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    OpenPayerNPI Medicare & MedicaidMolly Chartier
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    Molly Chartier — Billing Profile & Reimbursement Data

    NPI 1922245471 · Portsmouth, NH · Dermatology Physician

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    Molly Chartier is a dermatology physician provider located in Portsmouth, New Hampshire. This profile covers 23 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
    OrganizationMolly Chartier
    Address155 Borthwick Ave
    CityPortsmouth
    StateNH
    ZIP03801
    TaxonomyDermatology Physician
    NPI EnumeratedJanuary 20, 2009

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

    Payer SourceTotal Paid
    Medicare$328.7K
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only billing practice: total Medicare revenue is $328.7K and there is none (no Medicaid billing on file), indicating negligible exposure to state Medicaid populations and payer mix concentrated entirely on Medicare. That single‑payer profile may influence contracting focus, patient panel composition, and sensitivity to Medicare reimbursement changes.

    Revenue is highly concentrated in a small set of codes: the precomputed top 3 Medicare codes account for 60.5% of this provider's total Medicare revenue, with 99213 ($107.1K revenue, 32.6%), 17000 ($46K revenue, 14.0%), and 11102 ($46K revenue, 14.0%) driving the majority of receipts. This concentration signals dependence on routine established‑patient visits plus lesion destruction and biopsy services for most of the practice’s income.

    The code mix points to a procedural dermatology practice that pairs high-volume office visits with lesion management: 99213 is the top revenue driver while 17000 and 11102 (destruction of premalignant lesions and single lesion shave biopsy) are also large contributors. The presence of excision codes (11602, 11603), intermediate repairs (12032), and add‑on destruction codes (17003, 17004) confirms a workflow centered on lesion evaluation, biopsy, and outpatient minor procedures rather than primarily cosmetic or internal medicine services.

    99213 volumes are an extreme national outlier: the provider reports 1.8K claims and ranks #1195 of 457151 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). This suggests very high established‑patient throughput or frequent return visits for medical dermatology relative to peers, making the practice nationally prominent on this specific E/M metric.

    Procedural volumes for lesion treatment are also well above typical for peers: 17000 (1.2K claims) and 11102 (657 claims) each rank in the 97th percentile nationally (notably above typical national volume for these codes). In combination with a very high add‑on lesion count for 17003 (3.3K claims, 95th percentile; notably above typical national volume for this code), the pattern is consistent with treating multiple lesions per encounter and a substantial procedural caseload.

    While the practice shows unusually high volumes on a handful of codes, other service lines appear modest or specialty‑specific: photodynamic/phototherapy services (J7308, 96567, 96900) are present but represent limited revenue ($6K, $2.6K, $2.9K respectively) and lower national standing (J7308 at 23rd percentile), indicating these are offered but not a major revenue driver. This suggests the core business is office‑based diagnosis and procedural dermatology with ancillary light‑based treatments used less frequently.

    The provider has an established tenure in the Medicare program, enumerated since 2009-01-20 (~17 years ago), which supports the maturity of the practice and explains accumulated lifetime billing patterns. Long tenure combined with highly concentrated code usage may indicate an entrenched clinical model focused on lesion management and ongoing established‑patient care.

    Revenue concentration in a few high-volume codes creates operational and reimbursement risk: because 60.5% of Medicare revenue comes from the top three codes, significant changes in utilization, coding guidance, or reimbursement for 99213, 17000, or 11102 could materially affect overall revenue. Analysts and payers should monitor utilization trends for those specific codes and compare visit and procedure volumes to peer benchmarks when evaluating financial or contracting negotiations.

    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.

    23 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…1,820$60$107.1K
    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.1,150$40$46K
    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.660$70$46K
    12032This 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.110$230$26K
    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…200$90$17.6K
    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…3,300$10$16.5K
    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…210$80$16.5K
    99212The 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,…210$40$8K
    11602The 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.80$100$7.9K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.50$130$6.8K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992149693,150110$80$13.2K
    170005120190$40$11.4K
    J730891030$290$10.6K
    111023100120$60$9.6K
    1711023110110$70$9.4K
    1203234020$180$7.4K
    9921332,90070$50$6.9K
    17004175030$110$6.4K
    17262204030$100$4.6K
    170039110650$1$4.3K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Liqiao MaTXDermatology Physician$3.1M$0
    Francessca BrettschneiderFLDermatopathology (Pathology) Physician$1.6M$0
    Brienne CresseyNHMOHS-Micrographic Surgery Physician$1.2M$0
    Alireza SepehrMAAnatomic Pathology & Clinical Pathology Physician$1.2M$1000
    Jason RosenFLDermatopathology Physician$1.1M$0
    Omar BadriMAMOHS-Micrographic Surgery Physician$1M$0
    Navid BouzariMADermatology Physician$979K$0
    Elizabeth UhlenhakeOHDermatology Physician$966.3K$0
    Samir PatelOHDermatology Physician$936.5K$0
    Stephen LyleMAAnatomic Pathology Physician$852.2K$40.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Region Viii, One Sky Community Services Inc.NHCase Management Agency$0$192.2M
    Novocure Inc.NHDurable Medical Equipment & Medical Supplies$0$113.1M
    Seacoast Mental Health Center, Inc.NHMental Health Clinic/Center (Including Community Mental Health Center)$0$74.2M
    Hca Health Services Of New Hampshire IncNHGeneral Acute Care Hospital$0$18.8M
    Pmc Medical Group, LLCNHGeneral Practice Physician$392K$11.2M
    Greater Seacoast Community HealthNHFederally Qualified Health Center (FQHC)$0$6.6M
    Kinley BeckNHRetina Specialist (Ophthalmology) Physician$4.2M$0
    Portsmouth School DepartmentNHLocal Education Agency (LEA)$0$2.6M
    Preferred Home Health Care And Nursing ServicesNHDurable Medical Equipment & Medical Supplies$0$2.3M
    Watterworth Orthodontics, PANHOrthodontics and Dentofacial Orthopedics Dentistry$0$2.3M

    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. New Hampshire Distribution
    Molly Chartier — 4 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire