$210	$21.3K
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	$190	$12.7K
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…	170	$70	$12.2K
11603	The provider excises a cancerous (malignant) lesion, including margins, of 2.1 to 3.0 cm in diameter, from the skin of the trunk, arms, or legs.	70	$120	$7.7K
17314	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.	20	$340	$6.9K
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,…	150	$40	$6.6K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

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

Claims Volume vs. Hawaii Distribution

Theresa Flament — 3 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	4	10	180	$500	$78.9K
17312	5	10	110	$350	$35.7K
17313	3	10	60	$490	$27.2K
13132	2	10	60	$230	$13.1K
13121	2	10	50	$260	$12.4K
17110	62	70	110	$80	$11.4K
12032	1	20	30	$230	$8.7K
99213	384	1,460	70	$60	$8.4K
11102	37	60	100	$70	$8.2K
17314	2	10	20	$340	$7.8K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park Nicollet Clinic	MN	Family Medicine Physician	$0	$210M
Fairview Health Services	MN	General Acute Care Hospital	$0	$90.4M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
Fairview Express Care	MN	Specialist	$0	$33.1M
Fairview Health Services	MN	General Acute Care Hospital	$0	$30M
Fairview Health Services	MN	Emergency Medicine Physician	$0	$26.6M
Fairview Health Services	MN	General Acute Care Hospital	$0	$17.2M
Park Nicollet Methodist Hospital	MN	General Acute Care Hospital	$0	$17.2M
Regions Hospital	MN	Emergency Medicine Physician	$0	$15.1M
Fairview Express Care	MN	General Practice Physician	$0	$11.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usrc Kapolei, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$3.3M
Responsive Caregivers Of Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$3.1M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Usrc West Oahu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.3M
Family Tree Project, LLP	HI	Community/Behavioral Health Agency	$0	$1.5M
Kidshine Kapolei LLC	HI	Dental Clinic/Center	$0	$1.5M
Dean T. Sueda D.d.s., M.s. Inc	HI	Pediatric Dentistry	$0	$1.4M
Wendell Danforth	HI	Ophthalmology Physician	$974.5K	$0
Workstar Occupational Health Systems Inc	HI	Occupational Medicine Physician	$0	$911.7K

Theresa Flament — 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