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.

Gina Palacios (NPI 1275217952)

Field	Value
Entity Type	Individual
Organization	Gina Palacios
Address	1814 E Frier Dr Unit 3
City	Phoenix
State	AZ
ZIP	85020
Taxonomy	Nurse Practitioner
NPI Enumerated	June 13, 2023

Payer Source	Total Paid
Medicare	$27M
Medicaid	$0

Key Findings

This provider’s Medicare activity dominates its public payer profile: lifetime Medicare revenue is $27M while there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the available claims data. Precomputed attribution shows the top 3 Medicare codes account for 100.0% of this provider’s total Medicare revenue, signaling extreme concentration of revenue in a very small code set.

Revenue is overwhelmingly concentrated in Q4262: the dataset lists 34.2K claims for Q4262 at $789 avg paid/claim producing $27M in revenue, and that single code represents 100.0% of the provider’s Medicare revenue. By contrast, 15274 produced $8.7K in revenue (0.0% of total Medicare revenue) across 162 claims at $54 avg paid/claim, so Medicare receipts are effectively driven by one code.

The top codes point to an advanced wound-care and skin-substitute service line: Q4262 is a billing code for a dual layer impax membrane (an add‑on, per square centimeter device charge) and 15274 is an add‑on skin substitute for large trunk/limb wounds. The mix (high-volume per‑cm device billing plus a small number of skin substitute add‑on claims) is consistent with a procedure‑or device‑centric wound care practice rather than a general primary care panel.

Competitive standing for Q4262 is strong on a national scale: Q4262 ranks #6 of 141 providers nationally (96th percentile), placing this provider in the top decile of billers for that code. That said, the data source characterizes the observed Q4262 volume as "typical, unremarkable volume for this code," so while the rank is high, the provider’s activity sits within the source’s defined typical range for this CPT/Q-code.

For 15274 the provider is a modest participant: the code ranks #30 of 46 providers nationally (36th percentile) and is likewise labeled "typical, unremarkable volume for this code." This indicates no exceptional market position for the skin substitute add‑on relative to the limited national sample of billers.

No top‑code statistical outliers are indicated across the listed Medicare codes; both Q4262 and 15274 carry the plain‑English label "typical, unremarkable volume for this code." Analysts should interpret the concentration in a single device/procedural code as a business focus rather than as an anomalous spike relative to the data source’s benchmarks.

Administrative tenure is brief but notable: the NPI was enumerated on 2023-06-13 (~3 years ago). Given the $27M in Medicare revenue reported since enumeration, the provider’s billing footprint reached substantial scale in a relatively short timeframe, which is relevant for competitive and utilization trend analyses.

Operational and payer-mix implications: absence of Medicaid claims means this provider’s contracting leverage, payer negotiations, and patient mix analyses should be framed around Medicare fee schedules and device/add‑on reimbursements rather than dual‑payer mixes. For network or competitive assessments, treat this entity as Medicare‑focused with a concentrated wound‑care/device billing profile.

Medicare: Complete Services Breakdown

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

2 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)	34,240	$790	$27M
15274	The provider uses a skin substitute such as an allograft or xenograft to cover a trunk, arms, and/or legs wound surface area of up to an additional 100 cm2 in a patient 10 years or older, or 1…	160	$50	$8.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Gina Palacios — 0 of 2 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

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	6	10	31,870	$890	$43.9M
15274	7	10	310	$60	$22.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jorge Kinds	AZ	Family Nurse Practitioner	$123.9M	$0
Keith Goss	AZ	Foot & Ankle Surgery Podiatrist	$91.3M	$0
Elisabeth Balken	AZ	Nurse Practitioner	$23.3M	$0
Eric Ogari	AZ	Family Nurse Practitioner	$6.9M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Honorhealth	AZ	General Acute Care Hospital	$0	$107.2M
All Valley Home Health Care & Nursing Inc	AZ	Home Health Agency	$0	$55.7M
Bowie Investment Group Inc	AZ	Home Health Agency	$0	$31.9M
Affiliated Hospitalists, Plc	AZ	Hospitalist Physician	$0	$21M
Neighborhood Outreach Access To Health	AZ	Federally Qualified Health Center (FQHC)	$0	$19.6M
Avista Senior Living Desert Springs, LLC	AZ	Assisted Living Facility	$0	$17.6M
Unomed LLC	AZ	Critical Care Medicine (Internal Medicine) Physician	$0	$15.4M
Bayada Home Health Care, Inc.	AZ	Home Health Agency	$0	$10.7M
Emcare - Pnx Emergency Physicians LLC	AZ	Emergency Medicine Physician	$0	$9.6M
Providence General Medicine, PC	AZ	Internal Medicine Physician	$0	$8.9M

Gina Palacios — Billing Profile & Reimbursement Data

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Gina Palacios — 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