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

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

Erika Hagstrom (NPI 1841685658)

Field	Value
Entity Type	Individual
Organization	Erika Hagstrom
Address	2835 Fort Missoula Rd Bldg 3
City	Missoula
State	MT
ZIP	59804
Taxonomy	Dermatology Physician
NPI Enumerated	March 30, 2015

Payer Source	Total Paid
Medicare	$511K
Medicaid	$0

Key Findings

This provider’s Medicare activity is highly procedure-focused and dominated by Mohs micrographic surgery and reconstructive procedures: the three highest-revenue codes are 17311, 17312, and 15260, which together account for 71.6% of the provider's total Medicare revenue. The single-line revenue figure shows Total Medicare revenue of $511K, and the top individual code 17311 alone generated $193K (37.9% of Medicare revenue), underscoring a surgical, lesion-excision and reconstruction business model rather than a primary-care or cognitive-care practice.

Code-level competitive standing is mixed but shows relative strength in Mohs and complex reconstructive work. 17312 ranks #293 of 2770 nationally (89th percentile; typical, unremarkable volume for this code) and 15260 ranks #102 of 1336 nationally (92th percentile; typical, unremarkable volume for this code), indicating above-average national activity on those specific procedures, while 17311 ranks #758 of 2969 (74th percentile; typical, unremarkable volume for this code), a solid but not dominant position for the highest-revenue code.

Revenue concentration is pronounced: the precomputed metric shows the top 3 Medicare codes drive 71.6% of all Medicare revenue for this NPI, which implies that the practice’s financial performance is sensitive to demand and reimbursement for Mohs surgery and a small set of reconstructive CPTs. With $193K from 17311 and $117.6K from 17312, any changes in utilization patterns, referral flows, or payment for these specific codes would materially affect this provider’s Medicare revenue.

Payer mix is effectively single-payer at the claims level: Medicare lifetime revenue is $511K and there is no Medicaid billing on file. The absence of Medicaid activity suggests limited exposure to state programs and indicates that Medicaid contracting or participation is not currently a material part of this provider’s payer strategy or referral base.

Clinical workflow appears oriented toward procedures over office E/M visits: E/M codes such as 99203 ($4.3K, 58 claims) and 99213 ($4.2K, 65 claims) contribute only small shares of revenue, and higher-level established-visit code 99214 is especially low-volume (ranks #446875 of 479517, 6th percentile; typical, unremarkable volume for this code). This reinforces the interpretation that most billings and clinical time are allocated to operative care (Mohs and repairs) rather than longitudinal medical management or frequent office-based medical visits.

There are no Medicaid codes on file ("none below — this provider has no Medicaid billing on file"), which has direct contracting and network implications: payers seeking to expand Medicaid networks should not expect incremental Medicaid volume from this NPI, while Medicare-focused strategies and referral alignment (e.g., with dermatology referral sources and surgical oncology) will be more relevant.

Tenure and market presence are moderate: NPI was enumerated 2015-03-30 (~11 years ago), indicating the provider has had time to build a stable referral footprint for specialized dermatologic surgery, but the Medicare lifetime revenue of $511K positions the provider as a modest-sized surgical dermatology practice rather than a high-volume national center.

While most high-volume CPTs are described as "typical, unremarkable volume for this code," there are notable percentile divergences across the portfolio that could inform benchmarking: several procedural codes (17312, 15260) sit in the higher national percentiles (89th and 92th percentile respectively), whereas many routine biopsy and destruction add-on codes (e.g., 11102 at 41th percentile, 17003 at 40th percentile) and some E/M codes are at lower percentiles. This pattern suggests concentrated specialty expertise in Mohs and reconstruction with more ordinary or below-average activity in ancillary lesion management and office visits.

Medicare: Complete Services Breakdown

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

27 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…	430	$450	$192.9K
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.	360	$320	$117.6K
15260	This 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.	70	$790	$53.4K
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	$36K
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…	100	$210	$20.8K
17314	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.	40	$300	$12K
14060	The 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.	20	$600	$11.3K
13121	This 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.	40	$180	$7.4K
13131	The provider repairs a wound measuring 1.1 cm to 2.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	40	$160	$6.2K
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.	90	$60	$5.8K

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

Claims Volume vs. Montana Distribution

Erika Hagstrom — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

27 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	5	10	400	$390	$144.4K
17312	2	10	150	$300	$52.6K
15260	1	10	30	$770	$23.1K
14060	7	10	30	$570	$20.1K
17313	1	10	40	$380	$16.2K
13132	5	10	40	$190	$14K
99214	1,715	1,810	100	$70	$12.4K
17314	1	10	30	$300	$10.3K
11102	55	80	150	$50	$9.7K
17000	66	110	190	$30	$9.6K

Showing 1–10 of 27

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Montana Clinic PC	MT	Multi-Specialty Clinic/Center	$0	$8.7M
Western Montana Clinic PC	MT	Clinical Medical Laboratory	$668.9K	$1.7M
Melody Nelsen	MT	Rheumatology Physician	$2M	$0
Rebecca Belsom	MT	Rheumatology Physician	$1.4M	$0
Michael Zumwalt	NV	Dermatology Physician	$1.1M	$0
Whitney Hovenic	NV	Procedural Dermatology Physician	$855.6K	$0
Jeffrey Shackelton	NV	Dermatology Physician	$747K	$4.2K
Kevin Kiene	NV	Dermatology Physician	$750.8K	$0
Michael Heaphy	NV	Dermatopathology Physician	$686.7K	$0
Ann Corsi	MT	Rheumatology Physician	$656.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rchp Billings - Missoula LLC	MT	Specialist	$0	$13.1M
Clark Fork Emergency Physicians PLLC	MT	Emergency Medicine Physician	$0	$6.1M
Rchp Billings - Missoula LLC	MT	General Acute Care Hospital	$0	$4M
Origin Health LLC	MT	Maternal & Fetal Medicine Physician	$0	$3.3M
Cogent Healthcare Of Montana P C	MT	Internal Medicine Physician	$0	$1.9M
Big Sky Surgery Center, LLC	MT	Ambulatory Surgical Clinic/Center	$811.5K	$954.6K
Pathology Consultants Of Western Montana, P.C.	MT	Anatomic Pathology & Clinical Pathology Physician	$0	$1.3M
Generations Family Medicine And Obstetrics	MT	Family Medicine Physician	$0	$690.8K
Rchp Billings - Missoula LLC	MT	Case Management Agency	$0	$635.1K
Kristen Townley	MT	MOHS-Micrographic Surgery Physician	$547.1K	$0

Erika Hagstrom — 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