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

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

Tara Oetken (NPI 1982067450)

Field	Value
Entity Type	Individual
Organization	Tara Oetken
Address	1905 W College St
City	Bozeman
State	MT
ZIP	59718
Taxonomy	Dermatology Physician
NPI Enumerated	April 1, 2016

Payer Source	Total Paid
Medicare	$302.8K
Medicaid	$0

Key Findings

This provider’s billing is effectively single-payer Medicare: lifetime Medicare revenue is $302.8K and there is no Medicaid billing on file, so Medicaid does not contribute to this provider’s revenue mix. Analysts should treat this profile as Medicare-centric when evaluating payer risk and network negotiation leverage.

Revenue is moderately concentrated in a small set of codes: the precomputed top 3 Medicare codes by revenue account for 37.1% of total Medicare revenue. Those top three are 99213 ($48.9K, 16.3%), 99214 ($31.3K, 10.4%), and 11102 ($31.3K, 10.4%), indicating a mix of evaluation-and-management visits and single-lesion biopsy driving more than one-third of Medicare income.

The code mix indicates an office-based dermatology practice with a strong procedural component: high-volume E&M (99213 and 99214) sits alongside frequent biopsy and lesion procedures such as 11102 and 11103, as well as destruction codes (17000, 17110, 17004) and excisions (11602). Presence of J7308 ($20.9K) and 96567 ($6.1K) shows use of photodynamic/topical therapies in-office, supporting a treatment-focused outpatient workflow rather than a purely consultative role.

For evaluation-and-management services the provider is a national outlier: 99213 ranks #9950 of 457151 providers nationally (98th percentile; notably above typical national volume for this code), reflecting unusually high volume of established-patient office visits. 99214 is also above typical national volume but less extreme (ranks #76304 of 479517, 84th percentile; typical, unremarkable volume), which suggests the practice sees many established patients at lower- to moderate-complexity visit levels.

Procedural competitiveness is strong across several dermatology-specific codes: 11102 ranks #1316 of 18797 (93th percentile; typical, unremarkable volume) and 11103 ranks #472 of 13774 (97th percentile; notably above typical national volume), while excision and destruction codes such as 17262 (94th percentile) and 11602 (92th percentile) also sit in high national percentiles. These rankings imply the provider is a meaningful procedural performer relative to national peers, particularly for biopsies and lesion management.

Operational pattern shows high procedural throughput of small-value add-ons: 17003 appears as 2K claims with $10K revenue and $5 avg paid/claim, ranking #2552 of 19643 (87th percentile; typical, unremarkable volume). This combination of very high unit counts and low per-claim reimbursement indicates frequent minor lesion destruction procedures are a routine part of visit workflows and contribute materially to encounter volume even if each instance contributes modestly to revenue.

Geographic and payer implications: with $302.8K in Medicare revenue and no Medicaid claims, the provider lacks Medicaid presence in-state which may limit participation in Medicaid-dependent contracts or safety-net arrangements in MT. For payers and network designers, this means the provider’s leverage and patient mix should be evaluated primarily through a Medicare lens rather than dual-payer dynamics.

Tenure and market footprint: the NPI was enumerated on 2016-04-01 (~10 years ago), indicating about a decade of Medicare participation. Combined with the revenue profile and high national percentiles on several core dermatology codes, this suggests an established local practice that has built steady Medicare volume over roughly ten years rather than a recent entrant or short-term outlier.

Medicare: Complete Services Breakdown

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

29 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…	830	$60	$48.9K
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…	370	$80	$31.3K
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.	470	$70	$31.3K
J7308	Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)	70	$300	$20.9K
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.	90	$230	$20.3K
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.	560	$30	$19.1K
11103	The provider biopsies an additional skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette. Report +11103 for each separate lesion…	390	$40	$15.6K
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…	190	$80	$15.4K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	100	$130	$13K
17262	The provider destroys a malignant lesion on the trunk, arms, or legs using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. The malignant lesion is 1.1 cm to 2.0 cm in…	110	$110	$12.3K

Showing 1–10 of 29

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Tara Oetken — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

29 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
13132	10	10	40	$190	$14K
99214	220	1,810	100	$70	$12.4K
J7308	1	10	30	$290	$11.9K
11102	3	80	150	$50	$9.7K
17000	17	110	190	$30	$9.6K
17110	24	80	100	$70	$9.3K
17004	11	50	40	$110	$8.3K
13121	4	10	30	$250	$7.6K
12032	3	40	30	$190	$7.5K
99213	19	1,730	90	$50	$7.2K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marguerite Germain	SC	Dermatology Physician	$1.8M	$0
Kelli Hutchens	WI	Dermatopathology (Pathology) Physician	$1.7M	$23.6K
Evelyn Fu	WA	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Forefront Dermatology, S.c.	AL	Dermatology Physician	$0	$1.7M
Cascade Eye & Skin Centers PC	WA	Ambulatory Surgical Clinic/Center	$1.6M	$93.8K
Francessca Brettschneider	FL	Dermatopathology (Pathology) Physician	$1.6M	$0
Forefront Dermatology, S.c.	WI	Dermatopathology Physician	$0	$1.6M
Maureen Mooney	WA	MOHS-Micrographic Surgery Physician	$1.5M	$0
Luke Hyder	FL	Dermatology Physician	$1.5M	$0
Douglas Hansen	WI	Anatomic Pathology & Clinical Pathology Physician	$1.4M	$2.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wojj Pediatric Dentistry	MT	Dental Clinic/Center	$0	$3.3M
Smiles Across Montana	MT	Dental Hygienist	$0	$1.9M
West Bozeman Surgery Center, LLC	MT	Ambulatory Surgical Clinic/Center	$1.9M	$55K
Psychiatry Associates PC	MT	Psychiatry Physician	$0	$1.4M
Marc Comaratta	MT	Retina Specialist (Ophthalmology) Physician	$1.2M	$124.7K
Foundation Therapy Services Inc	MT	Speech-Language Pathologist	$0	$1.1M
Lincare Inc.	MT	Durable Medical Equipment & Medical Supplies	$0	$1M
Montana Psychiatry, PLLC	MT	Psychiatry Physician	$0	$1M
Kenneth Olson	MT	Addiction Psychiatry Physician	$29.3K	$809.9K
Aaron Bruce	MT	Dermatology Physician	$682.7K	$0

Tara Oetken — 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