Active NPI 1124012596 Individual Practitioner Male Practitioner

Brian Keith Bonomo , PA-C

Physician Assistant • Lecanto, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Brian Bonomo, PA-C is a certified Physician Assistant practicing in Lecanto, FL. With approximately 26 years of clinical experience since completing medical education in 2000, Brian Bonomo delivers high-quality medical care to the local community at 525 N DACIE PT.

Brian Bonomo is affiliated with Suncoast Skin Solutions and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

525 N Dacie Pt

Lecanto, FL 344618399

Telephone 3527462200

Fax 3527469320

Associated Practice Facility / Clinic

🏢 Suncoast Dermatology And Skin Surgery Center, Pa Facility NPI 1902890239

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lecanto, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +13.5 yrs vs City Avg

City Avg: 12.5 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

20 Specialists

Practicing in Lecanto, FL (10376 Statewide)

Telehealth Adoption Rate

5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bonomo (26 Years) 26 Yrs

Lecanto Specialty Average (12.5 Years) 12.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,050	754	$12.64	$5.28
99213 Established patient office or other outpatient visit, typically 15 minutes	2,603	1,730	$178.92	$74.98
17000 Destruction of skin growth	1,586	1,066	$131.75	$44.65
11102 Tangential biopsy of single skin lesion	956	752	$193.45	$78.21
77401 Radiation treatment delivery, superficial	721	98	$78.25	$38.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	620	476	$252.83	$105.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	243	219	$110.81	$46.36
17110 Destruction of up to 14 skin growths	202	186	$219.01	$87.98
11103 Biopsy of related skin growth, each additional growth	171	139	$97.07	$40.43
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	141	74	$506.59	$212.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$220.66	$92.73
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	68	64	$234.90	$95.51
69100 Biopsy of ear	56	51	$185.29	$69.33
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	49	43	$348.11	$138.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$332.34	$139.34
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	44	37	$789.44	$388.54
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	43	42	$264.81	$109.73
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	42	38	$847.23	$354.41
17004 Destruction of precancer skin growth, 15 or more growths	42	32	$325.25	$131.10
77300 Calculation of radiation therapy dose	42	38	$127.33	$53.25
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	39	38	$265.21	$109.69
96573 Application of light by qualified health care professional to destroy precancer skin growth	35	31	$425.77	$178.60
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$141.84	$59.52
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	32	32	$223.34	$89.22
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	30	28	$769.43	$322.46
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	13	$27.83	$11.66
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	28	28	$236.45	$95.73
10060 Simple or single drainage of skin abscess	27	26	$247.62	$104.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	19	18	$1.95	$0.96
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	19	$300.80	$126.23
11900 Injection into skin growth, 1-7 growths	19	18	$111.96	$41.96
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	16	$476.02	$99.54
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	17	16	$202.81	$77.59
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	12	12	$192.79	$70.71
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$268.24	$107.87
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$335.75	$70.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,987	731	$12.89	$5.40
99213 Established patient office or other outpatient visit, typically 15 minutes	2,850	1,853	$179.36	$75.15
17000 Destruction of skin growth	1,555	1,055	$132.52	$46.30
11102 Tangential biopsy of single skin lesion	825	672	$199.33	$80.83
77401 Radiation treatment delivery, superficial	357	74	$78.70	$38.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	262	$253.98	$106.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	291	260	$111.91	$46.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	170	170	$224.38	$94.20
11103 Biopsy of related skin growth, each additional growth	159	116	$99.09	$41.48
17110 Destruction of up to 14 skin growths	159	147	$222.35	$87.60
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	101	54	$518.70	$216.92
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	86	85	$240.87	$98.76
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	63	43	$781.99	$384.74
77300 Calculation of radiation therapy dose	63	55	$129.56	$54.27
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	63	54	$870.71	$364.90
69100 Biopsy of ear	56	53	$191.52	$69.48
17004 Destruction of precancer skin growth, 15 or more growths	53	38	$334.15	$140.14
96573 Application of light by qualified health care professional to destroy precancer skin growth	50	39	$441.57	$184.99
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	47	35	$2.14	$1.05
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	44	40	$354.14	$139.86
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	43	43	$270.95	$112.34
11900 Injection into skin growth, 1-7 growths	42	36	$113.14	$42.85
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	33	32	$271.00	$110.06
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	33	31	$230.34	$92.01
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	28	27	$242.87	$98.15
10060 Simple or single drainage of skin abscess	27	25	$248.21	$104.05
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	27	25	$787.60	$324.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$333.26	$139.51
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$143.52	$60.30
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	19	18	$199.18	$76.74
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	17	$483.41	$101.52
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	12	12	$291.39	$117.15
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	12	12	$208.26	$76.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,969	775	$12.16	$5.53
99213 Established patient office or other outpatient visit, typically 15 minutes	2,969	1,996	$131.52	$76.46
17000 Destruction of skin growth	1,585	1,130	$104.26	$46.10
11102 Tangential biopsy of single skin lesion	922	727	$148.12	$81.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	461	377	$93.13	$47.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	177	$162.15	$107.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	189	189	$151.89	$95.31
11103 Biopsy of related skin growth, each additional growth	181	139	$78.10	$42.80
17110 Destruction of up to 14 skin growths	163	151	$155.04	$87.65
77300 Calculation of radiation therapy dose	131	102	$94.04	$53.83
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	131	118	$144.80	$92.79
