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

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

Pinnacle Dermatology, Sc (NPI 1861930984)

Pinnacle Dermatology, Sc is a dermatology physician provider located in Joliet, Illinois. This profile covers 0 Medicare and 38 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	Pinnacle Dermatology, Sc
Address	1124 Essington Rd
City	Joliet
State	IL
ZIP	60435
Taxonomy	Dermatology Physician
NPI Enumerated	February 9, 2017

Payer Source	Total Paid
Medicaid	$7.2M
Medicare	$0

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

38 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…	53,260	$40	$2M
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…	21,670	$70	$1.4M
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…	17,200	$60	$946.1K
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…	13,560	$50	$691.5K
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…	5,810	$90	$545.7K
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…	7,450	$40	$268K
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.	5,860	$50	$263.8K
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,…	7,110	$30	$184.8K
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…	8,890	$20	$177.7K
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…	6,300	$30	$157.5K

Showing 1–10 of 38

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Illinois Distribution

Pinnacle Dermatology, Sc — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. Illinois median

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
10040	The provider performs extractions to treat skin lesions such as milia, comedones, cysts, or pustules. The procedure may involve surgically opening the lesion, draining it, or removing it entirely.	1	10	200	$50	$49.7K
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…	51	14,680	300	$50	$48.7K
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…	6	610	820	$40	$46.6K
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.	1	10	260	$160	$42.5K
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…	41	14,190	280	$20	$38.9K
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…	1	70	90	$60	$27.6K
11901	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	10	800	$30	$25.5K
J3590	Unclassified biologics	1	10	60	$210	$24.2K
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…	1	10	20	$160	$18.9K
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…	4	2,800	60	$80	$17.7K

Showing 1–10 of 38

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Liqiao Ma	TX	Dermatology Physician	$3.1M	$0
Mark Eid	VA	MOHS-Micrographic Surgery Physician	$1.8M	$0
Renato Goreshi	IN	MOHS-Micrographic Surgery Physician	$1.6M	$870
Seema Apichai	IL	Anatomic Pathology Physician	$1.5M	$105K
Patricia Carroll	AZ	Dermatology Physician	$1.2M	$0
Maxim Polansky	IL	MOHS-Micrographic Surgery Physician	$984.1K	$0
Aaron Cetner	MI	MOHS-Micrographic Surgery Physician	$892.5K	$0
Ritchie Rosso	TX	Dermatology Physician	$829.6K	$0
John Strasswimmer	CO	Dermatology Physician	$755.1K	$0
Liaqat Ali	MI	Dermatopathology Physician	$728K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cornerstone Services Inc	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$23.2M
Rts Services Unlimited, Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.9M
Trinity Services Inc.	IL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7M
Presence Home Care	IL	Home Health Agency	$0	$5.2M
Presence Central And Suburban Hospitals Network	IL	General Acute Care Hospital	$0	$4.8M
James Urban	IL	Anatomic Pathology & Clinical Pathology Physician	$204.1K	$4.5M
Basingers Pharmacy Inc	IL	Community/Retail Pharmacy	$22.9K	$4M
Vna Health Care	IL	Federally Qualified Health Center (FQHC)	$0	$4M
Aunt Martha's Health And Wellness, Inc.	IL	Federally Qualified Health Center (FQHC)	$0	$3.1M
Nabil Jaber	IL	Pediatrics Physician	$0	$3.1M

Pinnacle Dermatology, Sc — Billing Profile & Reimbursement Data

Sign up for Pinnacle Dermatology, Sc — Billing Profile & Reimbursement Data policy alerts

Pinnacle Dermatology, Sc — Billing Profile & Reimbursement Data

Sign up for Pinnacle Dermatology, Sc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References