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

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

Charles Mitchell (NPI 1861710121)

Field	Value
Entity Type	Individual
Organization	Charles Mitchell
Address	1185 Imperial Dr Ste 201
City	Hagerstown
State	MD
ZIP	21740
Taxonomy	Dermatology Physician
NPI Enumerated	May 12, 2010

Payer Source	Total Paid
Medicare	$525.9K
Medicaid	$0

Key Findings

This provider’s Medicare activity accounts for the entirety of recorded public-payer revenue: Total Medicare revenue is $525.9K and there is no Medicaid billing on file, making CHARLES MITCHELL effectively a single‑payer (Medicare) provider in the available dataset. The absence of any Medicaid claims limits revenue diversification and suggests either no Medicaid participation or no billed Medicaid encounters during the reporting window.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes by revenue account for 42.5% of total Medicare revenue, driven by 99213 ($107.8K, 21.6%), 17000 ($53.4K, 10.7%), and 11102 ($51.3K, 10.3%). This concentration means a large share of the practice’s Medicare dollars are tied to routine E&M visits and lesion diagnosis/treatment codes.

The procedure mix indicates a practice focused on office‑based dermatologic diagnosis and surgical management of skin lesions: high volumes of lesion destruction and shave biopsies (17000, 17003, 17110, 11102, 11103, 11301) are paired with excisions and repairs (11602, 11622, 12032, 13132). Complementary services include photodynamic/phototherapy supplies and treatments (J7308 and 96567) and UV therapy (96900), which together suggest an emphasis on procedural lesion care and outpatient skin‑cancer management.

Several codes show national volumes well above typical peers, signaling a strong competitive standing for core services: 99213 ranks #1316 of 457151 providers (100th percentile; extreme outlier) and 17000 ranks #260 of 21879 providers (99th percentile; extreme outlier), while 11102 ranks #363 of 18797 providers (98th percentile; notably above typical). High ranking for 96900 (rank #13 of 433, 97th percentile; notably above typical) further indicates unusually large UV therapy volume relative to national dermatology peers.

Operational patterns show a high throughput of lower‑complexity follow-up visits and procedural throughput: 99213 appears 1.8K claims with $61 avg paid/claim and 99214 shows 434 claims with $88 avg paid/claim, consistent with a practice model built around frequent established‑patient visits plus concurrent minor procedures. The combination of frequent low‑level E&M and high procedural counts implies workflows optimized for lesion evaluation, destruction, and biopsy in an office setting.

The provider’s use of procedure adjuncts and supplies supports a procedure-heavy service line: J7308 appears 100 claims with $301 avg paid/claim ($30.1K revenue) and 96567 appears 94 claims with $100 avg paid/claim ($9.4K revenue), indicating routine use of aminolevulinic acid and photodynamic therapy in conjunction with lesion treatments. These items align with the high procedural volumes and suggest investment in procedural modalities that complement excisions and destructive therapies.

Tenure in the dataset is substantial: NPI enumerated 2010-05-12 (~16 years ago), which supports the interpretation of an established local practice in HAGERSTOWN, MD likely sustaining referral relationships and steady Medicare patient panels. That longevity together with the national rank outliers for core codes suggests this provider has maintained a consistent procedural focus over multiple years.

The lack of Medicaid billing is a notable strategic gap for payor mix and access: with no Medicaid claims on file, the provider’s public‑payer exposure is concentrated entirely in Medicare, which may limit access to Medicaid enrollees in the local market and leave the practice vulnerable to Medicare‑specific reimbursement or utilization changes given the 42.5% revenue concentration in the top three codes.

Medicare: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,770	$60	$107.8K
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.	1,480	$40	$53.4K
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.	790	$70	$51.3K
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…	520	$80	$41.4K
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…	430	$90	$38.2K
J7308	Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)	100	$300	$30.1K
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.	120	$250	$28.2K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	3,580	$10	$17.9K
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…	40	$380	$14.1K
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…	190	$70	$13.1K

Showing 1–10 of 40

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Charles Mitchell — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

40 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	123	10,270	150	$90	$24.1K
J7308	1	30	40	$300	$21.8K
13132	4	50	80	$220	$21.4K
17110	2	440	120	$80	$15.5K
17000	1	420	210	$40	$12.9K
99213	3	9,280	100	$60	$12.5K
11102	1	390	120	$70	$12.3K
13121	3	60	30	$230	$12.2K
17004	13	180	40	$130	$11K
12032	1	150	30	$210	$10.9K

Showing 1–10 of 40

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anne Arundel Dermatology LLC	MD	Dermatology Physician	$0	$7.3M
Jason Marquart	MD	MOHS-Micrographic Surgery Physician	$1.5M	$0
Aerlyn Dawn	PA	Dermatology Physician	$1.2M	$0
Jonathan Smith	VA	MOHS-Micrographic Surgery Physician	$981.2K	$0
Christopher Dolan	MD	Dermatology Physician	$936.2K	$0
Brian Johnson	VA	MOHS-Micrographic Surgery Physician	$922.4K	$0
Robert Willard	PA	MOHS-Micrographic Surgery Physician	$872.8K	$0
Allan Harrington	FL	MOHS-Micrographic Surgery Physician	$827.9K	$0
Andrew Montemarano	MD	MOHS-Micrographic Surgery Physician	$807.9K	$0
Charles Toner	VA	MOHS-Micrographic Surgery Physician	$666.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dr. David M. Vieth 2, P.C.	MD	General Practice Dentistry	$0	$77.8M
Potomac Case Management Services, Inc.	MD	Case Management Agency	$0	$28M
Phoenix Health Center LLC	MD	Methadone Clinic	$507.7K	$21.4M
Awakenings Recovery Center, LLC	MD	Substance Abuse Rehabilitation Facility	$0	$19.8M
Qualitycare Internet, LLP	MD	Mental Health Counselor	$0	$19.4M
Walnut Street Community Health Center, Inc.	MD	Federally Qualified Health Center (FQHC)	$0	$19.3M
Board Of Education Of Washington County	MD	Local Education Agency (LEA)	$0	$19.1M
Center For Pain Management, LLC	MD	Interventional Pain Medicine Physician	$0	$18.9M
Metro Treatment Of Maryland LP	MD	Community/Behavioral Health Agency	$361K	$16.6M
The Western Maryland Counseling Center	MD	Community/Behavioral Health Agency	$0	$16.5M

Charles Mitchell — Billing Profile & Reimbursement Data

Sign up for Charles Mitchell — Billing Profile & Reimbursement Data policy alerts

Charles Mitchell — Billing Profile & Reimbursement Data

Sign up for Charles Mitchell — Billing Profile & Reimbursement Data policy alerts

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