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

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

Flor Fimbres (NPI 1164023339)

Field	Value
Entity Type	Individual
Organization	Flor Fimbres
Address	4921 E Bell Rd
City	Scottsdale
State	AZ
ZIP	85254
Taxonomy	Nurse Practitioner
NPI Enumerated	November 4, 2020

Payer Source	Total Paid
Medicare	$8.5M
Medicaid	$0

Key Findings

This provider’s revenue is effectively single‑payer Medicare: Total Medicare revenue is $8.5M and there is no Medicaid billing on file. The absence of Medicaid activity indicates the practice’s commercial footprint in state programs is either minimal or routed through other entities, so analyses of payer mix should treat this profile as Medicare‑centric.

Revenue is highly concentrated in three product codes: Q4253 ($3.8M, 44.7%), Q4173 ($2.9M, 33.6%), and Q4262 ($1.7M, 20.0%) — the precomputed top‑3 codes account for 98.3% of this provider’s total Medicare revenue. This level of concentration indicates the business is driven almost exclusively by a narrow set of amniotic/skin substitute product lines rather than diversified service billing.

The code mix and code descriptions point to a specialized wound‑care and biologic graft operation: Q4253, Q4173, and Q4262 are all amniotic membrane or skin‑substitute add‑on products billed per square centimeter, and the provider submitted 5.1K, 3.7K, and 1.8K claims for those codes respectively. High average paid amounts per claim ($743 for Q4253, $772 for Q4173, $927 for Q4262) further reinforce that revenue is product‑driven and tied to per‑unit biologic supplies rather than high volumes of evaluation & management visits.

Competitive standing varies by product: the provider ranks #3 of 19 for Q4173 (89th percentile), indicating a strong national position for that specific product line, and ranks #11 of 73 for Q4253 (86th percentile), which is an above‑median but not dominant position. By contrast, Q4262 is ranked #53 of 141 (63th percentile), a more modest national presence for that particular membrane, so market strength appears concentrated in one leading product with secondary participation in others.

There are specific statistical outliers in support services and add‑ons despite their smaller revenue shares: 15271 shows 416 claims and $38.3K (0.4%) and is flagged at the 98th percentile as notably above typical national volume, and 11001 is ranked #2 of 19 at the 94th percentile even though it contributes only about $2K. These high percentile rankings on lower‑dollar codes suggest specialized procedural patterns (e.g., frequent use of particular skin substitute sizes or debridement add‑ons) that stand out relative to peers.

Evaluation & management services are a very small portion of billed Medicare revenue: 99214 generated $45.6K (0.5%) with 608 claims and 99215 generated $10.9K (0.1%), indicating the practice generates minimal revenue from office visit E/Ms compared with product/supply codes. This pattern supports the interpretation that clinical encounters may be primarily procedural or product‑focused rather than routine longitudinal primary care.

The provider’s enrollment/tenure is recent but established: NPI enumerated 2020-11-04 (~6 years ago). Achieving $8.5M in Medicare revenue within this enrollment window—driven predominantly by a small set of high‑value product codes—signals a focused, scale‑oriented operation in the wound‑care/biologic graft niche rather than a broad multiservice ambulatory practice.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	5,120	$740	$3.8M
Q4173	Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure)	3,710	$770	$2.9M
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	1,840	$930	$1.7M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	610	$80	$45.6K
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.	420	$90	$38.3K
15002	The provider incises the skin of a body part with an open wound, burn eschar, or scar contracture to prepare the site to receive a skin graft. This procedure helps in repairing an area of the trunk,…	90	$210	$19.4K
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…	140	$90	$13K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	100	$110	$10.9K
11000	The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.	360	$20	$7.1K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	50	$90	$4.6K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Flor Fimbres — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	11	10	31,870	$890	$43.9M
Q4253	2	10	3,040	$740	$2.8M
Q4173	2	10	1,100	$530	$1.2M
15002	6	20	50	$200	$25.1K
99214	1,057	10,410	120	$80	$20.6K
99215	903	3,270	50	$120	$11.9K
15271	1	40	90	$100	$10.8K
99213	7,260	9,600	80	$60	$9.6K
11042	189	240	70	$60	$8.2K
15275	3	30	60	$100	$6.8K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicole Lee	TX	Gerontology Nurse Practitioner	$2.5M	$0
Myrna-leticia Rivas	AZ	Family Nurse Practitioner	$2M	$0
Erika Martin	TX	Family Nurse Practitioner	$1.8M	$0
Adam Baker	NV	Physician Assistant	$1.8M	$0
Shannon Patteson	TX	Family Nurse Practitioner	$1.7M	$0
Demia Louis	TX	Family Nurse Practitioner	$1.7M	$0
Aspara Wyatt	TX	Family Nurse Practitioner	$1.5M	$0
Jason Redwine	TX	Family Nurse Practitioner	$1.3M	$0
Rongna Sun	TX	Family Nurse Practitioner	$1.3M	$0
Christopher Dwiggins	AZ	Medical Physician Assistant	$1.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifetree Inc.	AZ	Home Health Agency	$0	$117M
Theraplay4kidz, LLC	AZ	Occupational Therapist	$0	$47.1M
Genetic Technological Innovations, LLC	AZ	Clinical Medical Laboratory	$21.5M	$14.5M
Southwestern Eye Center Ltd	AZ	Ophthalmology Physician	$0	$15.9M
Deborah Dugan	AZ	Family Nurse Practitioner	$2.9M	$0
Hermes Health Labs	AZ	Clinical Medical Laboratory	$1.2M	$1.3M
Robin Ross	AZ	Retina Specialist (Ophthalmology) Physician	$720.8K	$0
Genevieve Egnatios	AZ	Dermatology Physician	$674.2K	$0
Maulik Shah	AZ	Cardiovascular Disease Physician	$544.1K	$0
Anthony Nuara	AZ	Dermatology Physician	$478.2K	$0

Flor Fimbres — 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