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    OpenPayerNPI Medicare & MedicaidRichelle Knudson
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    Richelle Knudson — Billing Profile & Reimbursement Data

    NPI 1811149156 · Bismarck, ND · Dermatology Physician

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    Richelle Knudson is a dermatology physician provider located in Bismarck, North Dakota. This profile covers 27 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
    OrganizationRichelle Knudson
    Address2830 N Washington St
    CityBismarck
    StateND
    ZIP58503
    TaxonomyDermatology Physician
    NPI EnumeratedOctober 17, 2008

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

    Payer SourceTotal Paid
    Medicare$277.8K
    Medicaid$0

    Key Findings

    Practice appears focused on surgical dermatology with a heavy Mohs and reconstruction mix: the top-paid services are Mohs surgery codes (17311, 17312) and multiple complex repair and flap/graft codes (13132, 14061, 14060, 15260), which together signal an emphasis on excision of malignant lesions followed by reconstructive closures rather than primarily medical dermatology or routine office visits. This code mix is consistent with an operative dermatology workflow that couples tumor extirpation with on-site reconstructive procedures.

    Revenue is highly concentrated in a small set of Medicare codes: the precomputed top 3 Medicare codes by revenue account for 57.7% of this provider's total Medicare revenue, and a single code 17311 represents 38.2% of total Medicare revenue, indicating the practice’s financial performance is tightly linked to Mohs procedural volume. This concentration suggests any change in Mohs demand or reimbursement would disproportionately affect overall Medicare income.

    This provider is effectively single-payer in the available data: total Medicare revenue is $277.8K while there is no Medicaid billing on file. The absence of Medicaid activity means payer mix risk is concentrated in Medicare exposure and any network or policy changes affecting Medicare would have outsized operational impact.

    On national competitiveness for Mohs, 17311 ranks #542 of 2969 providers nationally (82th percentile; typical, unremarkable volume for this code) and 17312 ranks #910 of 2770 (67th percentile; typical, unremarkable volume for this code), suggesting the provider achieves a steady, above-average Mohs caseload relative to peers but is not among the very highest-volume Mohs centers. These ranks indicate a respectable national standing for Mohs without being dominant.

    Complex repair and adjunctive reconstructive procedures show relatively high national percentiles: 13132 ranks #277 of 3088 providers (91th percentile; typical, unremarkable volume for this code), 13133 ranks #17 of 223 providers (93th percentile; typical, unremarkable volume for this code), and 13152 ranks #114 of 1365 providers (92th percentile; typical, unremarkable volume for this code). Collectively this pattern points to above-average activity in complex closures and layered repairs, consistent with a practice that manages larger or more complex surgical defects.

    Provider tenure is long-established: the NPI enumerated on 2008-10-17 (~18 years ago), indicating nearly two decades of billing history under this identifier and likely stable practice operations and referral relationships over time. That longevity supports the interpretation of coding patterns as reflective of an established surgical dermatology service line rather than a transient or newly launched operation.

    Absolute Medicare revenue is modest at $277.8K, and several high-reimbursement reconstructive codes contribute meaningful per-claim payments (for example, 14061 averages $592 paid/claim and 15260 averages $593 paid/claim). This suggests the practice generates a substantial portion of its revenue from relatively high-unit-value surgical procedures rather than high volumes of low-reimbursement E/M visits.

    The provider’s national standing is mixed across codes: some procedural codes sit well above median percentiles while others are low or mid-range — for example, 14041 ranks #824 of 1009 (13th percentile; typical, unremarkable volume for this code) and 99214 ranks #437544 of 479517 (8th percentile; typical, unremarkable volume for this code). This heterogeneity implies focused strengths in specific surgical procedures alongside lower relative activity in routine E/M and some reconstructive subcategories.

    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.

    27 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…510$210$105.7K
    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.200$150$28.7K
    13132The 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…210$120$25.4K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.30$590$19.5K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.40$490$18.9K
    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.50$190$10.3K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.20$590$10.1K
    13121This 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$110$8.4K
    13152The physician performs closure of a wound/laceration for at least one of the following anatomic areas: eyelids, nose, ears, lips. The repair performed is of a complex nature, which involves more than…60$130$8K
    14041The provider replaces the lesions in the forehead, cheeks, chin, mouth, neck, axillae or armpits, genitalia, hands, or feet with the healthy tissues from an adjacent site. This code represents a…10$540$7K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311310410$290$114.3K
    17312210130$180$28.6K
    13132310160$160$22.2K
    1406111030$590$19.5K
    1526021020$690$14.5K
    1406011030$500$14K
    1312141060$190$13.4K
    1731311050$280$13K
    992141,3251,47090$60$10.4K
    1315231060$170$10K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    Sanford Medical CenterSDFamily Medicine Physician$0$68.8M
    Sanford Medical Center FargoNDGeneral Acute Care Hospital$0$50.2M
    Sanford BismarckNDMulti-Specialty Clinic/Center$0$43.9M
    Sanford Health Of Northern MinnesotaMNInternal Medicine Physician$0$27.2M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Sanford BismarckNDGeneral Acute Care Hospital$0$12.5M
    Sanford Medical Center FargoNDAir Ambulance$0$12M
    Sanford Clinic NorthNDClinical Medical Laboratory$1.4M$7M
    Sanford Health Network NorthMNMulti-Specialty Clinic/Center$0$5.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Options For Residential And Employment Services, IncNDCase Manager/Care Coordinator$0$84.4M
    Metro Area Ambulance Service, IncNDLand Ambulance$1.5M$11.7M
    Red Door Pediatric Therapy, IncNDSpeech-Language Pathologist$0$5.6M
    New Freedom CenterNDSubstance Abuse Rehabilitation Facility$0$4.5M
    Bismarck Surgical Associates, LLCNDAmbulatory Surgical Clinic/Center$2.2M$0
    Maple View Ii East IncNDAlzheimer Center (Dementia Center)$0$1.7M
    Good Road Recovery CenterNDSubstance Abuse Rehabilitation Facility$0$1.1M
    Bismarck Transportation ServicesNDTaxi$0$1.1M
    Daniel J. Keith, Dds, Ms, PCNDOrthodontics and Dentofacial Orthopedics Dentistry$0$1.1M
    Sanford Healthcare Accessories, LLCNDDurable Medical Equipment & Medical Supplies$0$1.1M

    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. North Dakota Distribution
    Richelle Knudson — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota