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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Pamela Phillips (NPI 1962481044)

Field	Value
Entity Type	Individual
Organization	Pamela Phillips
Address	2805 5th St
City	Rapid City
State	SD
ZIP	57701
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	January 17, 2006

Payer Source	Total Paid
Medicare	$396.3K
Medicaid	$0

Key Findings

This provider is primarily a procedural dermatologic surgeon focused on Mohs micrographic surgery and complex wound repairs: the single largest revenue code is 17311 (Mohs surgery) accounting for $209.7K and 52.9% of Medicare revenue, with additional Mohs-related codes 17312 and 17313 also present among top billings. The code mix (multiple Mohs codes plus complex repair CPTs like 13132 and 13121) indicates an operative practice model centered on skin cancer excision and immediate reconstructive repairs rather than predominantly office-based medical dermatology.

Revenue concentration on Medicare is high: the precomputed top 3 Medicare codes by revenue account for 70.5% of this provider’s total Medicare revenue, indicating most revenue is driven by a small set of high-value procedural codes. That concentration suggests the practice’s financial performance is sensitive to volume in a few procedural categories, primarily Mohs surgery and complex repairs.

This provider’s Medicare activity is meaningful in scale: lifetime Medicare revenue is $396.3K while there is no Medicaid billing on file, making their practice effectively single-payer (Medicare) in the available dataset. The absence of Medicaid billing implies limited engagement with Medicaid populations or that billings to Medicaid are not captured in this dataset, which has direct implications for network participation and payer contracting strategy.

Competitive standing versus national peers is mixed by code: for the highest-volume code 17311 the provider ranks #678 of 2969 (77th percentile), which places them as a typical but not dominant national participant in Mohs volume. For complex repair code 13132 they rank #309 of 3088 (90th percentile), indicating above-typical activity in that specific reconstructive service and suggesting a comparative strength in larger/complex repairs.

Several individual codes show differing national footprints that reflect the practice’s focus: 17312 and 17313 (additional Mohs codes) fall near or below median national volumes (41st and 38th percentiles respectively), while reconstructive repair codes 13121 (89th percentile) and 13132 (90th percentile) are notably above typical, reinforcing that a sizable share of work is reconstruction following excision. Office evaluation codes 99214/99212/99213 appear but represent small portions of revenue (each 3.4% or less), consistent with a surgery-dominant case mix rather than a high-volume office visit practice.

Tenure is long: the provider’s NPI was enumerated on 2006-01-17 (about 20 years ago), indicating an established presence in the market that may support referral relationships and stable procedural caseloads. That longevity coupled with concentrated procedural revenue suggests sustained specialization rather than a recent practice shift.

There are no Medicaid codes to benchmark against in-state peers — the dataset lists "none below" for Medicaid — so evaluation of state-level competitive position or pediatrics/low-income payer mix cannot be performed. This lack of Medicaid billing should be treated as an operational characteristic: the provider either does not bill Medicaid or such billing is absent from the available claims data, which affects estimates of total patient mix and access for Medicaid beneficiaries.

Medicare: Complete Services Breakdown

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

16 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…	450	$470	$209.7K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	200	$190	$38.4K
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.	100	$320	$31.4K
13121	This is for a complex repair of a wound to the scalp, arms, and/or legs. This wound should be 2.6 to 7.5 cm in size.	120	$230	$26.4K
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.	40	$480	$20.2K
14060	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.	20	$570	$13.7K
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…	150	$90	$13.6K
14061	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.	20	$750	$13.4K
14301	The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.	10	$830	$10K
13101	This is for a complex repair of a wound to the trunk. This wound should be 2.6 to 7.5 cm in size.	20	$260	$5.5K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Pamela Phillips — 2 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	5	10	410	$320	$120.5K
17312	10	10	130	$270	$43.5K
14060	10	10	40	$510	$25.7K
14061	5	10	20	$700	$25.1K
13132	2	20	80	$160	$17.1K
14301	5	10	10	$750	$15K
17313	8	10	40	$310	$14.9K
99214	568	1,660	90	$70	$11.4K
13121	1	10	50	$190	$9.9K
99213	1,214	1,710	80	$50	$6.4K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Zumwalt	NV	Dermatology Physician	$1.1M	$0
Cristina Tarantola	FL	MOHS-Micrographic Surgery Physician	$861.8K	$0
Whitney Hovenic	NV	Procedural Dermatology Physician	$855.6K	$0
Jeffrey Shackelton	NV	Dermatology Physician	$747K	$4.2K
Kevin Kiene	NV	Dermatology Physician	$750.8K	$0
Michael Heaphy	NV	Dermatopathology Physician	$686.7K	$0
Peter Ehrnstrom	AK	MOHS-Micrographic Surgery Physician	$642.7K	$0
Joseph Cvancara	WA	Procedural Dermatology Physician	$571.5K	$0
Joshua May	OR	Dermatology Physician	$562.5K	$0
Chadd Sukut	WA	MOHS-Micrographic Surgery Physician	$558.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavior Management Systems, Inc.	SD	Community/Behavioral Health Agency	$0	$19.8M
Monument Health Rapid City Hospital, Inc	SD	Multi-Specialty Clinic/Center	$0	$18.7M
Monument Health Rapid City Hospital, Inc.	SD	General Acute Care Hospital	$0	$11.5M
Community Health Center Of The Black Hills Inc	SD	Federally Qualified Health Center (FQHC)	$0	$10.2M
Jrk Services, Inc	SD	Home Health Agency	$0	$10.1M
Black Hills Pediatrics, LLP	SD	Pediatrics Physician	$0	$9.7M
Rapid City Emergency Services PA	SD	Emergency Medicine Physician	$0	$8.2M
Wellspring Inc.	SD	Psychiatry Physician	$0	$7.4M
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Radiology Associates Prof, LLC	SD	Diagnostic Radiology Physician	$0	$5.3M

Pamela Phillips — 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