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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMandy Warthan
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    Mandy Warthan — Billing Profile & Reimbursement Data

    NPI 1982737102 · Frisco, TX · Dermatology Physician

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    Mandy Warthan is a dermatology physician provider located in Frisco, Texas. 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
    OrganizationMandy Warthan
    Address12255 University Dr Ste 150
    CityFrisco
    StateTX
    ZIP75035
    TaxonomyDermatology Physician
    NPI EnumeratedMarch 14, 2007

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

    Payer SourceTotal Paid
    Medicare$139.8K
    Medicaid$0

    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
    99214The 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…540$100$50.9K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.160$130$19.7K
    17111The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of 15 lesions or more, other than skin tags or…150$80$12.5K
    14301The 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$850$11.8K
    11403The provider excises a noncancerous lesion, excluding a skin tag, of 2.1 to 3.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs.80$150$11.5K
    17311Mohs 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…30$340$10.3K
    99204The provider sees a new 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 provider…40$120$4.7K
    11443The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 2.1 to 3.0 cm in diameter or less and also performs a simple…30$170$4.4K
    99442N/A50$70$3.6K
    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…30$80$2.1K

    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
    17311180190260$440$133K
    14301679020$690$19.2K
    992143,11632,500110$80$17.6K
    171101,0851,250110$70$12.1K
    111021,0701,260120$60$10.7K
    170001,3071,400170$30$9.7K
    170047872040$110$9.1K
    9921325,37429,79070$60$8.4K
    992047,18716,38030$110$5.6K
    171111024030$90$4.4K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Molly WarthanTXDermatology Physician$823.4K$0
    Marshall ShulerSCDermatology Physician$243.2K$0
    Robert MarinaroTXDermatology Physician$208.6K$0
    John KuhlSCDermatology Physician$194.2K$0
    Mark NaylorILDermatology Physician$111.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gerardo TrilloTXMedical Oncology Physician$696.9K$0
    Mahdi RostamizadehTXRetina Specialist (Ophthalmology) Physician$691.7K$0
    Muhammad KhanTXInfectious Disease Physician$650.3K$0
    Ramin AnsariTXNeurology Physician$626.3K$0
    Naveen SikkaTXAllergy & Immunology Physician$566.3K$0
    Jasbir DhawanTXEndocrinology, Diabetes & Metabolism Physician$488.7K$0
    Centennial Asc, LLCTXAmbulatory Surgical Clinic/Center$411.6K$0
    Saurabh ShuklaTXNeurology Physician$313.4K$0
    Maushmi ShethTXClinical Neurophysiology Physician$297.7K$0
    Lav KapadiaTXOtolaryngology Physician$163.8K$0

    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. Texas Distribution
    Mandy Warthan — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas