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    OpenPayerNPI Medicare & MedicaidGlenn Goldman
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    Glenn Goldman — Billing Profile & Reimbursement Data

    NPI 1992717458 · Colchester, VT · MOHS-Micrographic Surgery Physician

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    Glenn Goldman is a mohs-micrographic surgery physician provider located in Colchester, Vermont. This profile covers 24 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
    OrganizationGlenn Goldman
    Address354 Mountain View Dr Ste 300
    CityColchester
    StateVT
    ZIP05446
    TaxonomyMOHS-Micrographic Surgery Physician
    NPI EnumeratedAugust 13, 2006

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

    Payer SourceTotal Paid
    Medicare$454.5K
    Medicaid$0

    Key Findings

    GLENN GOLDMAN’s Medicare billing profile is concentrated in Mohs micrographic surgery: codes 17311 ($262.1K, 57.7% of Medicare revenue) and 17312 ($50.4K, 11.1%) together with reconstructive code 14060 ($22.8K, 5.0%) drive the practice’s procedure mix, and the top three codes account for 73.8% of this provider’s total Medicare revenue out of $454.5K. This pattern is consistent with a Mohs-focused surgical practice where excision and immediate reconstruction are the primary revenue drivers.

    The provider shows a high revenue concentration in a small set of procedure codes (top 3 = 73.8% of Medicare revenue), indicating material dependence on Mohs cases for topline Medicare income. Such concentration suggests that changes in Mohs case volume, reimbursement, or referral patterns would disproportionately affect the practice’s Medicare receipts.

    Service-line detail supports a combined excision-plus-reconstruction workflow: beyond Mohs codes, notable reimbursements appear for flap/graft and complex repair codes (for example, 15260 $22.2K and 12052 $12.2K), while evaluation & management billing is modest (99213 $13.7K, 3.0% of Medicare revenue). This mix indicates a procedure-centric operation with limited billings from routine office E/M encounters relative to surgical throughput.

    Competitive standing on key Mohs codes is above-average but not dominant nationally: 17311 ranks #364 of 2969 providers (88th percentile) and is described as "typical, unremarkable volume for this code," while 17312 ranks #1171 of 2770 (58th percentile) and 14060 ranks #445 of 2135 (78th percentile). In plain terms, the provider posts a stronger-than-median national footprint for primary Mohs work but remains one of many moderately high-volume Mohs surgeons rather than an outlier or market leader.

    There are signs of uneven utilization across related Mohs codes: 17313 appears at much lower relative national volume (ranks #2136 of 2300, 5th percentile) despite being in the same family as the top Mohs codes and is still labeled "typical, unremarkable volume for this code." Additionally, additive destruction codes like 17003 show many claims but low average payment, suggesting routine use of adjunct lesion treatments that do not materially move revenue.

    Payer mix is effectively single-payer on file: the provider reported $454.5K in Medicare revenue and has "none below" for Medicaid billing, i.e., no Medicaid billing on file. This makes the practice highly Medicare-dependent from a public-payer perspective and suggests limited exposure to Medicaid populations or state-managed care revenue streams.

    Clinical support services in the billing mix align with intraoperative pathology and reconstruction common to Mohs workflows: 88331 (intraoperative pathology) appears (51 claims, $4.1K) and is ranked #1388 of 4659 (69th percentile, "typical, unremarkable volume for this code"), underscoring that frozen-section pathology and immediate margin assessment are part of the service model. The presence of mid-to-high percentile repair and graft codes (for example, 12052 at the 90th percentile) further corroborates frequent reconstruction after excision.

    The provider has an established NPI tenure, enumerated on 2006-08-13 (~20 years ago), signaling a long-standing presence in the market. Combined with the procedural concentration and percentile standings, this tenure suggests an experienced Mohs surgeon with a stable, Medicare-focused operative practice rather than a recently established or rapidly expanding enterprise.

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…590$440$262.1K
    17312Mohs 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.160$320$50.4K
    14060The 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.40$560$22.8K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.30$770$22.2K
    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…230$60$13.7K
    12052This 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.100$130$12.2K
    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.170$60$10K
    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.190$40$7K
    12032This 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.40$160$6.9K
    17313Mohs 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.20$430$6.8K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17311110370$310$115.2K
    17312110130$200$24.7K
    1406011030$520$12.9K
    1526011010$720$12.9K
    1313231050$180$7.9K
    171103140100$60$7.8K
    170001840170$30$7.7K
    111021540140$50$7.4K
    9921315491080$50$6.7K
    1203252020$170$5.8K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    University Of Vermont Medical Center IncVTInternal Medicine Physician$0$17.6M
    Northeastern Vermont Regional Hospital, IncVTPrimary Care Clinic/Center$0$2.8M
    James StaffordTXRadiation Oncology Physician$1.5M$0
    University Of Vermont Medical Center IncVTGeneral Acute Care Hospital$0$780.5K
    Paul UngerVTHematology & Oncology Physician$744.6K$0
    University Of Vermont Health Network Specialty Care Transport, LLCVTLand Ambulance$144K$510.7K
    Carlos TorresTXAnatomic Pathology & Clinical Pathology Physician$580.7K$0
    Brian KimVTOphthalmology Physician$488.3K$0
    University Of Vermont Medical CenterVTGeneral Practice Dentistry$0$433.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Planned Parenthood Of Northern New England, IncVTObstetrics & Gynecology Physician$0$3.9M
    Vt Center For Dental Implants And Maxillofacial Surgery LLCVTOral and Maxillofacial Surgery Clinic/Center$0$2.6M
    Kids Rehabgym Inc.VTPhysical Therapy Clinic/Center$0$2.5M
    Saint Michaels College Fire And Rescue IncVTLand Ambulance$281.9K$1.5M
    Dennis SandersVTMedical Oncology Physician$1.3M$0
    Robert DuworsVTClinical Psychologist$45K$1.1M
    Town Of ColchesterVTLand Ambulance$163.6K$638.6K
    Vermont Center For Responder Wellness LLCVTClinical Social Worker$0$719.1K
    Actd,llcVTAmbulatory Surgical Clinic/Center$634.9K$0
    Counseling Connection Training Institute, PlcVTMental Health Counselor$0$619.8K

    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. Vermont Distribution
    Glenn Goldman — 7 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont