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

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

Clemencia Rasquinha (NPI 1023021409)

Field	Value
Entity Type	Individual
Organization	Clemencia Rasquinha
Address	1415 Lilac Dr N Ste 190
City	Golden Valley
State	MN
ZIP	55422
Taxonomy	Geriatric Medicine (Family Medicine) Physician
NPI Enumerated	August 15, 2006

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

This provider’s Medicare revenue is concentrated and substantial relative to Medicaid: total Medicare revenue is $2.5M while there is no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in operational scale and reimbursement exposure. The absence of any Medicaid billing suggests limited interaction with state programs and may constrain payer diversification or networks that emphasize Medicaid populations.

Revenue is extremely concentrated in a handful of CPT/HCPCS codes: the precomputed top 3 Medicare codes by revenue account for 99.3% of the provider’s total Medicare revenue, driven primarily by Q4217 ($2.4M, 98.0% of Medicare revenue), followed by 15271 ($16.8K, 0.7%) and 99308 ($14.6K, 0.6%). This concentration indicates that a single procedure/category dominates financial performance and that small shifts in utilization or reimbursement for those codes would materially affect overall revenue.

The code mix points to an advanced wound-care and skin‑substitute focus within a geriatric medicine scope: Q4217 (woundfix/biowound products billed per cm2) and 15271 (skin substitute for wounds up to 100 cm2) together drive nearly all Medicare revenue, suggesting the practice primarily bills for biologic wound products and associated wound procedures rather than office‑based E/M as the revenue engine. That clinical emphasis is consistent with the provider’s taxonomy in Geriatric Medicine (Family Medicine) and implies a service line built around wound care supply and management.

Clinical service settings include nursing facility and home visits but these are modest revenue contributors: multiple E/M SNF and home/residence visit codes appear in the top code list (for example, 99308 with 275 claims and $14.6K revenue, and 99350 with 35 claims and $5K revenue), yet these codes together represent only a small share of total Medicare dollars. The presence of these codes indicates direct care in post‑acute and home settings, but the financial profile shows that E/M services are ancillary to the wound product billing stream.

Competitive standing is mixed: the primary revenue code Q4217 ranks #23 of 65 providers nationally (66th percentile; typical, unremarkable volume for this code), so the provider is not a national outlier or dominant actor for that code despite the large dollar amount it brings in. Similarly, 15271 ranks #194 of 1157 (83th percentile; typical, unremarkable volume) and 99308 ranks #9263 of 25763 (64th percentile; typical, unremarkable volume), which together suggest modest national presence by volume even though one code produces concentrated revenue.

Operational and reimbursement risk is elevated by the reliance on a single high‑revenue add‑on product code: Q4217 alone accounts for $2.4M and 98.0% of Medicare revenue, so changes in coverage policy, product availability, or payer scrutiny for that code could materially reduce income. Coupled with no Medicaid billing on file, the practice has limited immediate payer hedges to offset such shocks.

The provider shows long tenure in Medicare billing, with an NPI enumerated on 2006-08-15 (~20 years ago), which suggests established referral channels and experience in the geriatric/wound‑care niche; however, long tenure does not offset the business concentration risks identified above. Historical presence may aid contract negotiations or relationships with post‑acute sites, but it does not diversify revenue across payers or services.

E/M and home health certification codes appear at low volume and low revenue per claim (for example, G0180 with 24 claims and $816 revenue, and G0179 with 24 claims and $696 revenue), reinforcing that administrative and certification activities are a minor portion of billed revenue. For analysts, this indicates that operational workflows likely center on product utilization and wound procedures rather than E/M billing intensity or high‑volume office visits.

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	2,150	$1,140	$2.4M
15271	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.	140	$120	$16.8K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	280	$50	$14.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	80	$70	$5.6K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	40	$140	$5K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	30	$100	$3.5K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	20	$70	$1.4K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	40	$30	$1K
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review…	20	$30	$820
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…	20	$30	$700

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Clemencia Rasquinha — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4217	1	10	2,150	$1,140	$2.4M
99349	312	340	80	$80	$16.2K
99310	256	340	70	$100	$12.2K
99309	265	540	80	$70	$10.5K
99350	123	200	50	$120	$10K
15271	3	10	70	$100	$9.4K
99308	14	310	40	$50	$3.9K
99307	24	60	30	$30	$1.4K
G0180	67	310	20	$40	$860
G0179	22	50	20	$30	$740

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kirk Mitchell	CO	Geriatric Medicine (Internal Medicine) Physician	$27.1M	$1M
Meadows Family Medical Center Inc	CO	Family Medicine Physician	$0	$4.7M
Elizabeth Chen	CO	Physician Assistant	$1.9M	$0
Shannon Johnstad	CO	Physician Assistant	$1.2M	$0
Craig Shapiro	CO	Pulmonary Disease Physician	$336.4K	$0
Ruth Cano	CO	Internal Medicine Physician	$262.9K	$0
Haley Harkendorff	CO	Physician Assistant	$195K	$0
Jameel Chohan	CO	General Practice Physician	$191.3K	$0
David Greenberg	CO	Hospice and Palliative Medicine (Family Medicine) Physician	$178.1K	$0
Abdel Marques	CO	Internal Medicine Physician	$172.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Memorial Health Care	MN	General Acute Care Hospital	$0	$32.5M
Restart, Inc	MN	Adult Care Home Facility	$0	$13.9M
Twin Cities Physicians Professional Corporation	MN	Multi-Specialty Clinic/Center	$0	$11.4M
Dose Health LLC	MN	Emergency Response System Companies	$0	$10.6M
Bio-medical Applications Of Minnesota, Inc.	MN	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.2M
Cld - Robbinsdale Mn, LLC	MN	Dental Clinic/Center	$0	$6.8M
Driving Miss Daisy, Inc.	MN	Non-emergency Medical Transport (VAN)	$0	$5.7M
North Memorial Health Care	MN	Hospitalist Physician	$0	$5.6M
Minneapolis Clinic Of Neurology, Ltd	MN	Neurology Physician	$0	$5M
Jessica Stulc	MN	Neurology Physician	$1.9M	$0

Clemencia Rasquinha — 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