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.

Gregory Seitz (NPI 1962676353)

Field	Value
Entity Type	Individual
Organization	Gregory Seitz
Address	2112 Seymour Ave
City	Cheyenne
State	WY
ZIP	82001
Taxonomy	Dermatology Physician
NPI Enumerated	April 16, 2008

Payer Source	Total Paid
Medicare	$525.6K
Medicaid	$0

Key Findings

This provider’s reimbursement picture is effectively single‑payer: Total Medicare revenue is $525.6K and there is no Medicaid billing on file. The absence of any Medicaid activity means analyses of payer mix should treat the practice as concentrated on Medicare beneficiaries and fee schedules.

Revenue is highly concentrated in a few services: the precomputed top 3 Medicare codes by revenue (99213, 17000, 88305) account for 47.8% of this provider's total Medicare revenue. The largest single contributor is 99213 ($120.4K, 24.7%), followed by 17000 ($65.4K, 13.4%) and 88305 ($47.5K, 9.7%), indicating a dependence on evaluation/management visits, lesion destruction, and pathology processing.

The CPT mix is consistent with a procedure‑heavy dermatology practice that pairs high office visit volume with lesion treatment and pathology: 99213 is the top code (2.1K claims, $120.4K revenue) and 17000 and 17003 together show substantial lesion destruction volume (17000: 1.6K claims, $65.4K; 17003: 5.3K claims, $26.3K). Ancillary procedural services and products such as 88305 (2.1K claims, $47.5K), J7308 ($14.7K), and photodynamic/UV therapy codes (96574, 96900) further indicate an in‑office procedural suite and routine biopsy/histology throughput.

National competitive standing is uneven: the provider is an extreme outlier on office visit volume for 99213 (ranks #755 of 457151 providers nationally, 100th percentile; extreme outlier) and also an extreme outlier on the first‑lesion destruction code 17000 (ranks #179 of 21879, 99th percentile; extreme outlier), signaling unusually high national volume in those service lines. In contrast, 88305 ranks #1641 of 14580 (89th percentile; typical, unremarkable volume), showing strong biopsy/pathology output but not at the same exceptional level as the visit and lesion‑destruction lines.

Other codes show notable above‑typical utilization: 17003 (5.3K claims, $26.3K) ranks #285 of 19643 (99th percentile; notably above typical national volume) and 99203 (188 claims, $11.8K) ranks #4996 of 161519 (97th percentile; notably above typical national volume). These placements suggest the practice treats many multiple lesions per encounter and maintains a higher‑than‑typical intake of new patient office visits relative to peers.

Mohs surgery and complex reconstruction are present but not major revenue drivers: 17311 (58 claims, $25.1K) and 17312 (27 claims, $9K) sit at lower national percentiles (15th and 8th respectively; typical, unremarkable volumes), while repair and graft codes (for example 12032, 12052, 15260, 14060) generate more modest shares of revenue. This pattern indicates the practice focuses more on lesion destruction, excision/biopsy, and routine repairs than on high‑volume Mohs centers or complex reconstructive surgery.

Practically, the combination of long tenure (NPI enumerated: 2008-04-16 (~18 years ago)) and the procedural mix implies an established dermatology practice with steady Medicare referrals and in‑office capabilities for diagnostics and treatment. However, the complete lack of Medicaid billing represents a concentration risk in payer exposure and should be considered when modeling revenue sensitivity to Medicare rate changes or shifts in patient mix.

Medicare: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,080	$60	$120.3K
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.	1,630	$40	$65.4K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	2,060	$20	$47.5K
17003	In 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…	5,260	$10	$26.3K
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.	380	$70	$25.6K
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…	60	$430	$25.1K
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	$230	$16.7K
J7308	Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)	50	$300	$14.7K
12052	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.	60	$230	$13.1K
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…	150	$80	$12.5K

Showing 1–10 of 46

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 46 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Gregory Seitz — 5 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

46 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	4	10	160	$470	$80.1K
88305	2	20	600	$40	$43.1K
13132	4	10	120	$200	$34.1K
17312	4	10	70	$330	$28.1K
J7308	9	10	70	$300	$26.5K
14060	3	10	20	$530	$25.6K
15260	3	10	20	$680	$20.3K
13121	6	10	70	$180	$20.2K
12032	5	10	70	$170	$15.2K
99214	326	780	100	$80	$14.8K

Showing 1–10 of 46

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Cary Chisholm	TX	Anatomic Pathology & Clinical Pathology Physician	$2.5M	$24.7K
Matthew Asano	CO	Ophthalmology Physician	$2M	$0
Peter Hovland	CO	Ophthalmology Physician	$1.8M	$0
James Levine	CO	Rheumatology Physician	$1.7M	$0
Navid Moradshahi	CA	Diagnostic Radiology Physician	$1.2M	$0
Angelo Santiago	WY	Specialist	$1.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Magic City Enterprises, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$23.6M
Cheyenne Habilitation & Therapeutic Center, Inc	WY	Developmentally Disabled Services Day Training Agency	$0	$14.4M
Specialty Counseling & Consulting	WY	Community/Behavioral Health Agency	$0	$8.2M
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$5.5M
Cheyenne Regional Physicians Group, LLC	WY	Medical Oncology Physician	$0	$5.1M
Cheyenne Surgical Center LLC	WY	Ambulatory Surgical Clinic/Center	$567.4K	$4.5M
Memorial Hospital Of Laramie County	WY	General Acute Care Hospital	$0	$4M
Goodwill Industries Of Wy, Inc.	WY	Case Management Agency	$0	$3.9M
American Medical Response Ambulance Service Inc	WY	Ambulance	$1.4M	$2.3M
Summit Medical Group, LLC	WY	Emergency Medicine Physician	$0	$3.7M

Gregory Seitz — 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