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

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

Erica Huston (NPI 1154034247)

Field	Value
Entity Type	Individual
Organization	Erica Huston
Address	1108 Belmont Pl
City	Metairie
State	LA
ZIP	70001
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 4, 2023

Payer Source	Total Paid
Medicare	$990K
Medicaid	$0

Key Findings

This provider’s payer mix is effectively single-payer: Total Medicare revenue is $990K while there is no Medicaid billing on file. The absence of any Medicaid claims means Medicare dominates the provider’s current billing volume and revenue base.

Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 97.6% of this provider’s total Medicare revenue. In particular Q4236 generates $940.8K (95.0% of Medicare revenue), making it the clear revenue driver for the practice.

The code mix indicates a wound-care and procedural supply orientation: the dominant code Q4236 (Carepatch, per square centimeter) plus procedural debridement codes 11043 and 11042 and skin substitute codes 15275/15271 point to a practice model focused on wound management, patch/graft application, and related minor operative procedures. This pattern is consistent with a Family Nurse Practitioner delivering point-of-care wound services and billable wound products.

Despite Q4236 accounting for 95.0% of the provider’s Medicare revenue, the provider’s national standing on that code is modest: Q4236 ranks #55 of 79 providers nationally (31th percentile; typical, unremarkable volume for this code). In other words, the provider is highly dependent on a single revenue source that, relative to national peers, does not reflect a dominant market position.

For ancillary procedure codes the provider shows mixed competitive standing: 11043 ranks #887 of 2062 providers (57th percentile; typical, unremarkable volume) and 11042 ranks #2924 of 10712 providers (73th percentile; typical, unremarkable volume), while 15275 ranks #178 of 888 providers (80th percentile; typical, unremarkable volume). This suggests modest-to-stronger relative usage in skin-substitute placement versus more typical national participation for debridement codes.

The provider bills a range of lower-volume home-visit and post-acute codes, indicating occasional off-site E/M activity: 99345 (19 claims, $2.5K), 99349 (30 claims, $2.5K), 99344 (25 claims, $2.1K), 99348 (34 claims, $1.7K) and a nursing-facility follow-up 99307 (30 claims, $750). These codes are small contributors to revenue (each 0.3%–0.1% of Medicare revenue) but point to episodic home-based or facility-based services in addition to in-clinic wound care.

Tenure is recent: NPI enumerated on 2023-01-04 (~3 years ago), indicating the provider has been billing under this NPI for a relatively short period. This recency may reflect an emerging practice footprint or a recent change in billing patterns that produced the concentrated Q4236 activity.

From a business-resilience perspective, the combination of near-total Medicare concentration ($990K Medicare, no Medicaid) and extreme reliance on a single HCPCS (Q4236 at $940.8K, 95.0% of Medicare revenue) creates sensitivity to reimbursement or coverage changes for that code. Any payer policy changes affecting Q4236 or its pricing would disproportionately impact this provider’s revenue given the current mix.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4236	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	900	$1,050	$940.8K
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…	100	$150	$14K
11042	The 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.	170	$70	$11.7K
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…	110	$100	$10.4K
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.	30	$100	$2.5K
99345	The 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…	20	$130	$2.5K
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…	30	$80	$2.5K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	30	$90	$2.1K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	30	$50	$1.7K
11104	The provider biopsies a skin lesion using a punch technique with a sharp hollow instrument; punch biopsies are commonly performed for deeper circular skin lesions.	20	$70	$1.4K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Erica Huston — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4236	1	10	900	$1,050	$940.6K
11043	14	50	50	$130	$12.3K
11042	56	200	80	$60	$10.2K
99349	72	100	60	$80	$8.9K
15275	3	20	70	$100	$7.2K
99348	40	60	50	$50	$4.4K
15271	16	20	30	$90	$4.2K
99307	104	130	80	$30	$4.1K
99345	19	30	30	$120	$3.9K
11104	48	90	20	$80	$2.2K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Martin	MS	Family Medicine Physician	$9M	$0
Shannon Weathers	MS	Family Nurse Practitioner	$4.6M	$0
Lori Case	MS	Family Nurse Practitioner	$4.2M	$0
Amy Shuptrine	TX	Nurse Practitioner	$3.7M	$0
Chelsea Cockrell	MS	Family Nurse Practitioner	$3M	$0
Anna Gordon	MS	Nurse Practitioner	$2.9M	$0
Abbey Ross	MS	Nurse Practitioner	$2.6M	$0
Sarah Sanchez	FL	Family Nurse Practitioner	$2.5M	$0
Nikolaus King	TN	Acute Care Nurse Practitioner	$2.4M	$0
Angela Sutherland	TX	Nurse Practitioner	$2.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Penn 123 LLC	LA	Substance Abuse Rehabilitation Facility	$0	$16.1M
David M. Vieth Dds, A Professional Corporation	LA	General Practice Dentistry	$0	$11.5M
Independence Emergency Group LLC	LA	Emergency Medicine Physician	$0	$11.5M
Atc Testing And Screening Services LLC	LA	Clinical Medical Laboratory	$9.7M	$11.3K
Jeffcare	LA	Federally Qualified Health Center (FQHC)	$0	$8M
C & M Medical Services, Inc.	LA	Emergency Medical Services (Emergency Medicine) Physician	$0	$7.2M
Harold R York Md	LA	Pediatrics Physician	$0	$6.8M
Gulf Coast Teaching Family Services, Inc.	LA	Community/Behavioral Health Agency	$0	$5.9M
Marillac Community Health Centers	LA	Federally Qualified Health Center (FQHC)	$0	$4.9M
Lei Behavioral Services LLC	LA	Community/Behavioral Health Agency	$0	$4.6M

Erica Huston — 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