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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Erik Hurst (NPI 1801910880)

Field	Value
Entity Type	Individual
Organization	Erik Hurst
Address	1000 Sushruta Dr
City	Martinsburg
State	WV
ZIP	25401
Taxonomy	Dermatology Physician
NPI Enumerated	March 16, 2007

Payer Source	Total Paid
Medicare	$622K
Medicaid	$0

Key Findings

This provider has generated $622K in lifetime Medicare revenue and has no Medicaid billing on file, making their public payer footprint effectively single-payer (Medicare) in the available data. Absence of any Medicaid claims suggests limited engagement with Medicaid populations or that Medicaid billing occurs under a different entity not captured here.

Revenue is highly concentrated: the precomputed top-3 Medicare codes (17311, 88305, 17312) account for 57.8% of this provider's total Medicare revenue. Those three codes individually include 17311 ($225K revenue, 36.9% of this provider's total Medicare revenue), 88305 ($64.6K revenue, 10.6%), and 17312 ($62.9K revenue, 10.3%), indicating a heavy reliance on a small set of procedures and pathology services.

The code mix is consistent with a dermatologic surgical practice focused on Mohs micrographic surgery and associated pathology: 17311, 17312, and 17313 (Mohs) together drive a large share of revenue while 88305 (surgical pathology, $64.6K revenue) supports on‑site or associated specimen processing. Complementary excision and repair codes such as 11603 ($10.8K) and multiple intermediate/complex repair codes (12032, 12052, 12042) further indicate routine surgical excisions and wound closures as a core service line.

Competitive standing for Mohs is moderate rather than dominant nationally: 17311 ranks #654 of 2969 providers nationally (78th percentile; typical, unremarkable volume for this code) and 17312 ranks #885 of 2770 (68th percentile; typical, unremarkable volume). In other words, Mohs work is a primary revenue driver for this clinician but their Mohs caseload sits near typical national levels rather than at the top of the specialty.

Several codes are statistical outliers in national comparisons, highlighting areas of unusually high volume relative to peers. Notably, 99213 has 904 claims and $52.4K revenue and ranks #8149 of 457151 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code), and 12032 has 205 claims and $38.1K revenue and ranks #118 of 6420 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code), signaling particularly high volumes of routine office visits and intermediate wound repairs.

Beyond the two extreme outliers, multiple procedural codes are positioned well above typical national volumes, suggesting a high-procedure practice mix. Examples include 12052 ($17K revenue) which ranks #86 of 1767 (95th percentile; notably above typical national volume), 11603 ($10.8K revenue) at #82 of 3144 (97th percentile; notably above typical national volume), and 12042 ($8K revenue) at #65 of 1531 (95th percentile; notably above typical national volume).

Given the provider's NPI was enumerated on 2007-03-16 (≈19 years ago), this is a long-tenured clinician in the Medicare dataset; the longevity aligns with the substantial procedural portfolio and steady Medicare revenue observed. Long tenure can support stable referral relationships for surgical dermatology and pathology services reflected in the claims mix.

Operational and payer implications: with 57.8% of Medicare revenue coming from the three top codes and total Medicare revenue at $622K, the provider's topline is sensitive to fluctuations in procedural volume and changes in Medicare policy for Mohs and pathology reimbursement. Combined with no Medicaid billing on file, this concentration suggests the practice should monitor payer mix exposure and maintain strong procedural throughput to sustain revenue levels.

Medicare: Complete Services Breakdown

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

38 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…	460	$490	$225K
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…	1,540	$40	$64.6K
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.	200	$320	$62.9K
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…	900	$60	$52.4K
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.	210	$190	$38.1K
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	$460	$35.5K
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…	260	$70	$19.4K
12052	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.	140	$120	$17K
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.	360	$40	$13.1K
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.	100	$110	$10.8K

Showing 1–10 of 38

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Erik Hurst — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

38 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	5	10	460	$400	$193.5K
17312	5	10	240	$290	$83.9K
17313	5	10	100	$400	$47.6K
88305	5	80	670	$30	$23.9K
13132	16	20	30	$220	$15.8K
99214	1,057	2,740	100	$70	$11.8K
13121	5	20	30	$210	$9.7K
12032	1	30	30	$170	$8.3K
17110	14	100	80	$60	$8.2K
17314	6	10	20	$290	$7.8K

Showing 1–10 of 38

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dama Vance	WV	Family Nurse Practitioner	$170.6K	$0
Richard Sutherland	WV	Primary Care Nurse Practitioner	$166.3K	$0
Dawn Sharer	MD	Adult Health Nurse Practitioner	$145.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shenandoah Valley Medical System, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$61M
City Hospital, Inc	WV	General Acute Care Hospital	$0	$41.1M
Eastern Panhandle Mental Health Center (waiver)	WV	Community/Behavioral Health Agency	$0	$28.8M
Stepping Stones Cottages, LLC	WV	Counseling Psychologist	$0	$26.6M
University Healthcare Physicians, Inc.	WV	Family Medicine Physician	$0	$17.5M
American Family Matters LLC	WV	Community/Behavioral Health Agency	$0	$16.9M
Berkeley County Emergency Ambulance Authority	WV	Land Ambulance	$864.6K	$5.6M
Eastern Panhandle Mental Health (rehab)	WV	Community/Behavioral Health Agency	$0	$5.7M
City Of Martinsburg	WV	Land Ambulance	$222.2K	$2.7M
Lance Pittman	WV	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$2.3M

Erik Hurst — 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