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    OpenPayerNPI Medicare & MedicaidKevin Chaussee
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    Kevin Chaussee — Billing Profile & Reimbursement Data

    NPI 1962424440 · Bismarck, ND · Nurse Practitioner

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    Kevin Chaussee is a nurse practitioner provider located in Bismarck, North Dakota. This profile covers 18 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
    OrganizationKevin Chaussee
    Address1421 Mapleton Ave
    CityBismarck
    StateND
    ZIP58503
    TaxonomyNurse Practitioner
    NPI EnumeratedJuly 24, 2006

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

    Payer SourceTotal Paid
    Medicare$598K
    Medicaid$0

    Key Findings

    Medicare revenue is highly concentrated: the precomputed top‑3 Medicare codes account for 87.4% of the provider's total Medicare revenue, and a single code dominates that share—J3245 generates $484K (81.1% of Medicare revenue). This concentration indicates that tildrakizumab administration is the primary revenue driver for this provider and creates heavy dependence on continued access to that service line and its reimbursement.

    The CPT/HCPCS mix points to a dermatology-focused practice that combines in‑office biologic injections with procedural lesion management. High‑revenue and high‑volume codes include J3245 (tildrakizumab injections), lesion destruction codes such as 17000 and 17003, biopsy codes like 11102, excision codes such as 11401, and treatments like J7308 and 96574 (photodynamic therapy), which together indicate a mix of medical dermatology and office‑based procedural services.

    Payer mix is effectively single‑payer at the claim level: total Medicare revenue is $598K while there is no Medicaid billing on file (none). This means the provider’s public‑payer exposure is concentrated in Medicare beneficiaries and there is no measurable Medicaid revenue to diversify payer risk.

    Despite J3245 accounting for the bulk of dollars, the provider is a modest national participant for that drug: J3245 ranks #82 of 225 providers nationally (62th percentile; typical, unremarkable volume for this code). In other words, the practice relies on a single high‑revenue drug administration but does not show an unusually large national footprint among top tildrakizumab administrators.

    Evaluation-and-management activity shows frequent low‑complexity established visits alongside the biologic and procedural caseload. 99213 produced $19.2K (3.2% of Medicare revenue) and ranks #40303 of 457151 providers nationally (91th percentile; typical, unremarkable volume for this code), while 99212 produced $9.6K (1.6% of Medicare revenue) and ranks #3043 of 99011 providers nationally (97th percentile; notably above typical national volume for this code), suggesting a higher than typical rate of brief follow‑up or straightforward established‑patient visits.

    Procedural lesion care is an important secondary revenue stream: 17000 ($18.4K, 3.1% of Medicare revenue) ranks #2995 of 21879 providers nationally (86th percentile; typical, unremarkable volume), 17003 ($8.7K, 1.5%) ranks #2192 of 19643 (89th percentile; typical, unremarkable volume), and 17004 ($12.3K, 2.1%) ranks #1560 of 9638 (84th percentile; typical, unremarkable volume). These ranks show above‑median engagement in premalignant lesion destruction compared with national peers, reinforcing a clinical focus on skin lesion management in addition to biologic therapy.

    The provider has long tenure on file, with an NPI enumerated 2006‑07‑24 (~20 years), which indicates an established practice history in BISMARCK, ND. Combined with the Medicare‑only billing profile and the code mix described above, this suggests stable, locally established dermatology services oriented toward Medicare beneficiaries rather than Medicaid populations.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3245Injection, tildrakizumab, 1 mg4,400$110$484K
    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…390$50$19.2K
    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.560$30$18.4K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.130$100$12.3K
    J7308Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)30$310$10.1K
    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,…290$30$9.6K
    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…2,170$1$8.7K
    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.150$60$8.4K
    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…100$70$6.2K
    96574This code is used to report removal of hyperkeratotic (hardened, dry, scaly) skin lesions that appear precancerous followed by photodynamic therapy that exposes a lesion treated with a…30$180$6K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J32451103,800$110$419.3K
    J730851040$300$13.8K
    992147721,47090$60$10.4K
    9657431040$190$7.2K
    17000470180$30$6.7K
    99213681,49080$50$5.8K
    17110296090$50$5.4K
    1700422030$100$5.1K
    111021850120$40$4.5K
    9920316049030$60$2.5K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mid Dakota Clinic, Inc.NDClinic/Center$0$2.9M
    Robert TanousNDInternal Medicine Physician$525.2K$0
    Laura FuerstenbergNDNurse Practitioner$466.5K$0
    Muhammad SethiAZEndocrinology, Diabetes & Metabolism Physician$332.4K$0
    Shelly SeifertNDFamily Medicine Physician$238.2K$0
    Julia SchwartzNDInternal Medicine Physician$207.2K$0
    Matthew HamarNDFamily Medicine Physician$205.6K$0
    Megan StrandNDDermatology Physician$190.9K$0
    Andrew KnudsenNDFoot & Ankle Surgery Podiatrist$176.5K$0
    Brian HebertNDInternal Medicine Physician$146.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Options For Residential And Employment Services, IncNDCase Manager/Care Coordinator$0$84.4M
    Metro Area Ambulance Service, IncNDLand Ambulance$1.5M$11.7M
    Red Door Pediatric Therapy, IncNDSpeech-Language Pathologist$0$5.6M
    New Freedom CenterNDSubstance Abuse Rehabilitation Facility$0$4.5M
    Bismarck Surgical Associates, LLCNDAmbulatory Surgical Clinic/Center$2.2M$0
    Maple View Ii East IncNDAlzheimer Center (Dementia Center)$0$1.7M
    Good Road Recovery CenterNDSubstance Abuse Rehabilitation Facility$0$1.1M
    Bismarck Transportation ServicesNDTaxi$0$1.1M
    Daniel J. Keith, Dds, Ms, PCNDOrthodontics and Dentofacial Orthopedics Dentistry$0$1.1M
    Sanford Healthcare Accessories, LLCNDDurable Medical Equipment & Medical Supplies$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. North Dakota Distribution
    Kevin Chaussee — 6 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota