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

Why is the Medicaid comparison limited to Unspecified Location 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. Unspecified Location (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.

Duncan Nickerson (NPI 1861157489)

Field	Value
Entity Type	Individual
Organization	Duncan Nickerson
Address	Suite 200
City	Calgary
State	XX (Unspecified Location)
ZIP	T2M 3
Taxonomy	Plastic Surgery Physician
NPI Enumerated	November 8, 2021

Payer Source	Total Paid
Medicare	$21.9K
Medicaid	$0

Key Findings

This provider reports a modest total Medicare footprint of $21.9K in lifetime Medicare revenue and has no Medicaid billing on file, making their public claims history effectively single-payer Medicare. The NPI was enumerated on 2021-11-08 (~5 years ago), indicating a relatively recent entry into Medicare billing that may still be building volume.

Revenue is highly concentrated in a few procedural skin-grafting codes: the precomputed top 3 Medicare codes account for 71.6% of this provider's total Medicare revenue. The single largest line item is 15100 ($7.8K, 35.4% of Medicare revenue), followed by 15002 ($5.4K, 24.5%) and 15101 ($2.6K, 11.7%), showing dependence on a narrow set of reconstructive procedures.

The code mix (15100, 15002, 15101 and related graft-preparation codes such as 15003) indicates the practice is focused on split-thickness autografts and preparation of recipient sites for skin grafting, consistent with burn, wound, or scar-contracture reconstruction rather than high-volume cosmetic work. Office evaluation and management codes 99203 ($2.2K, 10.0% of Medicare revenue) and 99213 ($1.6K, 7.2%) make up meaningful but secondary revenue, suggesting the provider combines procedural operating-room or minor-procedure work with outpatient evaluation visits.

Competitive standing on the largest graft code is modest: 15100 ranks #43 of 100 providers nationally (44th percentile; typical, unremarkable volume for this code), which positions the provider as a mid-tier national participant for that procedure rather than a dominant specialist. This ranking implies routine procedure-level engagement but not leadership in national Medicare volume for 15100.

For 15002 the provider ranks #108 of 283 providers nationally (61th percentile; typical, unremarkable volume for this code), indicating a slightly above-median national volume profile for the incision/preparation graft code, while 15101 ranks #22 of 24 providers nationally (9th percentile; typical, unremarkable volume for this code), reflecting a small national peer set and low relative activity on that add-on graft unit. Together these rankings depict a mixed competitive picture: modest presence on the largest procedure, somewhat stronger relative placement on one prep code, and thin peer representation for an additional graft code.

Several ancillary procedure codes contribute to revenue but at materially smaller levels: 15003 accounts for $2.5K (11.3% of Medicare revenue) and sits at rank #65 of 85 providers nationally (24th percentile; typical, unremarkable volume). These mid- to low-percentile ranks across multiple codes reinforce that the provider operates with limited Medicare volumes across a narrow set of reconstructive procedures.

The absolute scale of Medicare revenue ($21.9K) is small enough that changes in a handful of claims would materially alter the provider's profile; this sensitivity suggests analysts should treat trend signals cautiously and prefer multi-year or complementary data before inferring growth or decline. Given the absence of any Medicaid billing on file ("none below"), there is no observable state Medicaid presence to corroborate or broaden the payer mix.

From a payer strategy standpoint, the combination of concentrated procedural revenue (71.6% from top 3 codes) and modest national ranks suggests this provider is a specialized, low- to mid-volume reconstructive clinician in the Medicare market. The lack of Medicaid claims limits evaluation of access to Medicaid populations, so payers seeking coverage or network strategies should expect a Medicare-focused utilization pattern centered on skin grafting and related outpatient follow-up visits.

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
15100	This procedure is a split–thickness autograft from the trunk, arms, or legs. This excision and placement is for the first 100 cm2 or less or one percent of the body area of an infant or child.	20	$520	$7.8K
15002	The provider incises the skin of a body part with an open wound, burn eschar, or scar contracture to prepare the site to receive a skin graft. This procedure helps in repairing an area of the trunk,…	40	$150	$5.4K
15101	This procedure is a split–thickness autograft from the trunk, arms, or legs. This excision and placement is for each additional 100 cm2 or less or each additional one percent of the body area of an…	30	$80	$2.6K
15003	At the same encounter that the provider prepares 100 cm2 of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft, he extends the site up to an additional 100 cm2.…	80	$30	$2.5K
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…	40	$60	$2.2K
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…	30	$50	$1.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Duncan Nickerson — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	9	10	140	$60	$18.8K
99203	2	10	140	$90	$12.2K
15002	1	0	N/A	$N/A	$N/A
15003	1	0	N/A	$N/A	$N/A
15100	1	0	N/A	$N/A	$N/A
15101	1	0	N/A	$N/A	$N/A

Duncan Nickerson — 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

Frequently Asked Questions

References