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	126	98	$632.33	$375.22
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	73	68	$161.60	$109.04
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	66	61	$144.83	$98.26
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	63	61	$163.72	$113.11
69100 Biopsy of ear	59	55	$145.46	$64.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	56	39	$6.83	$1.13
11900 Injection into skin growth, 1-7 growths	49	43	$86.15	$38.03
17004 Destruction of precancer skin growth, 15 or more growths	44	31	$241.81	$140.72
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	41	39	$247.56	$148.17
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	36	36	$200.15	$131.17
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	33	33	$143.93	$93.85
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	31	23	$536.94	$388.19
10060 Simple or single drainage of skin abscess	29	29	$155.05	$103.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	12	$20.90	$11.93
96573 Application of light by qualified health care professional to destroy precancer skin growth	25	21	$300.40	$191.50
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$106.79	$61.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$237.65	$142.17
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	20	$175.62	$113.30
11104 Punch biopsy, first skin growth	15	15	$163.72	$106.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,467	832	$11.99	$5.36
99213 Established patient office or other outpatient visit, typically 15 minutes	3,186	2,128	$124.24	$77.60
17000 Destruction of skin growth	1,710	1,199	$99.98	$44.22
11102 Tangential biopsy of single skin lesion	1,006	813	$140.00	$81.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	438	351	$89.54	$47.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	276	227	$154.62	$109.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	171	171	$144.81	$95.89
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	170	148	$140.00	$95.32
11103 Biopsy of related skin growth, each additional growth	164	127	$75.00	$44.45
17110 Destruction of up to 14 skin growths	152	137	$150.00	$86.59
77300 Calculation of radiation therapy dose	111	91	$90.00	$55.31
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	106	96	$155.00	$114.16
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	103	85	$600.00	$404.06
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	71	69	$160.00	$114.86
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	70	68	$140.00	$98.76
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	63	53	$7.00	$1.26
11900 Injection into skin growth, 1-7 growths	61	55	$85.00	$37.48
69100 Biopsy of ear	55	52	$140.00	$69.36
10060 Simple or single drainage of skin abscess	48	46	$140.00	$101.65
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	45	42	$135.00	$91.08
17004 Destruction of precancer skin growth, 15 or more growths	44	34	$235.00	$139.46
11200 Removal of skin tag, 1-15 skin tags	38	37	$125.00	$59.04
96573 Application of light by qualified health care professional to destroy precancer skin growth	37	32	$240.00	$193.32
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	36	35	$190.00	$135.30
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	36	34	$225.00	$142.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$220.00	$143.72
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	26	21	$450.00	$389.52
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$105.00	$62.05
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	21	20	$120.00	$69.79
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	18	18	$120.00	$83.32
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	17	$170.00	$119.03
11303 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs	16	16	$185.00	$132.29
11104 Punch biopsy, first skin growth	13	12	$150.00	$109.22
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$260.00	$168.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,272	840	$12.00	$4.98
99213 Established patient office or other outpatient visit, typically 15 minutes	3,005	2,113	$100.00	$63.67
17000 Destruction of skin growth	1,690	1,196	$99.98	$43.79
11102 Tangential biopsy of single skin lesion	998	815	$140.00	$79.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	895	590	$70.06	$38.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	317	299	$140.00	$92.51
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	209	183	$140.00	$93.10
11103 Biopsy of related skin growth, each additional growth	202	154	$75.00	$44.81
99202 New patient office or other outpatient visit, typically 20 minutes	158	158	$104.75	$64.71
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	121	115	$155.00	$109.27
17110 Destruction of up to 14 skin growths	117	108	$150.00	$85.58
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	106	102	$160.00	$114.59
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	102	41	$290.00	$227.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	100	100	$145.00	$91.24
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	84	69	$600.00	$410.83
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	84	77	$140.00	$97.11
77300 Calculation of radiation therapy dose	82	68	$90.00	$55.80
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	54	48	$7.00	$1.44
17004 Destruction of precancer skin growth, 15 or more growths	53	40	$235.00	$133.49
11900 Injection into skin growth, 1-7 growths	51	46	$85.00	$39.90
69100 Biopsy of ear	49	46	$140.00	$70.56
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	45	45	$135.00	$88.97
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	41	38	$190.00	$133.93
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	38	38	$225.00	$147.89
10060 Simple or single drainage of skin abscess	36	33	$140.00	$100.53
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	33	31	$170.00	$116.14
96573 Application of light by qualified health care professional to destroy precancer skin growth	32	32	$240.00	$175.77
99201 New patient office or other outpatient visit, typically 10 minutes	32	32	$65.00	$38.83
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	29	28	$120.00	$72.29
11104 Punch biopsy, first skin growth	28	25	$150.00	$105.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	17	$20.19	$11.98
11303 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs	18	17	$185.00	$123.48
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	18	$255.00	$159.60
11200 Removal of skin tag, 1-15 skin tags	15	15	$125.00	$60.64
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	14	14	$10.00	$7.15
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	13	13	$120.00	$85.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,600	928	$19.00	$4.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	4,109	2,492	$70.00	$38.03
17000 Destruction of skin growth	1,975	1,383	$120.00	$46.31
99213 Established patient office or other outpatient visit, typically 15 minutes	1,012	850	$105.00	$62.94
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	392	79	$285.00	$229.16
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	381	329	$168.00	$111.65
99202 New patient office or other outpatient visit, typically 20 minutes	337	337	$106.88	$64.84
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	314	296	$160.00	$106.74
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	285	261	$145.00	$90.69
11102 Tangential biopsy of single skin lesion	239	222	$150.00	$74.45
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	174	169	$192.00	$133.18
17110 Destruction of up to 14 skin growths	146	137	$162.00	$82.23
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	129	123	$146.00	$92.91
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	127	117	$170.00	$118.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	117	117	$157.00	$92.46
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	60	57	$134.87	$86.73
11900 Injection into skin growth, 1-7 growths	49	46	$84.00	$44.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	47	44	$7.45	$1.59
11200 Removal of skin tag, 1-15 skin tags	45	42	$127.00	$61.98
11303 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs	41	41	$197.00	$129.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$155.00	$92.30
77300 Calculation of radiation therapy dose	37	32	$80.00	$56.28
17004 Destruction of precancer skin growth, 15 or more growths	36	29	$275.00	$129.55
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	35	32	$600.00	$422.26
10061 Complicated or multiple drainage of skin abscess	25	25	$279.00	$177.83
11103 Biopsy of related skin growth, each additional growth	20	13	$75.00	$45.03
11308 Shaving of skin growth of scalp, neck, hands, feet, or genitals, more than 2.0 cm	19	19	$190.00	$130.03
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	19	19	$261.00	$150.72
96573 Application of light by qualified health care professional to destroy precancer skin growth	19	17	$250.00	$166.57
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	16	14	$115.00	$64.36
11104 Punch biopsy, first skin growth	16	16	$175.00	$104.87
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	15	15	$10.00	$6.79
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$369.00	$212.51
11313 Shaving of over 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth	13	13	$233.00	$159.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,251	997	$19.00	$4.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	4,702	2,730	$70.02	$36.75
17000 Destruction of skin growth	2,062	1,418	$120.00	$46.28
99213 Established patient office or other outpatient visit, typically 15 minutes	733	624	$105.07	$61.15
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	412	367	$168.00	$113.35
99202 New patient office or other outpatient visit, typically 20 minutes	391	391	$107.00	$63.16
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	372	326	$145.00	$89.65
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	295	276	$160.00	$84.12
11100 Biopsy of single growth of skin and/or tissue	248	232	$154.00	$79.54
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area	190	59	$285.00	$230.25
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	185	179	$192.00	$133.81
17110 Destruction of up to 14 skin growths	164	154	$162.00	$78.67
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	140	136	$146.00	$92.70
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	140	128	$170.00	$117.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$157.00	$91.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	87	64	$7.00	$1.78
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	74	68	$134.89	$85.52
11900 Injection into skin growth, 1-7 growths	72	62	$84.00	$43.63
17004 Destruction of precancer skin growth, 15 or more growths	48	39	$275.00	$122.41
11303 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs	38	37	$197.00	$129.96
77300 Calculation of radiation therapy dose	37	31	$80.00	$56.15
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	36	30	$600.00	$432.34
11200 Removal of skin tag, 1-15 skin tags	36	34	$127.00	$63.04
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	34	34	$115.00	$66.37
10061 Complicated or multiple drainage of skin abscess	26	24	$279.00	$169.78
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	22	$261.00	$142.04
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	20	$369.00	$210.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$155.00	$90.68
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	20	20	$10.00	$7.10
96573 Application of light by qualified health care professional to destroy precancer skin growth	16	15	$250.00	$154.99
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	16	16	$118.00	$67.43
11101 Biopsy of each additional growth of skin and/or tissue	16	16	$70.00	$28.00
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	12	$383.00	$210.13
11308 Shaving of skin growth of scalp, neck, hands, feet, or genitals, more than 2.0 cm	11	11	$190.00	$127.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,894	989	$19.00	$4.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	4,164	2,477	$70.01	$36.45
17000 Destruction of skin growth	2,068	1,431	$120.00	$46.65
99213 Established patient office or other outpatient visit, typically 15 minutes	1,420	1,171	$105.00	$61.36
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	381	336	$167.99	$112.81
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	355	309	$144.98	$92.72
99202 New patient office or other outpatient visit, typically 20 minutes	314	314	$107.00	$62.94
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	273	240	$160.00	$81.46
17110 Destruction of up to 14 skin growths	212	189	$162.00	$80.26
11100 Biopsy of single growth of skin and/or tissue	210	200	$154.00	$78.69
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	159	152	$192.00	$132.18
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	118	107	$170.00	$115.69
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	113	110	$148.42	$96.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$157.00	$91.39
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	78	69	$7.00	$1.80
11900 Injection into skin growth, 1-7 growths	73	66	$84.00	$39.23
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	66	63	$135.00	$84.57
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	45	41	$115.00	$67.19
17004 Destruction of precancer skin growth, 15 or more growths	44	35	$275.00	$126.40
11303 Shaving of over 2.0 centimeters skin growth of the trunk, arms, or legs	40	40	$197.00	$129.82
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved	36	31	$600.00	$423.15
77300 Calculation of radiation therapy dose	35	31	$80.00	$55.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	32	$155.00	$90.50
10061 Complicated or multiple drainage of skin abscess	23	23	$279.00	$174.99
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	20	$261.00	$147.15
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	16	$369.00	$209.52
11200 Removal of skin tag, 1-15 skin tags	16	16	$127.00	$51.31
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	13	13	$10.00	$6.78
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$282.00	$157.03

Medical Specialties & State Licenses

CMS Verified: 2022-11-12

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9101264

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

290989800 (FL)

Commercial Insurance / Payer ID Srrga

970015048 (FL)

Hospital & Practice Group Affiliations

Suncoast Skin Solutions

525 N Dacie Pt, Lecanto, FL 344618399

Phone: 8133211786

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. William Welton , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1043204365

Doctor of Medicine (M.D.)

Dr. Margaret Collins , MD

Dermatology

NPI 1073507455

Doctor of Medicine (M.D.)

Dr. Ralph Massullo , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1104810563

Doctor of Medicine (M.D.)

Ashton Wester , ARNP

Nurse Practitioner

NPI 1114461274

Advanced Registered Nurse Practitioner

Jason Sirel , APRN

Nurse Practitioner - Gerontology

NPI 1114643152

Advanced Practice Registered Nurse

Nancy Hindalong , APRN

Nurse Practitioner

NPI 1164075560

Advanced Practice Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address November 12, 2022

Registered at 4651 VAN DYKE RD, LUTZ, FL 335584880 (Tel: 8133211786)

✅

NPI Profile Active May 22, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 22, 2008

Registered at 525 N DACIE PT, LECANTO, FL 344618399 (Tel: 3527462200)

📍

Updated Business Mailing Address May 22, 2008

Registered at 525 N DACIE PT, LECANTO, FL 344618399 (Tel: 3527462200)

👤

Provider Name / Credentials Updated May 22, 2008

Recorded as BRIAN BONOMO, PAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2008

Physician Assistant (License #PA9101264 in FL)

🟢

Initial NPI Registration & Enumeration August 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124012596

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2005

Last Update: November 12, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4651 Van Dyke Rd

Lutz, FL 335584880

Phone: 8133211786

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.