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

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

Michael Elm (NPI 1871792820)

Field	Value
Entity Type	Individual
Organization	Michael Elm
Address	304 West Bay Dr Nw
City	Olympia
State	WA
ZIP	98502
Taxonomy	Dermatology Physician
NPI Enumerated	July 11, 2007

Payer Source	Total Paid
Medicare	$78.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	90	$220	$19.1K
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…	250	$50	$12.8K
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…	100	$70	$7.3K
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.	190	$30	$6.5K
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.	100	$60	$6K
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…	70	$70	$4.6K
11603	The provider excises a cancerous (malignant) lesion, including margins, of 2.1 to 3.0 cm in diameter, from the skin of the trunk, arms, or legs.	30	$120	$3.4K
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…	600	$10	$3K
11602	The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.	30	$100	$2.7K
11643	The provider excises a cancerous (malignant) lesion, including margins, of 2.1 to 3.0 cm in diameter, from the skin of the face, ears, eyelids, nose, lips.	10	$230	$2.5K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Michael Elm — 1 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	330	340	530	$40	$39.4K
99214	6,498	10,860	100	$80	$13.6K
17110	208	420	100	$70	$9.8K
11102	212	410	110	$60	$8.9K
17000	230	510	160	$40	$8.5K
12032	8	170	30	$210	$7.4K
99213	1,024	9,690	60	$60	$6.5K
99204	4,354	4,750	30	$110	$5.2K
17003	198	440	550	$1	$4K
99203	1,344	3,140	30	$70	$3.3K

Showing 1–10 of 17

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Multicare Health System	WA	General Acute Care Hospital	$0	$17M
Northwest Resources Ii	WA	Addiction (Substance Use Disorder) Counselor	$0	$15.4M
Capital Anesthesia, LLC	WA	Certified Registered Nurse Anesthetist	$0	$15.2M
Olympia Orthopaedic Associates PLLC	WA	Ambulatory Surgical Clinic/Center	$6M	$6.8M
Pathways Mental Health Services	WA	Mental Health Counselor	$0	$3.1M
Joseph Ye	WA	Medical Oncology Physician	$2.5M	$0
Susanne Carmack	WA	Anatomic Pathology & Clinical Pathology Physician	$1.8M	$0
Linli Xuan	WA	Hematology & Oncology Physician	$1M	$0
Olympia Multi-specialty Clinic Ambulatory Procedures Cntr PLLC	WA	Ambulatory Surgical Clinic/Center	$917.6K	$90.6K
Ryan Halpin	WA	Neurological Surgery Physician	$756.1K	$0

Michael Elm — Billing Profile & Reimbursement Data

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Michael Elm — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References