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    OpenPayerNPI Medicare & MedicaidStephen Dubin
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    Stephen Dubin — Billing Profile & Reimbursement Data

    NPI 1023311040 · Las Vegas, NV · Family Medicine Physician

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    Stephen Dubin is a family medicine physician provider located in Las Vegas, Nevada. 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
    OrganizationStephen Dubin
    Address9010 W Cheyenne Ave
    CityLas Vegas
    StateNV
    ZIP89129
    TaxonomyFamily Medicine Physician
    NPI EnumeratedDecember 14, 2010

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

    Payer SourceTotal Paid
    Medicare$33.2M
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer: total Medicare revenue is $33.2M and there is no Medicaid billing on file, so Medicare accounts for virtually the entirety of reported public-payer activity. Precomputed analysis shows the top 3 Medicare codes by revenue account for 98.2% of this provider’s total Medicare revenue, indicating extreme concentration in a narrow set of services.

    Revenue is dominated by two product-based Q‑codes: Q4262 (23.7K claims, $977 avg paid/claim, $23.2M) and Q4253 (10.9K claims, $851 avg paid/claim, $9.3M). These two codes alone represent the largest single components of the $33.2M Medicare total (Q4262 at 69.8% and Q4253 at 28.0%), and the coding mix — high-volume per‑cm supply codes for amniotic/dual-layer membranes and related skin substitute products — points to a wound‑care or advanced biologic/skin substitute service line as the core business activity.

    The practice shows a highly concentrated revenue profile that creates operational and reimbursement exposure: with the top 3 codes accounting for 98.2% of Medicare revenue, changes to coverage, pricing, or utilization policy for these skin‑substitute/Q‑code products would materially affect overall revenue. That concentration also means growth or contraction is likely to track changes in product use rather than general primary care visit volume.

    Competitive standing is uneven across codes: for Q4253 the provider ranks #3 of 73 nationally (97th percentile; notably above typical national volume for this code), indicating a nationally high-volume operator for that specific amniotic product. By contrast, Q4262 ranks #8 of 141 (95th percentile; typical, unremarkable volume for this code), which is high in rank but characterized in the source as typical for that code. The skin‑graft code 15271 ranks #2 of 1157 (100th percentile; extreme outlier, far above typical national volume for this code), marking another area of outsized activity versus peers.

    Beyond product supply, the provider also bills significant home‑health and home‑visit services: 99350 shows 1.1K claims ($154.9K revenue, 0.5%) and G0181 shows 1.2K claims ($97.7K revenue, 0.3%), with additional home‑health recertification and certification codes (G0179, G0180) also present. This mix suggests the practice pairs in‑person or supply‑based wound treatments with active home‑health oversight and home visit management, supporting a care model that includes both product application and longitudinal home‑based surveillance.

    Several individual codes are flagged as statistical outliers or notably above peer volume, which is relevant for payer benchmarking and utilization review: 15271 is an "extreme outlier, far above typical national volume for this code," and multiple home‑health supervision codes (G0180, G0179, G0181) are described as "notably above typical national volume for this code." These labels indicate the provider’s patterns deviate from most peers and will stand out in comparative analytics.

    The provider has a longstanding national enrollment: NPI enumerated 2010-12-14 (~16 years ago), indicating an established billing history. That tenure, combined with concentrated, high-volume use of a small set of specialized wound‑care product codes, paints a picture of an established specialty operation that has scaled a specific supply-driven service line over multiple years.

    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
    Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)23,720$980$23.2M
    Q4253Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)10,920$850$9.3M
    15271The 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 cm2.1,340$120$157.1K
    99350The 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…1,080$140$154.9K
    A2014Omeza collagen matrix or omeza complete matrix, per 100 mg1,780$70$129.6K
    G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and…1,220$80$97.7K
    97610The provider uses a low–frequency ultrasound device to try to improve wound healing.180$350$63K
    99349The 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…330$100$33.1K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.520$50$27.1K
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…150$150$23.1K

    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
    Q42621101,300$980$3.6M
    Q42532101,520$690$2.9M
    A20141101,780$70$130.5K
    97610610180$310$98.4K
    993504100100$120$33.9K
    G0181360150$80$24.9K
    9934938150100$80$23.3K
    1527114080$110$17.8K
    11043123060$140$13.2K
    110427120120$70$11.6K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jacqueline WalkerNVNurse Practitioner$3.4M$0
    Medtrans Medical Nevada Casal PLLCNVCommunity Health Clinic/Center$0$2.1M
    Audra OmwangheNVPsychiatric/Mental Health Nurse Practitioner$437.1K$1.3K
    Alice KimNVPsychiatric/Mental Health Nurse Practitioner$231.7K$0
    Maria Pilar FaylonaNVFamily Medicine Physician$89.4K$100.9K
    Judith BernardoNVNurse Practitioner$187.4K$0
    Ruel MarianoNVPrimary Care Nurse Practitioner$55.8K$0
    Jared TalanconNVPhysician Assistant$50.7K$0
    Angelica VillahermosaNVFamily Nurse Practitioner$48.6K$0
    Reynante VillahermosaNVFamily Nurse Practitioner$44.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southern Nevada Specialty Prada, PLLCNVPediatric Dentistry$0$35.5M
    Everyday MiraclesNVAttendant Care Provider$0$10.8M
    Sherman Dialysis LLCNVEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$5.3M
    Carla Lalande Dmd Msd PCNVDental Clinic/Center$0$4.9M
    Healing Touch Home Care LLCNVIn Home Supportive Care Agency$0$4.1M
    Frontier Dialysis, LLCNVEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.3M
    Nephrology & Endocrine Associates IncNVAmbulatory Surgical Clinic/Center$1.7M$1.4M
    Southwest Healthcare Solutions, LLCNVHome Health Agency$0$2.7M
    Dana Forte D O LtdNVFamily Medicine Physician$0$2.2M
    Woodward Ave., LLCNVAmbulatory Surgical Clinic/Center$1.8M$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. Nevada Distribution
    Stephen Dubin — 6 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada