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

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

Justin Curtis (NPI 1114456225)

Field	Value
Entity Type	Individual
Organization	Justin Curtis
Address	1266 Escalante Dr
City	Durango
State	CO
ZIP	81303
Taxonomy	Podiatrist
NPI Enumerated	June 12, 2017

Payer Source	Total Paid
Medicare	$7.7M
Medicaid	$0

Key Findings

This provider is effectively single-payer in scope: lifetime Medicare revenue is $7.7M and there is no Medicaid billing on file, so all recorded public-payor activity for this NPI is concentrated in Medicare. The absence of any Medicaid claims means state-level Medicaid competitive comparisons are not applicable for this provider.

Revenue is highly concentrated in three per‑square‑centimeter skin/amnion product add‑on codes: Q4262 ($4.6M, 59.3% of Medicare revenue), Q4276 ($1.6M, 21.0%), and Q4253 ($1.4M, 17.9%), and the precomputed summary shows these top 3 codes account for 98.1% of this provider's total Medicare revenue. This concentration indicates the provider’s Medicare business is overwhelmingly driven by high-volume billing for amniotic/skin‑substitute products rather than a broad mix of procedure or evaluation codes.

The CPT/HCPCS mix and code descriptions point to an advanced wound‑care/service‑line focus: Q4262, Q4276, and Q4253 are per‑cm2 add‑on codes for dual‑layer/Orion/Zenith amniotic membranes, reflecting frequent use of commercial amniotic/placental products in wound management. Traditional podiatry E/M and nail procedures (e.g., 99213, 11721, 11755, 11750) are present but together represent a small share of revenue, suggesting the practice’s economics are product‑driven rather than visit‑driven.

Competitive standing on the largest revenue code is moderate: Q4262 ranks #29 of 141 providers nationally and is in the 80th percentile (labeled “typical, unremarkable volume”), indicating the provider bills more of this product than many peers but is not a dominant national outlier. By contrast, Q4276 is ranked #7 of 10 providers nationally (33th percentile, typical) — a small comparator population — and Q4253 is #33 of 73 (56th percentile, typical), so the provider’s position varies across specific product brands and is strongest on Q4262 by absolute revenue.

Although evaluation-and-management visits are a minor share of revenue, the provider’s relative E/M activity is noteworthy: 99213 generated $38.1K (0.5% of Medicare revenue) but ranks #18598 of 457151 providers nationally (96th percentile, described as “notably above typical national volume”). This pattern—high relative visit volume paired with a very large product-driven revenue stream—suggests the practice pairs frequent clinic encounters with substantial per‑encounter use or billing of advanced skin substitutes.

There are important statistical outliers worth flagging for utilization review and contract negotiation: 15275 is an “extreme outlier” (rank #13 of 888, 99th percentile) despite producing only $49.3K (0.6% of Medicare revenue), and J1100 shows $0 revenue and a 0th‑percentile rank. These mixed signals—very high percentile ranks for some low-dollar codes and zero revenue on an injectable code—are consistent with a narrow, product‑focused billing pattern and may merit targeted reconciliation of supply sourcing, coding practices, and payer reimbursement terms.

The provider has an established billing history under this NPI dating to 2017-06-12 (~9 years ago), giving analysts nearly a decade of Medicare claims activity to evaluate product utilization trends, payer arrangements, and the sustainability of a highly concentrated revenue model driven by amniotic/skin‑substitute codes.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	4,340	$1,050	$4.6M
Q4276	Orion, per square centimeter (add-on, list separately in addition to primary procedure)	1,380	$1,170	$1.6M
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	1,790	$770	$1.4M
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	410	$120	$49.3K
99213	The 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…	610	$60	$38.1K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	630	$30	$17.1K
11755	This procedural code is used when the physician biopsies the nail plate, bed, hyponychium, proximal nail folds, or lateral nail folds. Each one is a separate procedure.	160	$80	$13.4K
99203	The provider sees a new 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 provider…	120	$70	$8.4K
11750	The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.	70	$90	$6.2K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	20	$180	$4.2K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Justin Curtis — 4 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	3	10	1,500	$970	$4.8M
Q4253	6	10	3,440	$520	$3.5M
Q4276	1	10	1,380	$1,170	$1.6M
11043	21	20	60	$160	$19.8K
15275	1	10	90	$110	$11.4K
99308	197	250	80	$50	$8.4K
11042	102	130	80	$70	$8.3K
99223	1,554	1,900	30	$130	$6.7K
11721	9	140	130	$30	$6.6K
99213	126	7,200	70	$60	$6.6K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Hugentobler	CO	Foot & Ankle Surgery Podiatrist	$1.9M	$0
Victoria Knauf	CO	Foot & Ankle Surgery Podiatrist	$1.7M	$0
Kayse Lake	CO	Podiatrist	$1.3M	$790

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Connections Inc.	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$21.5M
Southwest Colorado Mental Health Center, Inc	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.5M
Sara Haug	CO	Retina Specialist (Ophthalmology) Physician	$3.9M	$0
Moss Fenberg	CO	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Durango Fire Protection District	CO	Land Ambulance	$434.9K	$1.7M
Grant Gebhard	CO	Ophthalmology Physician	$706.5K	$0
Mark Gaughan	CO	Dermatology Physician	$480.5K	$0
Carmen Julian	CO	Dermatology Physician	$420.6K	$0
Kristin Pogue	CO	Physician Assistant	$191K	$0
Janelle Stewart	CO	Physician Assistant	$138.5K	$0

Justin Curtis — Billing Profile & Reimbursement Data

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Justin Curtis — 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