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    OpenPayerNPI Medicare & MedicaidJoseph Prohaska
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    Joseph Prohaska — Billing Profile & Reimbursement Data

    NPI 1790158012 · Morristown, TN · MOHS-Micrographic Surgery Physician

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    Joseph Prohaska is a mohs-micrographic surgery physician provider located in Morristown, Tennessee. This profile covers 25 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoseph Prohaska
    Address1907 W Morris Blvd Ste G
    CityMorristown
    StateTN
    ZIP37813
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedNovember 9, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$236.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17311Mohs 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…160$420$65.9K
    17313Mohs 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.60$460$28.8K
    12032This 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.160$170$26.6K
    17312Mohs 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$290$22.7K
    J7308Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)60$310$17.8K
    99213The 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…200$60$11.1K
    17110The 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…110$70$7.7K
    96574This code is used to report removal of hyperkeratotic (hardened, dry, scaly) skin lesions that appear precancerous followed by photodynamic therapy that exposes a lesion treated with a…40$180$6.6K
    99212The 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,…180$40$6.4K
    11102The 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.110$50$5.9K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173115370350$410$145.4K
    173125360190$290$54.1K
    17313316070$410$34.1K
    9921410,96811,370120$80$16.6K
    J7308104030$300$12.1K
    11102244400160$50$11K
    17110216440110$70$9.8K
    17000271490210$30$8.8K
    992132,55111,03080$50$8K
    12032416030$180$8K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Healthstar Physicians, P.C.TNFamily Medicine Physician$0$27.8M
    Christopher BowlinTNFoot & Ankle Surgery Podiatrist$705K$550
    Rual SwansonTNFamily Medicine Physician$227.7K$0
    Joanne LangtonTNEndocrinology, Diabetes & Metabolism Physician$208.2K$0
    Donna DillardTNFamily Medicine Physician$201.5K$0
    Rajkamal Harricharan SinghTNFamily Medicine Physician$179.1K$0
    Michael DillardTNOtolaryngology Physician$169.9K$0
    Bonnie Burnette-vickTNFamily Medicine Physician$155.6K$0
    Jessica BallTNFamily Nurse Practitioner$129.1K$0
    Amy PittsTNFamily Nurse Practitioner$127.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lakeway Achievement CenterTNDevelopmental Disabilities Clinic/Center$0$5.4M
    Brad S. Johnson, Dmd, PLLCTNOral and Maxillofacial Surgery (Dentist)$0$3.8M
    Lisa M. MarshallTNSpeech-Language Pathologist$0$3.4M
    Eyecare Associates Of Morristown, Inc.TNOptometrist$0$3.3M
    Jordan C BlackTNPhysical Therapist$0$3.1M
    Rajeev GuptaTNGeriatric Medicine (Family Medicine) Physician$442.2K$0
    Krystal WeaverTNPhysician Assistant$35.7K$383K
    Joseph DichiaraTNPain Medicine (Anesthesiology) Physician$204.8K$0
    Arthur HydeTNOptometrist$138.9K$0
    Jana BunsicTNFamily Medicine Physician$119.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Joseph Prohaska — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee