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    OpenPayerNPI Medicare & MedicaidColeen Yahl
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    Coleen Yahl — Billing Profile & Reimbursement Data

    NPI 1235703364 · Queen Creek, AZ · Primary Care Nurse Practitioner

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    Coleen Yahl is a primary care nurse practitioner provider located in Queen Creek, Arizona. This profile covers 6 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
    OrganizationColeen Yahl
    Address31133 N Line Dr
    CityQueen Creek
    StateAZ
    ZIP85144
    TaxonomyPrimary Care Nurse Practitioner
    NPI EnumeratedMay 13, 2021

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

    Payer SourceTotal Paid
    Medicare$4M
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single-payer: lifetime Medicare revenue is $4M and there is no Medicaid billing on file, so Medicare activity drives the entire recorded public-payer footprint. This concentration means any analysis of scale, utilization, or peer comparisons should focus on Medicare only.

    Revenue is extremely concentrated in a very small set of Medicare codes: the precomputed top-3 codes account for 99.7% of this provider’s total Medicare revenue. The three codes driving that share are Q4236 ($2.9M, 72.0%), Q4205 ($1.1M, 27.2%), and 15271 ($20.5K, 0.5%), indicating almost all Medicare dollars come from these line items.

    The code mix and descriptions point to a wound-care / skin substitute business model rather than general primary-care throughput: Q4236 and Q4205 are per-square-centimeter skin substitute add-on codes (Carepatch and membrane graft/membrane wrap), and those two codes together account for nearly the full revenue base. High claim counts for product codes (Q4236: 3K claims, $973 avg paid/claim; Q4205: 938 claims, $1163 avg paid/claim) versus minimal E&M revenue indicate the practice operates primarily around supply and application of skin substitutes.

    Competitive standing is mixed across the top codes. For Q4236 the provider ranks #20 of 79 nationally (76th percentile) and is characterized as having typical, unremarkable volume, meaning they are above median but not a dominant national leader; Q4205 ranks #34 of 63 (47th percentile) and is similarly described as typical, unremarkable volume, placing them near the middle of peers; 15271 ranks #105 of 1157 (91th percentile) and, while assigned a plain-English label of typical, unremarkable volume in the source, sits high in percentile rank relative to a large national peer set.

    Payment-per-unit dynamics amplify the business picture: Q4205 commands the highest average payment per claim at $1163 while Q4236 averages $973 per claim, and 15271 averages $101 per claim. Together with claim volumes (Q4236: 3K claims; Q4205: 938 claims; 15271: 203 claims) this shows Q4236 drives the bulk of revenue through volume while Q4205 contributes meaningfully via a higher unit price.

    Evaluation-and-management codes contribute negligible Medicare revenue relative to skin-substitute codes, underscoring the service-line focus. For example, 99214 appears with 98 claims and $7.9K revenue and 99204 with 13 claims and $1.3K revenue, indicating routine office visits are a minor component of the billed mix.

    The provider’s NPI was enumerated on 2021-05-13 (~5 years ago), so this concentrated Medicare revenue profile has been established within a relatively recent practice tenure. The combination of rapid concentration into skin-substitute codes over about five years suggests a deliberate operational focus on that service line.

    Because 99.7% of Medicare revenue is tied to three codes, the provider’s financial and operational performance is highly sensitive to changes in payer policy, code valuation, or supply-chain factors affecting skin substitutes. Analysts should treat reimbursement or policy shifts affecting Q4236, Q4205, or 15271 as high-impact to this provider’s topline given the observed concentration.

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4236Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)2,970$970$2.9M
    Q4205Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)940$1,160$1.1M
    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 cm2.200$100$20.5K
    99214The 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…100$80$7.9K
    15272At the same session that the provider uses a skin substitute, such as an allograft or xenograft, to cover the wounds on the patient’s trunk, arms, and/or legs up to an area of 100 scm2, the provider…90$20$1.4K
    99204The 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…10$100$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42362103,940$960$3.8M
    Q4205510970$1,160$1.4M
    992145,76010,410120$80$20.6K
    1527164090$100$10.8K
    992045,2375,79040$110$6.7K
    15272610110$20$1.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrew StraleyAZPodiatrist$163.6K$0
    Keith ArbuckleAZFoot & Ankle Surgery Podiatrist$156.9K$0
    Jolyon SchillingAZVascular Surgery Physician$131.6K$0
    Christopher SheenaMIPodiatrist$124K$0
    Saad MohsinWIHospitalist Physician$59.9K$47K
    Jeanne CarverAZFamily Nurse Practitioner$98.2K$0
    Larry ZonisAZFoot & Ankle Surgery Podiatrist$89.1K$0
    Naresh DugalAZPrimary Podiatric Medicine Podiatrist$81.4K$0
    Sanjay PatelAZFamily Medicine Physician$65.7K$0
    Wantzy CooperCAVascular Surgery Physician$47.5K$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. Arizona Distribution
    Coleen Yahl — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona