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    OpenPayerNPI Medicare & MedicaidErin Ducharme
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    Erin Ducharme — Billing Profile & Reimbursement Data

    NPI 1891961900 · Clive, IA · Dermatology Physician

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    Erin Ducharme is a dermatology physician provider located in Clive, Iowa. This profile covers 29 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
    OrganizationErin Ducharme
    Address16349 Sheridan Drive
    CityClive
    StateIA
    ZIP50325
    TaxonomyDermatology Physician
    NPI EnumeratedMay 8, 2008

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

    Payer SourceTotal Paid
    Medicare$223.4K
    Medicaid$0

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…750$60$41.5K
    17311Mohs 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…90$410$36.7K
    17110The 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…320$70$22.2K
    17312Mohs 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.60$300$16.6K
    99214The 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…170$80$13.4K
    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.390$30$12.5K
    99203The 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…190$60$12.2K
    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.160$50$8.7K
    15260This 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.10$730$8.1K
    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…1,510$10$7.6K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    173112130240$410$106.2K
    88305114130900$30$40.5K
    173122030130$280$36.8K
    15260121020$690$19.2K
    992141,6994,690100$70$14.4K
    171102020090$60$9.2K
    17004429040$100$8.3K
    12032567030$180$8.1K
    99213864,740100$50$8K
    1110257170110$50$7.8K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elizabeth HamerIAMedical Physician Assistant$92.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Iowa Family AssistantsIAHome Health Agency$0$18M
    Iowa Radiology, P CIADiagnostic Radiology Physician$0$5.2M
    Mercy Clinics, Inc.IAPrimary Care Clinic/Center$0$2.9M
    Iowa Diagnostic Imaging & Procedure Center, L CIADiagnostic Radiology Physician$0$2.5M
    Iowa Endoscopy Center, Inc.IAAmbulatory Surgical Clinic/Center$774K$1.5M
    West Lakes Surgery Center LLCIAAmbulatory Surgical Clinic/Center$1.1M$1.1M
    Mercy Clinics IncIAClinic/Center$0$1.7M
    Tara GraffIAMedical Oncology Physician$1.4M$0
    Catholic Health Initiatives-iowa CorpIADiagnostic Radiology Physician$594.7K$594.4K
    Phippsburger IncIAHome Health Agency$0$1.1M

    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. Iowa Distribution
    Erin Ducharme — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa