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

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

Carlos Reyes Chouza (NPI 1174092035)

Field	Value
Entity Type	Individual
Organization	Carlos Reyes Chouza
Address	6367 Trails Of Foxford Ct
City	West Palm Beach
State	FL
ZIP	33415
Taxonomy	Nurse Practitioner
NPI Enumerated	November 20, 2018

Payer Source	Total Paid
Medicare	$23.2M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is overwhelmingly driven by wound-care and skin‑substitute procedures: Q4217 ($10.7M, 46.0% of Medicare revenue), Q4277 ($7.8M, 33.5%), and Q4205 ($3.8M, 16.3%) together account for 95.9% of the provider’s total Medicare revenue, signaling a highly specialized service line focused on membrane/skin substitute applications and per‑cm2 graft products. The code descriptions (Woundfix/biowound, membrane/graft add‑ons) point to an operation structured around high‑volume productized wound treatment rather than general primary care.

Revenue concentration is acute: total Medicare revenue is $23.2M while there is no Medicaid billing on file, so the practice is effectively single‑payer Medicare in scale. That concentration increases exposure to Medicare policy changes, reimbursement shifts for skin substitute codes, and contract terms tied to these specific HCPCS items.

In competitive terms the provider is a national outlier on key wound‑care codes: Q4217 ranks #1 of 65 providers nationally at the 100th percentile and is explicitly labeled an "extreme outlier," indicating dominant volume for that specific product. Q4277 also ranks #1 of 3 providers nationally (100th percentile) and Q4205 ranks #10 of 63 (85th percentile), so the provider is a leading national participant on multiple high‑value wound substitute codes but faces a much smaller competitive set for some products.

Procedure mix beyond the top three shows complementary services consistent with a wound‑care practice offering longitudinal and home‑based care: home/residence E/M codes 99349 (866 claims, $71.9K, ranks #775 of 14284, 95th percentile) and 99344 (99 claims, $9.1K, ranks #299 of 4895, 94th percentile) indicate substantial home visit activity, while care coordination codes 99490 (893 claims, $30.4K, ranks #1241 of 16216, 92th percentile) and 99484 (895 claims, $23.3K, ranks #66 of 845, 92th percentile) show ongoing chronic and behavioral health management alongside procedural care.

Several secondary skin substitute codes reinforce the productized wound strategy: 15273 (161 claims, $27.9K, ranks #2 of 43, 98th percentile; labeled "notably above typical national volume") and 15271 (189 claims, $18.3K, ranks #126 of 1157, 89th percentile) suggest the provider bills across different graft size bands and sustains above‑typical volumes for select graft codes. These code‑level rank patterns imply depth in both high‑area and smaller‑area graft applications rather than sporadic use.

Tenure and payer implications: the NPI was enumerated 2018-11-20 (~8 years ago), indicating roughly eight years of Medicare enrollment; within that period the provider has scaled to $23.2M in Medicare revenue with no Medicaid billing on record. For payer/provider analysts, that combination flags a mature, Medicare‑centric revenue stream that may be sensitive to Medicare coding, pricing, and utilization reviews.

The statistical profile — an "extreme outlier" for Q4217 and other high percentile ranks (100th, 98th, 95th) across wound‑related codes — suggests this provider is a specialized, high‑volume source for specific skin substitute products. This prominence may create negotiating leverage with suppliers and payers but also concentrates operational and audit risk around a narrow set of high‑value HCPCS items.

From a competitive and contracting perspective, the provider’s dominance on a few HCPCS products paired with negligible Medicaid activity means payers and competitors should treat this entity as a focused, Medicare‑driven wound‑care operator; monitoring changes in national utilization, reimbursement policy for Q‑codes, and market entry by other high‑percentile providers will be key to understanding future revenue stability.

Medicare: Complete Services Breakdown

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

17 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)	9,680	$1,100	$10.7M
Q4277	Woundplus membrane or e-graft, per square centimeter	5,610	$1,390	$7.8M
Q4205	Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)	3,370	$1,130	$3.8M
Q4188	Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)	970	$760	$736.1K
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…	870	$80	$71.9K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	890	$30	$30.4K
15273	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs that are greater than or equal to 100 cm2. This code covers the first…	160	$170	$27.9K
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…	380	$60	$23.4K
99484	Clinical staff members spend at least 20 minutes each month coordinating and managing a patient’s behavioral health services under the direction of a physician or other qualified health care…	900	$30	$23.3K
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.	190	$100	$18.3K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Carlos Reyes Chouza — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4277	1	10	5,610	$1,380	$7.8M
Q4217	1	20	600	$1,020	$2.2M
Q4205	3	10	410	$1,150	$1.6M
Q4188	2	10	970	$730	$1.3M
99349	137	1,570	140	$90	$27.4K
99214	7,618	32,760	140	$90	$25K
99490	159	1,200	150	$50	$19.7K
G0439	6,359	7,210	60	$120	$13.4K
99483	91	240	30	$190	$10.8K
15271	20	160	70	$100	$9K

Showing 1–10 of 17

Nearby Providers

Other providers in the same ZIP code as Carlos Reyes Chouza, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ymp Crest Opco LLC	FL	Assisted Living Facility	$0	$12.3M
Soma Medical Center, PA #4	FL	Pediatrics Physician	$0	$7.7M

Carlos Reyes Chouza — Billing Profile & Reimbursement Data

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Carlos Reyes Chouza — 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

Nearby Providers

Frequently Asked Questions

References