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

Why is the Medicaid comparison limited to Maine 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. Maine (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 Noparstak (NPI 1881057594)

Field	Value
Entity Type	Individual
Organization	Michael Noparstak
Address	150 High St
City	Ellsworth
State	ME
ZIP	04605
Taxonomy	Dermatology Physician
NPI Enumerated	March 30, 2016

Payer Source	Total Paid
Medicare	$424K
Medicaid	$0

Key Findings

This provider is effectively single-payer: lifetime Medicare revenue is $424K and there is no Medicaid billing on file, so Medicare represents the entirety of documented public-payer activity for this NPI. That concentration implies payer-reimbursement exposure is focused on Medicare fee schedules and referral streams from Medicare population sources.

Revenue is highly concentrated in a small set of Medicare codes: the precomputed top 3 codes account for 42.8% of Medicare revenue, driven by 17311 ($91K, 21.5% of Medicare revenue), 99213 ($52.2K, 12.3%), and 17312 ($37.9K, 9.0%). This concentration means changes to reimbursement or utilization for these specific services would materially affect overall Medicare receipts.

The code mix indicates a surgical dermatology practice with a strong procedural focus: high-revenue Mohs surgery codes (17311, 17312, 17313, 17314) and lesion destruction/excision codes (17004, 17000, 11602, 11603) appear throughout the top codes, and 17311 alone accounts for $91K and 205 claims. The presence of abundant biopsy codes (11102, +11103) and multiple repair codes suggests the provider performs both diagnostic and definitive outpatient dermatologic surgery.

Office visit E/M activity is unusually high relative to national peers: 99213 has 949 claims and $52.2K in revenue and is labeled an "extreme outlier, far above typical national volume," while 99203 (290 claims, $18K) is also an "extreme outlier, far above typical national volume." These E/M volumes point to significant office throughput for both established and new patients and may reflect high patient volume, primary-care–level triage, or pre/postoperative visit load.

Although selected E/M codes are extreme outliers, many procedure codes fall in typical national ranges: 17311 (45th percentile), 17312 (49th), 17313 (36th) and a number of destruction and biopsy codes are described as "typical, unremarkable volume." That mix suggests the provider’s procedural case mix is consistent with a community dermatology surgeon rather than a nationally dominant Mohs center.

Reconstructive and repair procedures contribute meaningfully to the service line: codes such as 13132 ($16.7K, 4.0%), 12032 ($12.4K, 2.9%), and 13121 ($5.7K, 1.3%) appear in the top billing list, indicating frequent intermediate and complex repairs following excisions. The presence of these codes signals that the practice offers not only lesion removal but also closure and reconstruction, supporting a full-spectrum surgical dermatology practice model.

Several high-volume destruction codes are present but are still described as "typical, unremarkable volume" despite high percentiles—examples include 17004 (278 claims, $30.9K; 95th percentile) and 17000 (621 claims, $21.1K; 89th percentile). This pattern indicates routine primary-care referrals for common lesion destruction and suggests predictable, steady procedural revenue from premalignant and benign lesion management.

The provider has an established billing history with the NPI enumerated on 2016-03-30 (~10 years ago), which supports interpretation of the observed patterns as sustained practice behavior rather than a short-term anomaly. Given the tenure and the concentration in a few high-revenue codes, payer or network analysts should treat this profile as a stable, Medicare-focused dermatology surgical practice when assessing network adequacy or contracting opportunities.

Medicare: Complete Services Breakdown

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

25 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…	210	$440	$91K
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…	950	$60	$52.2K
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.	130	$300	$37.9K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	280	$110	$30.9K
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.	460	$60	$28K
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.	620	$30	$21.1K
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…	230	$80	$18.7K
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…	290	$60	$18K
17313	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.	40	$460	$17.9K
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…	240	$70	$17.7K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Michael Noparstak — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	4	10	200	$390	$86.6K
17312	3	10	90	$270	$26.5K
13132	3	10	50	$180	$15.6K
17313	4	10	40	$390	$15.3K
14060	5	10	20	$560	$14K
11102	3	70	90	$60	$9.3K
17000	4	90	140	$40	$7.5K
17004	1	20	30	$110	$7.4K
99214	268	2,500	70	$70	$7.2K
17110	7	70	70	$70	$6.6K

Showing 1–10 of 25

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maine Coast Regional Health Facilities	ME	General Acute Care Hospital	$0	$24.8M
Kidspeace National Centers Of New England Inc	ME	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$16.8M
Kidspeace National Centers Of New England, Inc.	ME	Community/Behavioral Health Agency	$0	$15M
Kidspeace National Centers Of New England Inc	ME	Psychiatric Residential Treatment Facility	$0	$8.6M
Special Children's Friends, Inc.	ME	Early Intervention Provider Agency	$0	$8.1M
Emergency Medicine Services Of Maine, LLC	ME	Emergency Medicine Physician	$0	$5.4M
Coastal Med-tech Corp.	ME	Customized Equipment (DME)	$0	$2.4M
Total Renal Care Inc	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Caring Hands Of Maine	ME	Dentist	$0	$1.3M
Cesc, LLC	ME	Ambulatory Surgical Clinic/Center	$617.6K	$534.5K

Michael Noparstak — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References