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

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

Gary Mendese (NPI 1780851386)

Field	Value
Entity Type	Individual
Organization	Gary Mendese
Address	99 Conifer Hill Dr
City	Danvers
State	MA
ZIP	01923
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	May 13, 2008

Payer Source	Total Paid
Medicare	$570.6K
Medicaid	$0

Key Findings

This provider’s Medicare billing footprint is modest in scale: lifetime Medicare revenue is $570.6K and the provider has no Medicaid billing on file, indicating an effectively single‑payer (Medicare) practice for the public payers captured here. The absence of any Medicaid codes is explicit — this provider has no Medicaid billing on file — so analysts should treat Medicare as the dominant public payer exposure.

Revenue is concentrated in a small set of services: the precomputed top‑3 Medicare codes by revenue account for 43.3% of this provider’s total Medicare revenue. The single largest contributor is 17311 ($126.5K, 22.6%), followed by 99213 ($63.8K, 11.4%) and 17312 ($51.6K, 9.2%), so Mohs procedures plus high-volume E&M visits drive nearly half of Medicare receipts.

Clinical mix and service line profile point to a Mohs-focused surgical practice that also bills substantial office E&M and procedural follow-up. Multiple Mohs codes (17311, 17312, 17313) are among the top revenue drivers and reconstructive/repair codes such as 14040 and 13132 appear in the top 25, indicating that the provider performs both staged tumor extirpation and immediate reconstructions in the same practice.

Office visit volume is unusually high relative to national peers: 99213 appears as 1K claims producing $63.8K and is labeled an "extreme outlier" at the 99th percentile. This suggests a high throughput of established patient visits or frequent post‑procedure E&M in addition to surgical work, a pattern that distinguishes this provider from most Mohs specialists who typically have lower E&M claim counts.

Mohs procedure volumes are typical rather than dominant compared with national Mohs peers: 17311 ranks in the 56th percentile and 17312 ranks in the 57th percentile (both described as "typical, unremarkable volume"). Those percentiles indicate the provider performs Mohs at a modestly above‑median frequency but is not a top national volume leader for Mohs surgery.

Use of advanced wound/adjunct products and therapies is material to revenue: Q4186 (Epifix) accounts for $42.8K (7.7%) of Medicare revenue with 363 claims, and J7308 (aminolevulinic acid) also appears in the top codes. Billing for these items, alongside Mohs and reconstruction codes, signals integrated wound care and adjunctive therapy usage in the practice rather than a pure excision/closure model.

Reconstructive and minor procedural work contributes meaningfully to the practice mix: codes for repairs and complex closures such as 14040 ($17.9K, 3.2%), 14060 ($14K, 2.5%), and multiple layered closure codes appear in the top 25. That pattern supports a workflow where the provider completes Mohs excision and performs onsite reconstructive repairs rather than referring reconstruction elsewhere.

Tenure in the Medicare program is long-standing: the NPI was enumerated on 2008-05-13 (~18 years ago), indicating an established billing relationship with Medicare. Combined with the concentrated revenue mix and high 99213 volume, this tenure is consistent with an established, outpatient surgical practice that manages both procedures and follow-up care within the same provider entity.

Medicare: Complete Services Breakdown

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

32 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…	280	$460	$126.5K
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…	1,050	$60	$63.8K
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.	150	$340	$51.6K
Q4186	Epifix, per square centimeter (add-on, list separately in addition to primary procedure)	360	$120	$42.8K
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.	80	$490	$38.9K
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…	310	$90	$28.2K
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.	410	$70	$28.2K
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.	650	$40	$26.6K
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…	240	$80	$20.5K
14040	The provider repairs lesions in the patient’s forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, and/or feet by using healthy tissues from an adjacent site. This code…	30	$580	$17.9K

Showing 1–10 of 32

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Gary Mendese — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

32 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	11	60	360	$450	$169.9K
Q4186	3	10	660	$120	$79.2K
17312	9	60	180	$320	$70.8K
17313	6	60	90	$440	$45.1K
13132	7	60	70	$220	$21.7K
14060	6	50	30	$600	$19.7K
14040	2	30	20	$610	$19.6K
J7308	2	60	40	$300	$16K
99214	526	15,410	110	$80	$15.6K
13121	3	70	40	$240	$14.1K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Allara	MA	Family Medicine Physician	$722.9K	$428.6K
Jessica Mosher	MA	MOHS-Micrographic Surgery Physician	$696.1K	$0
Chieke Udom	MA	Hospitalist Physician	$629.2K	$0
Christina Correnti	MA	Dermatology Physician	$526.8K	$74.7K
Campbell Dermatology PA	NH	Dermatology Physician	$0	$457.5K
Daniel O'connor	NH	MOHS-Micrographic Surgery Physician	$450.2K	$0
Hongmei Li	MA	Dermatopathology (Pathology) Physician	$289.3K	$155.3K
Amanda Auerbach	MA	Dermatology Physician	$336.9K	$0
Feng Ge	MA	Internal Medicine Physician	$310.3K	$0
Jennifer Braimon	MA	Endocrinology, Diabetes & Metabolism Physician	$301.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Arc, Inc.	MA	Community/Behavioral Health Agency	$0	$732.6M
Northeast Arc Inc	MA	Home Health Agency	$0	$90.8M
Care Dimensions, Inc.	MA	Community Based Hospice Care Agency	$0	$66.1M
Northeast Arc, Inc.	MA	Case Management Agency	$0	$37.4M
Northeast Arc	MA	Community/Behavioral Health Agency	$0	$34.3M
Northeast Arc, Inc.	MA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$19.7M
Northeast Arc, Inc.	MA	Community/Behavioral Health Agency	$0	$16.4M
Northeast Arc, Inc.	MA	Early Intervention Provider Agency	$0	$13.9M
North Shore Elder Services, Inc.	MA	Voluntary or Charitable Agency	$0	$12.7M
75 Lindall Street Opco LLC	MA	Substance Abuse Rehabilitation Facility	$0	$7.3M

Gary Mendese — 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