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NPI 1871593996 · Lexington, KY · MOHS-Micrographic Surgery Physician
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Samuel Pruden is a mohs-micrographic surgery physician provider located in Lexington, Kentucky. This profile covers 21 Medicare and 2 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Samuel Pruden |
| Address | 989 Governors Ln Ste 260 |
| City | Lexington |
| State | KY |
| ZIP | 40513 |
| Taxonomy | MOHS-Micrographic Surgery Physician |
| NPI Enumerated | July 29, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $104.9K |
| Medicaid | $10.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 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… | 80 | $370 | $28.9K |
| 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… | 160 | $60 | $9.3K |
| 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. | 30 | $290 | $9.2K |
| 14061 | 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 10.1 cm2 to 30.0 cm2 in size. | 10 | $690 | $7.6K |
| 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. | 10 | $480 | $5.7K |
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 5,100 | $1 | $5.1K |
| 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… | 80 | $60 | $4.4K |
| 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… | 160 | $30 | $4.3K |
| 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. | 120 | $30 | $3.8K |
| 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… | 20 | $190 | $3.7K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 17311 | 28 | 30 | 450 | $410 | $171.3K |
| 17312 | 28 | 30 | 190 | $300 | $68.9K |
| 88305 | 151 | 180 | 590 | $30 | $33.2K |
| 13132 | 29 | 40 | 80 | $200 | $20K |
| 14061 | 13 | 10 | 20 | $680 | $18.5K |
| 14060 | 31 | 30 | 20 | $520 | $15.1K |
| 11102 | 220 | 230 | 120 | $60 | $9.6K |
| 17000 | 183 | 270 | 210 | $30 | $8.9K |
| J7345 | 9 | 20 | 4,950 | $1 | $8.5K |
| 17004 | 94 | 120 | 30 | $110 | $8.4K |
Showing 1–10 of 21
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
2 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… | 30 | $290 | $7.6K |
| 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… | 50 | $60 | $2.9K |
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
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 984 | 1,400 | 130 | $50 | $45.8K |
| 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… | 4 | 10 | 30 | $230 | $36.1K |
Other providers in the same ZIP code as Samuel Pruden, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Arrow Dental PLLC | KY | Orthodontics and Dentofacial Orthopedics Dentistry | $0 | $47M |
| Iraklis C Livas Md Psc | KY | Specialist | $0 | $6M |
| Allergy Asthma & Sinus Center PLLC | KY | Allergy Physician | $0 | $3.8M |
| Ashley Lane | KY | Optometrist | $14.4K | $355.1K |
| John Richard | KY | Family Medicine Physician | $346.6K | $0 |
| Robert Boyer | KY | Occupational Medicine Physician | $200.2K | $0 |
| Warren Chumley | KY | Clinical Neurophysiology Physician | $183.3K | $0 |
| Joshua Duchesne | KY | Cardiovascular Disease Physician | $128.9K | $0 |
| Wendell Miers | KY | Endocrinology, Diabetes & Metabolism Physician | $89.5K | $0 |
| Avery Schroyer | KY | Physical Therapist | $85.4K | $0 |
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