11104 — Punch biopsy, first skin growth
141,155 observed fee-for-service (50%) · ~142,323 estimated Medicare Advantage. Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale
Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market. Average submitted charge / service by billing state, among the highest-volume states; open a bar for that state's ranked market.
- Market position — where this market sits on volume and growth among all state markets, and its rank.
- Worth a look — every state market for this search, ranked by a published score: size, growth, fragmentation, below-expected volume.
- Lookalike opportunities — groups billing below what peers of the same specialty, size, and state predict, with the expected figure shown.
- National benchmarks — where each group's volume sits nationally and within its specialty.
- Market structure — how concentrated this market is, and who owns the volume.
- Medicare-wide scaling — the exact payer split, and this market total scaled to all of Medicare, labeled as an estimate.
Nevvi's market analytics platform — code baskets, market structure and share, the twelve-year trend layer — is built and not launched yet. We're gathering interest in it.
Notify me at launch →| # | Physician group | City | St | Specialty | Providers | 11104 svcs | Submitted charges | Avg charge | Medicare $ locked column | Share* | Phone |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | BEACHES DERMATOLOGY, P.A. | PONTE VEDRA BEACH | FL | PHYSICIAN ASSISTANT | 15 | 1,511 | $226,650 | $150 | premium | 7.3% | (904) 273-2717 |
| 2 | SKIN AND CANCER ASSOCIATES | AVENTURA | FL | DERMATOLOGY | 65 | 1,391 | $364,913 | $262 | premium | 6.7% | (305) 933-1151 |
| 3 | DEACONESS CLINIC INC | EVANSVILLE | IN | NURSE PRACTITIONER | 403 | 1,380 | $869,400 | $630 | premium | 25.4% | (812) 450-6700 |
| 4 | LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC | THE VILLAGES | FL | PHYSICIAN ASSISTANT | 192 | 1,235 | $572,680 | $464 | premium | 6.0% | (352) 753-2812 |
| 5 | OLIVER STREET 5.01(A) INC | TYLER | TX | PHYSICIAN ASSISTANT | 168 | 1,160 | $485,569 | $419 | premium | 12.1% | (903) 534-6200 |
| 6 | SUTTER BAY MEDICAL FOUNDATION | PALO ALTO | CA | INTERNAL MEDICINE | 3716 | 925 | $425,856 | $460 | premium | 4.6% | (415) 600-1020 |
| 7 | GOLDEN STATE DERMATOLOGY ASSOCIATES, INC. | WALNUT CREEK | CA | DERMATOLOGY | 118 | 914 | $305,390 | $334 | premium | 4.6% | (925) 932-7704 |
| 8 | SOUTHERN ILLINOIS DERMATOLOGY, PC | HERRIN | IL | PHYSICIAN ASSISTANT | 13 | 846 | $181,890 | $215 | premium | 9.8% | (618) 942-3344 |
| 9 | PARISER DERMATOLOGY SPECIALISTS LTD | NEWPORT NEWS | VA | DERMATOLOGY | 34 | 835 | $200,733 | $240 | premium | 13.8% | (757) 595-8816 |
| 10 | AQUA DERMATOLOGY OF FLORIDA, PA | NAPLES | FL | PHYSICIAN ASSISTANT | 184 | 720 | $194,383 | $270 | premium | 3.5% | (239) 596-9075 |
| 11 | SKIN WELLNESS PHYSICIANS LLC | NAPLES | FL | DERMATOLOGY | 9 | 703 | $142,739 | $203 | premium | 3.4% | (239) 732-0044 |
| 12 | KANSAS MEDICAL CLINIC PA | TOPEKA | KS | PHYSICIAN ASSISTANT | 50 | 654 | $228,900 | $350 | premium | 22.8% | (785) 272-6860 |
| 13 | CHATTANOOGA SKIN AND CANCER CLINIC | CHATTANOOGA | TN | DERMATOLOGY | 13 | 645 | $73,875 | $115 | premium | 12.1% | (423) 899-2700 |
| 14 | STANFORD HEALTH CARE | STANFORD | CA | DIAGNOSTIC RADIOLOGY | 3039 | 634 | $448,400 | $707 | premium | 3.2% | (650) 723-4000 |
| 15 | NORTHWESTERN MEDICAL FACULTY FOUNDATION | CHICAGO | IL | NURSE PRACTITIONER | 4339 | 608 | $220,704 | $363 | premium | 7.1% | — |
| 16 | FOREFRONT DERMATOLOGY SC | PENSACOLA | WI | PHYSICIAN ASSISTANT | 639 | 604 | $284,196 | $471 | premium | 19.2% | (800) 243-7546 |
| 17 | NORTH PACIFIC DERMATOLOGY A MEDICAL CORPORATION | CRESCENT CITY | CA | PHYSICIAN ASSISTANT | 7 | 603 | $146,392 | $243 | premium | 3.0% | 7074648335212 |
| 18 | MAYO CLINIC ARIZONA | PHOENIX | AZ | PHYSICIAN ASSISTANT | 1635 | 596 | $254,990 | $428 | premium | 11.5% | (800) 603-0558 |
| 19 | SCRIPPS HEALTH | LA JOLLA | CA | PHYSICIAN ASSISTANT | 1431 | 589 | $297,142 | $504 | premium | 3.0% | (858) 455-9100 |
| 20 | HEARTLAND DERMATOLOGY AND SKIN CANCER CENTER, PA | WICHITA | KS | PHYSICIAN ASSISTANT | 29 | 587 | $117,438 | $200 | premium | 20.4% | — |
| 21 | SILVER FALLS DERMATOLOGY LLC | PORT ANGELES | WA | PHYSICIAN ASSISTANT | 98 | 560 | $184,671 | $330 | premium | 11.3% | (503) 362-8385 |
| 22 | CLEVELAND CLINIC | CLEVELAND | OH | PHYSICIAN ASSISTANT | 6828 | 555 | $192,801 | $347 | premium | 13.2% | — |
| 23 | PANZER DERMATOLOGY ASSOCIATES | NEWARK | DE | PHYSICIAN ASSISTANT | 25 | 545 | $108,827 | $200 | premium | 37.2% | 3026337550229 |
| 24 | PADUCAH DERMATOLOGY PLLC | PADUCAH | KY | PHYSICIAN ASSISTANT | 10 | 544 | $122,851 | $226 | premium | 16.7% | (270) 444-8477 |
| 25 | WELLSPRINGS INSTITUTE, PLLC | PADUCAH | KY | PHYSICIAN ASSISTANT | 4 | 524 | $82,792 | $158 | premium | 16.1% | (270) 554-7546 |
| 26 | PENNSYLVANIA DERMATOLOGY PARTNERS INC | READING | PA | DERMATOLOGY | 75 | 521 | $123,798 | $238 | premium | 8.8% | (610) 288-2908 |
| 27 | CSI MEDICAL GROUP | SARATOGA | CA | DERMATOLOGY | 97 | 516 | $127,807 | $248 | premium | 2.6% | (408) 253-4407 |
| 28 | SCHWEIGER DERMATOLOGY PC | HOBOKEN | NJ | PHYSICIAN ASSISTANT | 181 | 512 | $120,728 | $236 | premium | 14.3% | (212) 283-3000 |
| 29 | MAYO CLINIC | ROCHESTER | MN | NURSE PRACTITIONER | 4896 | 502 | $180,320 | $359 | premium | 21.7% | (507) 284-2511 |
| 30 | J ROBERT WEST MD INC | LAS VEGAS | CA | DERMATOLOGY | 140 | 498 | $140,436 | $282 | premium | 2.5% | (702) 258-1001 |
| 31 | BRUCE L WARSHAUER MD LLC | POINT PLEASANT BORO | NJ | DERMATOLOGY | 2 | 497 | $141,645 | $285 | premium | 13.9% | (732) 295-0100 |
| 32 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC | MADISON | WI | PHYSICIAN ASSISTANT | 2523 | 478 | $316,436 | $662 | premium | 15.2% | (608) 287-2050 |
| 33 | SUNCOAST SKIN SOLUTIONS | LUTZ | FL | DERMATOLOGY | 90 | 477 | $107,008 | $224 | premium | 2.3% | (813) 321-1786 |
| 34 | DERMATOLOGY ASSOCIATES PA | HUNTSVILLE | AL | DERMATOLOGY | 5 | 471 | $63,585 | $135 | premium | 18.2% | (256) 539-2741 |
| 35 | SCHWEIGER DERMATOLOGY PLLC | NEW YORK | NY | PHYSICIAN ASSISTANT | 238 | 470 | $163,490 | $348 | premium | 6.8% | (212) 283-3000 |
| 36 | PHYSICIANS REFERRAL SERVICE | HOUSTON | TX | NURSE PRACTITIONER | 2696 | 465 | $179,613 | $386 | premium | 4.8% | (713) 592-5433 |
| 37 | PIEDMONT PLASTIC SURGERY AND DERMATOLOGY PA | GASTONIA | NC | DERMATOLOGY | 56 | 447 | $125,087 | $280 | premium | 8.4% | (704) 866-0106 |
| 38 | ANNE ARUNDEL DERMATOLOGY PA | ANNAPOLIS | MD | PHYSICIAN ASSISTANT | 124 | 442 | $86,489 | $196 | premium | 9.5% | (410) 263-5439 |
| 39 | SOUTHWEST SKIN SPECIALISTS LLC | SCOTTSDALE | AZ | DERMATOLOGY | 50 | 407 | $172,975 | $425 | premium | 7.8% | (602) 494-1817 |
| 40 | LA LASER CENTER PC A PROFESSIONAL MEDICAL CORPORATION | BISHOP | CA | PHYSICIAN ASSISTANT | 82 | 405 | $152,116 | $376 | premium | 2.0% | (760) 873-8781 |
| 41 | PINNACLE DERMATOLOGY SC | JOLIET | WV | PHYSICIAN ASSISTANT | 144 | 403 | $136,400 | $338 | premium | 22.8% | (815) 744-8554 |
| 42 | EASTERN DERMATOLOGY PA | ELIZABETH CITY | NC | DERMATOLOGY | 20 | 383 | $95,645 | $250 | premium | 7.2% | (252) 331-1780 |
| 43 | DAVIS DERMATOLOGY, PA | NEW SMYRNA BEACH | FL | DERMATOLOGY | 2 | 378 | $68,811 | $182 | premium | 1.8% | (386) 423-2218 |
| 44 | ARKANSAS DERMATOLOGY PLLC | HEBER SPRINGS | AR | PHYSICIAN ASSISTANT | 20 | 372 | $52,777 | $142 | premium | 18.1% | (501) 362-3100 |
| 45 | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION INC | BOSTON | MA | DIAGNOSTIC RADIOLOGY | 3532 | 369 | $211,805 | $574 | premium | 6.4% | (617) 724-0287 |
| 46 | ADVANCED DERMATOLOGY OF COLORADO PC | FORT COLLINS | CO | PHYSICIAN ASSISTANT | 64 | 364 | $167,254 | $459 | premium | 17.7% | (970) 484-3050 |
| 47 | BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION INC | BOSTON | MA | PHYSICIAN ASSISTANT | 2942 | 359 | $104,771 | $292 | premium | 6.2% | (617) 732-5500 |
| 48 | FOREFRONT DERMATOLOGY SC | PENSACOLA | FL | PHYSICIAN ASSISTANT | 639 | 358 | $140,989 | $394 | premium | 1.7% | (800) 243-7546 |
| 49 | MEMPHIS DERMATOLOGY CLINIC PA | MEMPHIS | TN | DERMATOLOGY | 11 | 356 | $87,220 | $245 | premium | 6.7% | (901) 726-6655 |
| 50 | MOUNTAIN WEST DERM - BLACKHART PLLC | RENO | OR | PHYSICIAN ASSISTANT | 105 | 345 | $103,086 | $299 | premium | 11.2% | (775) 324-0699 |
| 51 | LAWRENCE D CHANG M.D., PA | NEWARK | DE | PHYSICIAN ASSISTANT | 5 | 342 | $64,980 | $190 | premium | 23.3% | (302) 623-4004 |
| 52 | NORTHEAST DERMATOLOGY ASSOCIATES PC | NORTH ANDOVER | MA | PHYSICIAN ASSISTANT | 82 | 339 | $153,782 | $454 | premium | 5.9% | (978) 691-5690 |
| 53 | DR. FAZELI AND DR. BROUMAND LLC | FAYETTEVILLE | NY | NURSE PRACTITIONER | 11 | 330 | $58,960 | $179 | premium | 4.8% | (315) 663-0100 |
| 54 | HURLEY DERMATOLOGY,PC | WEST CHESTER | PA | PHYSICIAN ASSISTANT | 5 | 329 | $59,220 | $180 | premium | 5.6% | (610) 918-2500 |
| 55 | J MORGAN ODONOGHUE P A | SARASOTA | FL | DERMATOLOGY | 3 | 323 | $68,244 | $211 | premium | 1.6% | (941) 926-7546 |
| 56 | DUKE HEALTH INTEGRATED PRACTICE INC | DURHAM | NC | PHYSICIAN ASSISTANT | 3051 | 319 | $152,163 | $477 | premium | 6.0% | (919) 684-8111 |
| 57 | RENEW FAMILY DERMATOLOGY LLC | FORT PAYNE | AL | NURSE PRACTITIONER | 7 | 319 | $61,940 | $194 | premium | 12.3% | (256) 979-1250 |
| 58 | DERMATOLOGY GROUP OF FLORIDA, P.A. | MIAMI | FL | DERMATOLOGY | 53 | 314 | $72,927 | $232 | premium | 1.5% | (305) 585-1111 |
| 59 | BANNER PHYSICIAN SPECIALISTS ARIZONA LLC | SUN CITY | IL | PHYSICIAN ASSISTANT | 354 | 311 | $100,453 | $323 | premium | 3.6% | (623) 832-4000 |
| 60 | SOUTHERN DERMATOLOGY PA | RALEIGH | NC | PHYSICIAN ASSISTANT | 51 | 309 | $60,199 | $195 | premium | 5.8% | (919) 782-2152 |
| 61 | HERITAGE DERMATOLOGY PC | BLUFFTON | SC | DERMATOLOGY | 5 | 308 | $57,058 | $185 | premium | 8.1% | (843) 689-5259 |
| 62 | SUTTER VALLEY MEDICAL FOUNDATION | SACRAMENTO | CA | DIAGNOSTIC RADIOLOGY | 2420 | 306 | $133,954 | $438 | premium | 1.5% | (916) 681-8852 |
| 63 | PIEDMONT HEALTHCARE PA | STATESVILLE | NC | PHYSICIAN ASSISTANT | 226 | 306 | $91,756 | $300 | premium | 5.8% | (704) 838-8210 |
| 64 | DERM SURGERY ASSOCIATES P.A. | BELLAIRE | TX | DERMATOLOGY | 22 | 306 | $76,500 | $250 | premium | 3.2% | 7137919966130 |
| 65 | FOREFRONT DERMATOLOGY SC | PENSACOLA | IL | PHYSICIAN ASSISTANT | 639 | 306 | $136,000 | $444 | premium | 3.6% | (800) 243-7546 |
| 66 | SUTTON SKIN AND EYE CLINIC PC | LINCOLN | NE | PHYSICIAN ASSISTANT | 12 | 302 | $101,637 | $337 | premium | 23.5% | (402) 484-9009 |
| 67 | PINNACLE HEALTH MEDICAL SERVICES | HARRISBURG | PA | PHYSICIAN ASSISTANT | 1060 | 298 | $72,116 | $242 | premium | 5.0% | (717) 782-2100 |
| 68 | DIGNITY HEALTH | REDDING | CA | FAMILY PRACTICE | 87 | 298 | $50,944 | $171 | premium | 1.5% | (530) 245-2900 |
| 69 | APPLEGARTH DERMATOLOGY PC | VALPARAISO | IN | DERMATOLOGY | 2 | 295 | $78,990 | $268 | premium | 5.4% | (219) 548-0360 |
| 70 | DAVID DENENHOLZ MD INC | PASADENA | CA | DERMATOLOGY | 4 | 289 | $49,083 | $170 | premium | 1.5% | (626) 449-4207 |
| 71 | EPIPHANY DERMATOLOGY OF IOWA PLC | CEDAR RAPIDS | IA | DERMATOLOGY | 19 | 288 | $64,495 | $224 | premium | 10.5% | (319) 363-9936 |
| 72 | LAWRENCE L. JOHNSON, M.D., S.C. | ST CHARLES | IL | DERMATOLOGY | 2 | 288 | $52,992 | $184 | premium | 3.4% | (630) 232-2885 |
| 73 | MAYO CLINIC JACKSONVILLE | JACKSONVILLE | FL | NURSE PRACTITIONER | 1587 | 287 | $147,669 | $515 | premium | 1.4% | (904) 953-2000 |
| 74 | RONALD C KNIPE MD PA | ORLANDO | FL | DERMATOLOGY | 5 | 285 | $34,377 | $121 | premium | 1.4% | 40758128881036 |
| 75 | EPIPHANY DERMATOLOGY PA | WACO | TX | DERMATOLOGY | 106 | 280 | $99,327 | $355 | premium | 2.9% | (254) 537-1265 |
| 76 | HATTIESBURG CLINIC PA | HATTIESBURG | MS | FAMILY PRACTICE | 530 | 279 | $92,628 | $332 | premium | 15.4% | (601) 264-6000 |
| 77 | MULLICK DERMATOLOGY PLLC | GERMANTOWN | TN | DERMATOLOGY | 2 | 277 | $45,705 | $165 | premium | 5.2% | (901) 572-0005 |
| 78 | ROGERS DERMATOLOGY, P.A. | GREENVILLE | SC | DERMATOLOGY | 3 | 276 | $48,576 | $176 | premium | 7.3% | (864) 272-3300 |
| 79 | SHONDRA L. SMITH, MD | LAKE CHARLES | LA | DERMATOLOGY | 4 | 272 | $61,666 | $227 | premium | 12.8% | — |
| 80 | FOREFRONT DERMATOLOGY SC | PENSACOLA | MI | PHYSICIAN ASSISTANT | 639 | 269 | $122,902 | $457 | premium | 6.9% | (800) 243-7546 |
| 81 | COTTON-O'NEIL CLINIC REVOCABLE TRUST | TOPEKA | KS | NURSE PRACTITIONER | 649 | 267 | $70,258 | $263 | premium | 9.3% | (785) 354-9591 |
| 82 | NORTH SHORE-LIJ MEDICAL PC | MANHASSET | NY | PHYSICIAN ASSISTANT | 6294 | 267 | $182,361 | $683 | premium | 3.8% | — |
| 83 | SKIN SURGERY CENTER, P.S. | SEATTLE | WA | DERMATOLOGY | 5 | 267 | $123,087 | $461 | premium | 5.4% | (206) 346-6647 |
| 84 | STATE UNIVERSITY OF IOWA | IOWA CITY | IA | PHYSICIAN ASSISTANT | 1902 | 264 | $97,937 | $371 | premium | 9.6% | (319) 678-8201 |
| 85 | JOHNS HOPKINS UNIVERSITY | BALTIMORE | MD | NURSE PRACTITIONER | 2900 | 257 | $105,936 | $412 | premium | 5.5% | (410) 502-4340 |
| 86 | DRS POULTON AND SMITH LLC | BALTIMORE | MD | DERMATOLOGY | 2 | 256 | $53,760 | $210 | premium | 5.5% | (410) 574-3100 |
| 87 | SKIN SURGERY CENTER PA | WINSTON SALEM | NC | PHYSICIAN ASSISTANT | 73 | 249 | $85,309 | $343 | premium | 4.7% | (336) 724-2434 |
| 88 | PINNACLE DERMATOLOGY SC | JOLIET | IL | PHYSICIAN ASSISTANT | 144 | 248 | $97,435 | $393 | premium | 2.9% | (815) 744-8554 |
| 89 | DERICK DERMATOLOGY PLLC | BARRINGTON | IL | PHYSICIAN ASSISTANT | 64 | 248 | $71,920 | $290 | premium | 2.9% | (847) 381-8899 |
| 90 | UNIVERSITY OF PENN - MEDICAL GROUP | PHILADELPHIA | PA | PHYSICIAN ASSISTANT | 3505 | 247 | $45,538 | $184 | premium | 4.2% | (215) 662-2777 |
| 91 | LOUIS KUCHNIR MD PC | MARLBOROUGH | MA | DERMATOLOGY | 17 | 245 | $127,230 | $519 | premium | 4.2% | 5084857779857779 |
| 92 | DERMATOLOGY ASSOCIATES OF OAK RIDGE,PC | OAK RIDGE | TN | PHYSICIAN ASSISTANT | 10 | 239 | $36,050 | $151 | premium | 4.5% | 86548221297177 |
| 93 | PALM BEACH DERMATOLOGY | LAKE WORTH | FL | DERMATOLOGY | 19 | 237 | $40,527 | $171 | premium | 1.1% | (561) 969-7300 |
| 94 | ADVANCED DERMATOLOGY CARE INC | SAN RAMON | CA | PHYSICIAN ASSISTANT | 8 | 237 | $63,990 | $270 | premium | 1.2% | — |
| 95 | MARYLAND SKIN CARE CENTERS LLC | ELKTON | MD | PHYSICIAN ASSISTANT | 3 | 236 | $40,120 | $170 | premium | 5.1% | (443) 485-6614 |
| 96 | MCCAGH AND HERRING MD PA | CUMBERLAND | MD | DERMATOLOGY | 5 | 235 | $60,985 | $260 | premium | 5.0% | (301) 777-7900 |
| 97 | WATSON CLINIC LLP | LAKELAND | FL | NURSE PRACTITIONER | 363 | 233 | $72,230 | $310 | premium | 1.1% | (863) 680-7780 |
| 98 | MIDWEST CENTER FOR DERMATOLOGY AND PATHOLOGY PLLC | CLINTON TOWNSHIP | MI | PHYSICIAN ASSISTANT | 50 | 233 | $55,023 | $236 | premium | 6.0% | (586) 286-0112 |
| 99 | DERMATOLOGY ASSOCIATES OF LAGRANGE SC | LA GRANGE HIGHLANDS | IL | DERMATOLOGY | 19 | 232 | $77,720 | $335 | premium | 2.7% | (708) 482-3213 |
| 100 | WEILL MEDICAL COLLEGE OF CORNELL | NEW YORK | NY | INTERNAL MEDICINE | 2053 | 231 | $101,905 | $441 | premium | 3.3% | (212) 746-5454 |
Showing the top 100 of 1,975 groups — the full ranking is part of the market analytics platform — built, not launched yet. Notify me at launch →
*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.
Comparing against an all-payer estimate?
These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →