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.

Arlene Bautista (NPI 1285292334)

Field	Value
Entity Type	Individual
Organization	Arlene Bautista
Address	4685 E Grant Rd
City	Tucson
State	AZ
ZIP	85712
Taxonomy	Family Nurse Practitioner
NPI Enumerated	June 4, 2019

Payer Source	Total Paid
Medicare	$16.8M
Medicaid	$0

Key Findings

This provider’s billing is overwhelmingly Medicare-based: lifetime Medicare revenue is listed as $16.8M while there is no Medicaid billing on file, making the practice effectively single‑payer in the available data. Precomputed results show the top three Medicare codes account for 100.0% of the provider’s Medicare revenue, indicating extreme concentration in a very small set of services.

The top revenue-driving code is Q4262 (Dual layer impax membrane, per square centimeter (add-on)), which accounts for $16.8M of reported Medicare revenue and 21.3K claims at an average paid per claim of $789. Q4262 is the dominant clinical/operational item in this profile and the code description and unit-based measurement (per square centimeter) point to a business model focused on application of a membrane or skin substitute product rather than broad primary care procedures.

A second listed Medicare code, 15274 (skin substitute add‑on for additional 100 cm2), appears in the data with 132 claims, $54 average paid per claim, and $7.1K in revenue (0.0% of total Medicare revenue), showing that while related skin‑substitute services are performed, they contribute negligible revenue compared with Q4262. The presence of 15274 alongside Q4262 reinforces that the service line is wound/skin substitute care, but 15274 is not a material revenue driver for this provider.

Revenue concentration is pronounced: the precomputed top‑3 share is 100.0% of Medicare revenue, with Q4262 effectively representing the entirety of reported Medicare dollars. This concentration implies operational dependence on a narrow product/service line and creates sensitivity to coding, reimbursement, or utilization shifts for these specific codes.

Competitive standing for Q4262 is high in absolute rank but characterized as routine in the reference notes: Q4262 ranks #9 of 141 providers nationally (94th percentile), yet the dataset labels its volume as "typical, unremarkable volume for this code." In practical terms, the provider appears among the top decile of billers for this code nationwide while the reference characterization suggests the observed volumes are within expected ranges for established users of this product.

By contrast, 15274 ranks #35 of 46 nationally (24th percentile) and is likewise described as "typical, unremarkable volume for this code," indicating the provider is a modest participant on that second code and not a national leader for that specific add‑on service. The combination of a very dominant single code plus one low‑revenue add‑on points to a niche operational footprint rather than broad procedural diversification.

The provider’s NPI was enumerated on 2019-06-04 (~7 years ago); in that enrollment window the record shows $16.8M of Medicare revenue, which signals substantial Medicare activity since initial registration. For payers and contracting analysts, the short tenure combined with concentrated Medicare revenue is important context for assessing growth, contracting leverage, and exposure to policy or reimbursement changes affecting the listed skin‑substitute and membrane codes.

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)	21,340	$790	$16.8M
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…	130	$50	$7.1K

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

Arlene Bautista — 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	8	10	31,870	$890	$43.9M
15274	8	10	310	$60	$22.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Cochise Community Hospital Inc	AZ	Critical Access Hospital	$0	$8.4M
James Collins	AZ	Diagnostic Radiology Physician	$195.9K	$12K
David Weitz	AZ	Diagnostic Radiology Physician	$177.6K	$0
Kabir Gandhi	MI	Diagnostic Radiology Physician	$147.1K	$11.3K
Imran Kazem	IN	Diagnostic Radiology Physician	$155.6K	$0
Damian Apollo	NE	Emergency Medicine Physician	$140K	$0
Richard Willey	AZ	Diagnostic Radiology Physician	$109.1K	$0
Irene Lin	IN	Diagnostic Radiology Physician	$85.4K	$0
Paul Lampert	AZ	Diagnostic Radiology Physician	$73.5K	$10.8K
Tuan Vo	AZ	Family Medicine Physician	$42.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tucson Medical Center	AZ	General Acute Care Hospital	$0	$127.3M
Codac Health Recovery And Wellness	AZ	Community/Behavioral Health Agency	$0	$97.8M
Children's Clinics For Rehabilitative Services	AZ	Multi-Specialty Clinic/Center	$0	$58.8M
Nsi-nursing Service Inc.	AZ	Home Health Agency	$0	$29.8M
Tmc Medical Network	AZ	Multi-Specialty Clinic/Center	$0	$20.3M
I-groupsmedicaltransportaion@wheelchair	AZ	Non-emergency Medical Transport (VAN)	$0	$15.5M
Bodycentral Physical Therapy P C	AZ	Physical Therapy Clinic/Center	$0	$14.5M
Arizona Oncology Associates PC	AZ	Specialist	$0	$13.9M
Child & Family Support Services, Inc	AZ	Community/Behavioral Health Agency	$0	$13.4M
Caldera Emergency Physicians LLC	AZ	Emergency Medicine Physician	$0	$13.2M

Arlene Bautista — Billing Profile & Reimbursement Data

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Arlene Bautista — 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