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    OpenPayerNPI Medicare & MedicaidMelissa Knuckles
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    Melissa Knuckles — Billing Profile & Reimbursement Data

    NPI 1821074360 · Corbin, KY · Dermatology Physician

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    Melissa Knuckles is a dermatology physician provider located in Corbin, Kentucky. This profile covers 17 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.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMelissa Knuckles
    Address1101 Master St
    CityCorbin
    StateKY
    ZIP40701
    TaxonomyDermatology Physician
    NPI EnumeratedDecember 16, 2005

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

    Payer SourceTotal Paid
    Medicaid$559.3K
    Medicare$211.3K

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.580$110$64.3K
    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…570$60$33.2K
    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,…840$40$30.4K
    99203The 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…370$70$26K
    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.230$70$16K
    11106The provider biopsies a skin lesion using an incisional or wedge technique; he may perform this type of biopsy for large or deep skin lesions.100$110$10.8K
    17000The 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.170$50$7.5K
    11103The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…160$40$5.7K
    11107The provider biopsies an additional or separate skin lesion after the first using an incisional or wedge technique; he may perform this type of biopsy for large or deep skin lesions. Report +11107…90$50$4.8K
    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.20$210$4.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11901210460$40$18.9K
    1110251230120$60$9.6K
    17000157270210$30$8.9K
    17004312030$110$8.4K
    12032558030$180$8.4K
    992132757,25080$50$7.7K
    1110651070$90$7K
    17282122030$130$4.7K
    17003135240710$1$4K
    17263112020$120$3.8K

    Showing 1–10 of 17

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…9,680$20$164.6K
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…1,400$60$79.5K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.2,340$30$79.4K
    99203The 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…3,670$20$62.4K
    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,…6,790$10$61.1K
    99242The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the…850$40$37.6K
    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.1,340$20$25.4K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…1,850$10$11.1K
    11100N/A540$20$10.3K
    11106The provider biopsies a skin lesion using an incisional or wedge technique; he may perform this type of biopsy for large or deep skin lesions.310$30$9.3K

    Showing 1–10 of 22

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J2357Injection, omalizumab, 5 mg710330$450$424.8K
    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…5633,3401,020$30$296K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.1102,340$30$78.3K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…231870480$20$61.8K
    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,…981,450270$30$61K
    99243The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…17140110$80$50.1K
    99203The 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…711,400130$50$45.8K
    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.620280$40$41.1K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.1010160$70$28.5K
    99242The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a straightforward level of medical decision making or the…43070$50$21K

    Showing 1–10 of 22

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cumberland River Behavioral Health, IncKYCommunity/Behavioral Health Agency$0$349.5M
    Baptist Healthcare System, IncKYGeneral Acute Care Hospital$0$121.5M
    Grace Community Health Center, Inc.KYFederally Qualified Health Center (FQHC)$0$21.1M
    Barnhill Pediatric Dentistry, P.s.c.KYPediatric Dentistry$0$13.8M
    Bhg Xxxiv, LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$156.1K$6.3M
    Cumberland Valley Surgical Center, LLCKYAmbulatory Surgical Clinic/Center$1M$5.2M
    Sav-rite Home Care IncKYDurable Medical Equipment & Medical Supplies$0$6.1M
    Southeastern Medical Supply LLCKYDurable Medical Equipment & Medical Supplies$0$6M
    Corbin Pediatric Associates PscKYRural Health Clinic/Center$0$4.2M
    Green Meadows Wellness Center One, LLCKYClinical Psychologist$0$3.3M

    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. Kentucky Distribution
    Melissa Knuckles — 5 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Melissa Knuckles — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky