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

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

Michael Garone (NPI 1811304009)

Field	Value
Entity Type	Individual
Organization	Michael Garone
Address	500 S 52nd St
City	Rogers
State	AR
ZIP	72758
Taxonomy	Dermatology Physician
NPI Enumerated	July 19, 2014

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Key Findings

This provider is heavily concentrated on a very small set of Medicare codes: the precomputed top three Medicare codes account for 84.2% of the provider's total Medicare revenue, with a single code, Q4249, alone representing $853.6K or 69.8% of Medicare receipts. That concentration indicates most of the practice's Medicare income is tied to one topical product/procedure code rather than a broad distribution across many services.

The code mix and descriptions point to a procedural dermatology practice focused on Mohs surgery and associated wound management: 17311 and 17312 (Mohs) are the second- and third-largest revenue drivers at $133.2K (10.9%) and $42.2K (3.5%) respectively, and additional entries such as 15275 (skin substitute) and multiple repair and graft codes underscore reconstructive and wound-coverage activity. The prominent use of Q4249 (an add-on topical product billed per square centimeter) together with Mohs and reconstructive codes suggests operations that pair excisional procedures with topical biologic or wound-care products.

The provider is effectively single-payer in this dataset: lifetime Medicare revenue is $1.2M while Medicaid revenue is listed as none — there is no Medicaid billing on file. This lack of Medicaid activity indicates limited payer diversification and that the practice’s identifiable public-payer volume is concentrated in Medicare.

Competitive standing for the dominant product code is notable within a very small national cohort: Q4249 ranks #2 of 6 providers nationally (80th percentile; typical, unremarkable volume). That ranking suggests the provider is comparatively prominent among the few providers reporting this code nationally, even though the dataset labels the volume as typical relative to broader norms.

By contrast, the provider’s Mohs surgery volumes are modest relative to national Mohs operators: 17311 ranks #1149 of 2969 (61st percentile) and 17312 ranks #1248 of 2770 (55th percentile), both described as typical, unremarkable volumes. These ranks indicate the practice performs Mohs routinely but does not appear as a dominant national Mohs center based on the provided percentiles and ranks.

Ambulatory/E&M activity is relatively high compared with national peers: 99213 shows 521 claims and $30.7K revenue (2.5% of Medicare revenue) and ranks #25189 of 457151 providers nationally (94th percentile) with the label notably above typical national volume; 99212 also ranks in the 95th percentile. These elevated E/M percentiles imply a steady ambulatory patient flow that likely supports the procedural workload and follow-up care for surgical dermatology.

Tenure and NPI history indicate an established practice: the NPI was enumerated 2014-07-19 (~12 years ago). This multi-year presence in Medicare billing suggests the observed patterns reflect a sustained operating model rather than a short-lived billing spike.

The heavy dependence on one high-revenue code (Q4249 at $853.6K) combined with no Medicaid billing represents a concentration risk from both product/procedure and payer perspectives; changes in reimbursement, coverage policy, or clinical use of that add-on product could materially affect the provider’s Medicare revenue. Given the data, analysts should prioritize monitoring reimbursement and utilization trends for Q4249 and nearby Mohs/reconstructive codes when assessing financial or operational vulnerabilities.

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4249	Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure)	1,660	$510	$853.6K
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…	310	$430	$133.2K
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	$290	$42.2K
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…	520	$60	$30.7K
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.	100	$200	$19.3K
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…	110	$170	$17.4K
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…	200	$90	$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.	400	$30	$12.4K
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.	220	$60	$11.8K
14041	The 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…	20	$640	$10.9K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

Michael Garone — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4249	1	10	700	$510	$420.7K
17311	12	30	210	$400	$165.8K
17312	11	30	90	$290	$66.2K
17313	21	30	40	$380	$35.3K
14060	22	30	30	$500	$23.6K
13132	9	30	40	$170	$20.2K
99214	1,733	4,300	130	$70	$18.8K
14041	8	10	30	$570	$14.8K
12032	9	50	50	$170	$11.8K
17110	84	170	100	$60	$11.3K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lauren Mccaslin	AR	Dermatology Physician	$439.6K	$0
Cheryl Hull	AR	Dermatology Physician	$289.1K	$16.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Hospital Rogers	AR	General Acute Care Hospital	$0	$14.2M
Mercy Health Northwest Arkansas Communities	AR	Multi-Specialty Clinic/Center	$0	$8.4M
Eric Schaefer	AR	Hematology & Oncology Physician	$3.6M	$0
St. Francis House Nwa, Inc.	AR	Dental Clinic/Center	$0	$2.9M
Daniel Bradford	AR	Hematology & Oncology Physician	$2.8M	$0
Northwest Arkansas Pediatric Dental Center	AR	Pediatric Dentistry	$0	$2.5M
Brian T Hyatt Md LLC	AR	Psychiatry Physician	$0	$2.1M
Mercy Hospital Rogers	AR	Home Health Agency	$0	$1.8M
Harvey Pediatrics. PLLC	AR	Pediatrics Physician	$0	$1.8M
Precision Surgical Center Of Northwest Arkansas, LLC	AR	Ambulatory Surgical Clinic/Center	$1.8M	$0

Michael Garone — 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