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

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

Afton Cobb (NPI 1942662788)

Field	Value
Entity Type	Individual
Organization	Afton Cobb
Address	62 Redmond St
City	Jackson
State	WY
ZIP	83001
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	March 22, 2016

Payer Source	Total Paid
Medicare	$357.5K
Medicaid	$0

Key Findings

AFTON COBB is effectively a single-payer Medicare practitioner with Total Medicare revenue of $357.5K and no Medicaid billing on file; this profile indicates the provider’s commercial or state Medicaid activity is either absent or not reported to the dataset, making Medicare the primary source of documented public-payer income. The provider’s NPI was enumerated on 2016-03-22 (~10 years ago), confirming roughly a decade of enrollment during which the reported Medicare activity was generated.

The practice mix is centered on Mohs micrographic surgery and dermatologic procedural care: the top revenue codes are 17311, 17312 and 17313 (Mohs surgery variants) and precomputed top-3 codes account for 51.2% of total Medicare revenue, signaling a concentrated procedural specialty practice where staged excisions and margin assessment are the primary service lines. Supporting procedure codes—biopsies (11102, 11103), lesion destruction (17000, 17003, 17004), and wound repairs (12032, 12052, 12034)—further indicate a full-spectrum cutaneous surgery practice managing diagnosis, definitive excision, and repair.

Revenue concentration is high: the single code 17311 alone generates $120.4K (33.9% of Medicare revenue) and, together with 17312 ($35.4K, 10.0%) and 17313 ($14.4K, 4.0%), these Mohs codes make up the precomputed 51.2% share. This concentration implies that fluctuations in Mohs volume or reimbursement would meaningfully affect the provider’s overall Medicare revenue.

Competitive standing on core procedures is generally modest to typical nationally. For 17311 the provider ranks #1356 of 2969 (54th percentile), and 17312 ranks #1558 of 2770 (43th percentile), both described as typical, unremarkable volumes; 17313 sits lower at the 26th percentile. These ranks indicate the provider operates at standard specialty volumes for Mohs relative to national peers rather than as a dominant center.

While many ancillary and follow-up visit codes show comparatively high national percentiles—99213 ranks in the 93th percentile and several biopsy and destruction add-on codes are in the 70–90th percentile range—these are characterized as typical volumes. High claim counts for office visits (e.g., 99213: 442 claims) and diagnostic biopsies (11102: 229 claims) suggest substantial outpatient throughput supporting the surgical caseload, consistent with an active clinic-based Mohs practice.

Service-level detail highlights procedural scale and case complexity: non-Mohs excisions (e.g., 11602, 11603) and intermediate repairs for cosmetically sensitive areas (12052, 12053, 14060) appear in the top codes, indicating the provider performs a mix of cancer excisions and reconstructive closures after excision. The presence of significant counts for destruction codes (17000, 17003, 17004) and multiple repair sizes shows a practice that manages both minor lesion treatments and more extensive surgical defects.

Given the lack of Medicaid claims, the provider’s payer mix is concentrated in Medicare for public payers, which limits direct in-state Medicaid comparators and suggests any payer strategy or competitive evaluation should focus on Medicare performance and commercial payers not visible in this dataset. Analysts assessing regional access to Mohs services should treat this provider as a Medicare-documented Mohs practitioner with limited public Medicaid footprint.

Medicare: Complete Services Breakdown

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

30 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…	260	$460	$120.4K
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.	110	$330	$35.4K
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…	440	$60	$26.1K
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.	70	$210	$14.7K
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.	230	$60	$14.4K
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.	30	$460	$14.4K
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…	160	$90	$14.2K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	110	$130	$13.7K
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.	350	$40	$12.2K
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…	110	$80	$8.8K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Afton Cobb — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	3	10	160	$470	$80.1K
17312	3	10	70	$330	$28.1K
14060	4	10	20	$530	$25.6K
12032	6	10	70	$170	$15.2K
99214	277	780	100	$80	$14.8K
17313	1	10	30	$460	$14.4K
99213	76	850	110	$60	$9.9K
11102	14	40	130	$60	$9.6K
12052	4	10	60	$170	$9.4K
17110	15	30	100	$70	$8.7K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
Etan Marks	FL	Dermatopathology (Pathology) Physician	$2.7M	$0
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Cary Chisholm	TX	Anatomic Pathology & Clinical Pathology Physician	$2.5M	$24.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teton County Hospital District	WY	General Practice Physician	$0	$549.7K
Heather Thomas	WY	Case Manager/Care Coordinator	$0	$492.1K
La Familia Counseling Services	WY	Professional Counselor	$0	$417.9K
Teton Outpatient Services LLC	WY	Ambulatory Surgical Clinic/Center	$400.5K	$0
Tbt, LLC	WY	Community/Behavioral Health Agency	$0	$363.6K
William Lighthart	WY	Adult Reconstructive Orthopaedic Surgery Physician	$293.1K	$0
Mary Roberts	WY	Case Manager/Care Coordinator	$0	$268.5K
Christopher Hills	WY	Orthopaedic Surgery Physician	$221.5K	$0
Jennifer Bradof	WY	Clinical Social Worker	$25.7K	$135.6K
Karin L Klee Md	WY	Pediatrics Physician	$0	$145.4K

Afton Cobb — 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