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    OpenPayerNPI Medicare & MedicaidJeffry Goldes
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    Jeffry Goldes — Billing Profile & Reimbursement Data

    NPI 1871691154 · Helena, MT · Dermatology Physician

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    Jeffry Goldes is a dermatology physician provider located in Helena, Montana. This profile covers 32 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJeffry Goldes
    Address50 South Last Chance Gulch
    CityHelena
    StateMT
    ZIP59601
    TaxonomyDermatology Physician
    NPI EnumeratedSeptember 20, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$770.4K
    Medicaid$0

    Key Findings

    This provider’s billing is essentially single‑payer: total Medicare revenue is $770.4K and there is no Medicaid billing on file, so Medicaid is not contributing to this provider’s revenue mix. Analysts should treat this as a Medicare‑centric profile when assessing utilization and contracting implications.

    Revenue is highly concentrated in a small set of Medicare codes: the top 3 Medicare codes by revenue account for 62.4% of total Medicare revenue. Those top drivers are 77280 ($233.9K, 30.6%), G6001 ($163.2K, 21.3%), and 99213 ($80.5K, 10.5%), indicating most dollars come from a combination of radiation therapy planning/guidance and routine office E/M visits.

    The code mix suggests an operational blend of radiation therapy planning/technical services and dermatologic office/procedural care: 77280 and G6001 are imaging/guidance services used to determine port placement or guide radiation fields, while 99213 and multiple biopsy (11102, 11103, 11104) and lesion destruction codes (17000, 17003) reflect routine dermatology outpatient care. This juxtaposition implies the practice directly bills for substantial radiation‑planning activities alongside standard dermatology procedures and pathology.

    On competitive standing, the provider is a notable national outlier for several codes: 77280 ranks #85 of 3348 providers nationally (97th percentile) and is described as "notably above typical national volume," while 99213 ranks #2996 of 457151 providers nationally (99th percentile) and is labeled an "extreme outlier"—together these ranks indicate unusually high volumes relative to peers for both a radiation‑planning code and routine E/M visits. By contrast, G6001 ranks #66 of 280 providers nationally (77th percentile) and is characterized as typical/unremarkable, so not all high‑revenue codes show exceptional national dominance.

    Several radiation therapy and dosimetry codes appear across the top‑25 list with mixed percentiles (for example, 77427 at the 45th percentile, 77336 at the 40th percentile, and 77261 at the 76th percentile), which indicates a consistent but uneven footprint in the radiation‑planning service line. Note also that code 77401 is marked "Deleted effective Jan. 1, 2026," a coding change that may affect future billing and revenue attribution for radiation planning services.

    Procedural pathology and dermatology services provide meaningful secondary revenue: 88305 contributes $69.2K (9.0% of Medicare revenue) and ranks in the 81th percentile nationally, while biopsy and lesion codes such as 11102 ($27.8K, 3.6%) and 17000 ($22.2K, 2.9%) also appear in typical-to‑high volume percentiles. These pathology and procedural lines support the clinical role in dermatologic diagnosis and treatment, but they are smaller revenue contributors than the top radiation‑planning codes.

    The provider has an established Medicare presence with NPI enumeration on 2006-09-20 (~20 years ago), indicating prolonged participation in the Medicare program and likely stable referral or practice patterns over time. Longevity paired with the observed high volumes for several codes suggests entrenched operational workflows that underlie the billing profile.

    For payer and contracting considerations, the combination of large Medicare exposure ($770.4K) with no Medicaid activity highlights Medicare utilization and reimbursement as the primary risk and negotiation focus. Given the concentrated revenue in a few codes—especially the 62.4% share from the top three—payers should prioritize utilization review and medical‑policy alignment for high‑volume codes such as 77280 and 99213, and monitor impacts from the upcoming deletion of 77401 on radiation planning billing practices.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77280The provider uses a simulator or other imaging modality to determine the size and location of ports to be used for radiation therapy. This code describes a simple level service.1,090$210$233.9K
    G6001Ultrasonic guidance for placement of radiation therapy fields1,130$140$163.2K
    99213The 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…1,340$60$80.5K
    88305The 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…1,310$50$69.2K
    77401Deleted effective Jan. 1, 2026.1,050$30$33.6K
    11102The 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.400$70$27.8K
    17000The 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.590$40$22.2K
    77427Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…140$150$20.4K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…170$90$14.4K
    17003In 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…2,680$10$13.4K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G6001110380$140$61.5K
    8830521401,370$30$49K
    7728012040$180$28.9K
    774271520160$150$27.1K
    77401110360$30$14.6K
    992149091,810100$70$12.4K
    J730851030$290$11.9K
    11102880150$50$9.7K
    1700014110190$30$9.6K
    171104880100$70$9.3K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Dermatology And Skin Cancer Clinic Of Helena, PCMTDermatology Physician$0$516K
    James AllredKYDermatology Physician$309.8K$0
    Megan GittingsMTFamily Nurse Practitioner$118.6K$12.5K
    Jody IsbellMTPhysician Assistant$87.5K$0
    Julie FleschMTFamily Nurse Practitioner$60.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West MontMTAdult Care Home Facility$0$34.7M
    Intermountain Deaconess HomeMTEmotionally Disturbed Childrens' Residential Treatment Facility$0$11.9M
    County Of Lewis & Clark Lewis & Clark County School District #1MTLocal Education Agency (LEA)$0$10.8M
    Pediatric Dentistry PCMTPediatric Dentistry$0$9.9M
    Montana Children's Home & HospitalMTGeneral Acute Care Hospital$0$8.7M
    Region Iv Family Outreach, IncMTCase Manager/Care Coordinator$0$7.3M
    Lewis And Clark Emergency Physicians P CMTEmergency Medicine Physician$0$6.6M
    Montana Independent Living ProjectMTIn Home Supportive Care Agency$0$6M
    St. Peter's HealthMTFamily Medicine Physician$0$5.2M
    Edgewood Helena Senior Living LLCMTAssisted Living Facility$0$4.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Montana Distribution
    Jeffry Goldes — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana