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

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

Dermio Dermatology, LLC (NPI 1811402423)

Dermio Dermatology, LLC is a dermatology physician provider located in Munster, Indiana. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Dermio Dermatology, LLC
Address	9200 Calumet Ave Ste 203
City	Munster
State	IN
ZIP	46321
Taxonomy	Dermatology Physician
NPI Enumerated	December 5, 2017

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	15,270	$80	$1.1M
99204	The provider sees a new 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 provider…	3,380	$100	$348.2K
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…	5,660	$40	$249.2K
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…	2,800	$60	$168.1K
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…	2,520	$60	$138.8K
88341	The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…	840	$120	$103K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	2,430	$40	$90K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	890	$70	$63.8K
99203	The provider sees a new 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 provider…	930	$60	$57.5K
11900	This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…	1,130	$30	$38.6K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

Dermio Dermatology, LLC — 2 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	189	2,120	870	$60	$450.6K
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…	521	2,380	920	$50	$376.8K
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…	43	140	830	$50	$265K
99204	The provider sees a new 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 provider…	55	790	150	$90	$99.4K
99203	The provider sees a new 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 provider…	187	890	160	$60	$76.8K
99212	The 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,…	335	880	250	$40	$59.2K
88342	The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	19	50	370	$20	$52.9K
88341	The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…	6	20	460	$40	$35.2K
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…	4	60	210	$50	$31.7K
88312	The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…	14	30	340	$30	$26.5K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seema Apichai	IL	Anatomic Pathology Physician	$1.5M	$105K
Arman Soleymani	IN	Dermatology Physician	$923.8K	$0
David Rosenfeld	IL	Dermatology Physician	$634.5K	$0
Laura Hoffman	IN	Dermatology Physician	$493.4K	$0
Mathew Joseph	IL	Dermatology Physician	$279.5K	$0
Lauren Cerullo	IN	Dermatology Physician	$278.2K	$0
Erin Bartels	IN	Physician Assistant	$129.3K	$0
Li-wei Chang	IN	MOHS-Micrographic Surgery Physician	$129.1K	$0
Hannah Hazlewood	IN	Physician Assistant	$53.5K	$0
Olivia Zaczyk	IN	Physician Assistant	$32.6K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Munster Medical Research Foundation Inc	IN	General Acute Care Hospital	$0	$23.6M
Munster Radiology Group PC	IN	Diagnostic Radiology Physician	$0	$6.4M
Preference Health Services Inc.	IN	Home Health Agency	$0	$6.1M
Nwi Urgent Care, LLC	IN	Urgent Care Clinic/Center	$0	$4.4M
Childrens & Family Medicine Clinic PC	IN	Primary Care Clinic/Center	$0	$4.2M
Urgentdent	IN	Dental Clinic/Center	$0	$4M
Chest Physician Consultants, Ltd	IN	Multi-Specialty Clinic/Center	$0	$3.9M
Cep America LLC	IN	Emergency Medicine Physician	$0	$3.5M
Midwest Emergency Associates-munster, LLC	IN	Emergency Medicine Physician	$0	$3.2M
Jeffrey T. Meister, Dds, LLC	IN	General Practice Dentistry	$0	$3M

Dermio Dermatology, LLC — Billing Profile & Reimbursement Data

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Dermio Dermatology, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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