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

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

Kristen Townley (NPI 1891749446)

Field	Value
Entity Type	Individual
Organization	Kristen Townley
Address	2835 Fort Missoula Rd Bldg 3
City	Missoula
State	MT
ZIP	59804
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicare	$547.1K
Medicaid	$0

Key Findings

Practice profile and service mix: KRISTEN TOWNley’s billing is concentrated in procedural dermatologic surgery consistent with a MOHS-Micrographic Surgery Physician—most revenue comes from multi‑stage Mohs procedures (17311, 17312) with ancillary reconstruction codes such as full‑thickness grafts (15260) and intermediate wound repairs (12052, 12053) also present. The code mix indicates the provider performs both definitive oncologic skin excisions and immediate reconstructive care rather than primarily office‑based medical dermatology.

Medicare revenue scale and payer concentration: This provider reports Total Medicare revenue of $547.1K and has no Medicaid activity on file (none (no Medicaid billing on file)), making her effectively a single‑payer (Medicare) biller in the available claims dataset. Analysts should treat this profile as Medicare‑dominated for competitive comparisons and network planning.

Revenue concentration among top codes: The top three Medicare codes account for 82.3% of the provider’s total Medicare revenue, driven by 17311 ($272.6K revenue, 49.8% of total Medicare revenue), 17312 ($146.4K revenue, 26.8% of total Medicare revenue), and 15260 ($31.3K revenue, 5.7% of total Medicare revenue). This high concentration around Mohs and immediate reconstructive grafting indicates the business relies heavily on a narrow set of high‑value procedural services.

Competitive standing on Mohs volume: For the lead Mohs codes this provider ranks in upper national percentiles but is described as within typical volumes: 17311 ranks #373 of 2969 providers nationally (87th percentile; typical, unremarkable volume for this code) and 17312 ranks #186 of 2770 providers nationally (93th percentile; typical, unremarkable volume for this code). Those positions indicate stronger‑than‑average national throughput for Mohs compared with peers, but not an extreme outlier or market‑dominating case.

Reconstructive and repair activity: The provider shows above‑typical national volume for intermediate facial repairs, with 12052 at 153 claims and $19.6K revenue (3.6% of Medicare revenue) and ranked #70 of 1767 providers nationally (96th percentile; notably above typical national volume for this code). This suggests she performs a comparatively high number of reconstruction/closure procedures following excisions, reinforcing a practice model that bundles excision with immediate repair.

Procedure mix beyond Mohs: Additional codes such as 17313, 17314 and multiple wound repair and biopsy codes (e.g., 12053, 11102, 11103) appear at modest revenue levels, each labeled as typical, unremarkable volume for those codes. These entries show a full surgical dermatology breadth—shave/punch biopsies, lesion destruction, and layered closures—supporting a comprehensive procedural offering rather than a narrow subspecialty limited solely to Mohs.

Variability in national standing across less‑revenue codes: Certain diagnostic/ancillary codes rank lower nationally, for example 88331 is listed at #3967 of 4659 providers nationally (12th percentile; typical, unremarkable volume for this code), indicating relatively modest intraoperative pathology billings. Conversely, some repair codes and select E/M codes (e.g., 99212 at the 88th percentile) register higher percentiles, highlighting that the provider’s strengths are procedural rather than general medical evaluation volume.

Tenure and credentialing timeline: The provider’s NPI was enumerated on 2006-05-19 (~20 years ago), indicating long tenure in the Medicare program which may reflect sustained local referral patterns and established clinical operations. That longevity combined with concentrated procedural revenue suggests an experienced practice focused on surgical dermatology services in the Missoula, MT market.

Medicare: Complete Services Breakdown

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…	590	$460	$272.6K
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.	450	$330	$146.4K
15260	This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.	40	$780	$31.3K
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.	50	$420	$22K
12052	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.	150	$130	$19.6K
17314	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	$310	$9.9K
12053	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes that are 5.1 to 7.5 cm in size.	40	$160	$6.2K
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.	110	$50	$5.9K
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,…	120	$40	$4.6K
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.	130	$30	$4.2K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Kristen Townley — 4 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	1	10	400	$390	$144.4K
17312	1	10	150	$300	$52.6K
15260	2	10	30	$770	$23.1K
17313	4	10	40	$380	$16.2K
17314	2	10	30	$300	$10.3K
11102	45	80	150	$50	$9.7K
17000	65	110	190	$30	$9.6K
12032	23	40	30	$190	$7.5K
99213	1,233	1,730	90	$50	$7.2K
12052	1	20	20	$140	$5.8K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Montana Clinic PC	MT	Multi-Specialty Clinic/Center	$0	$8.7M
Western Montana Clinic PC	MT	Clinical Medical Laboratory	$668.9K	$1.7M
Melody Nelsen	MT	Rheumatology Physician	$2M	$0
Rebecca Belsom	MT	Rheumatology Physician	$1.4M	$0
Ann Corsi	MT	Rheumatology Physician	$656.8K	$0
Erika Hagstrom	MT	Dermatology Physician	$511K	$0
Rebecca Danforth	MT	Rheumatology Physician	$396K	$0
James Maddux	MT	Interventional Cardiology Physician	$219.4K	$0
Andrew Tegeder	MT	Dermatology Physician	$206.3K	$0
Jacob Inda	MT	Dermatology Physician	$175.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rchp Billings - Missoula LLC	MT	Specialist	$0	$13.1M
Clark Fork Emergency Physicians PLLC	MT	Emergency Medicine Physician	$0	$6.1M
Rchp Billings - Missoula LLC	MT	General Acute Care Hospital	$0	$4M
Origin Health LLC	MT	Maternal & Fetal Medicine Physician	$0	$3.3M
Cogent Healthcare Of Montana P C	MT	Internal Medicine Physician	$0	$1.9M
Big Sky Surgery Center, LLC	MT	Ambulatory Surgical Clinic/Center	$811.5K	$954.6K
Pathology Consultants Of Western Montana, P.C.	MT	Anatomic Pathology & Clinical Pathology Physician	$0	$1.3M
Generations Family Medicine And Obstetrics	MT	Family Medicine Physician	$0	$690.8K
Rchp Billings - Missoula LLC	MT	Case Management Agency	$0	$635.1K
Missoula Family Medicine PLLC	MT	Family Medicine Physician	$0	$512.9K

Kristen Townley — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References