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.

Eric Ogari (NPI 1316420631)

Field	Value
Entity Type	Individual
Organization	Eric Ogari
Address	16430 W Yuma Rd
City	Goodyear
State	AZ
ZIP	85338
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 12, 2018

Payer Source	Total Paid
Medicare	$6.9M
Medicaid	$0

Key Findings

ERIC OGARI is effectively a Medicare-specialized biller with total Medicare revenue of $6.9M and no Medicaid billing on file; the provider’s NPI was enumerated 2018-09-12 (~8 years ago), indicating roughly eight years in the Medicare billing pool. This profile makes the practice single-payer concentrated from an operational and contracting perspective.

Revenue concentration is extreme: the precomputed top 3 Medicare codes account for 100.0% of this provider’s Medicare revenue, and a single code, Q4262, represents 99.8% of the $6.9M Medicare total. That concentration means the provider’s topline is highly dependent on utilization and reimbursement for that one add-on supply/procedure.

The code mix points to a wound care or advanced product-supply service line rather than routine primary care: Q4262 (Dual layer impax membrane, per square centimeter, add-on) accounts for $6.9M revenue on 8.8K claims at $789 avg paid/claim, while office E/M codes 99213 (147 claims, $52 avg paid/claim, $7.6K) and 99203 (102 claims, $62 avg paid/claim, $6.3K) together represent only a negligible share. This pattern suggests the practice’s operations are centered on providing a high-cost membrane product/service with only modest routine evaluation-and-management activity.

Competitive standing for the primary revenue driver is notable but described as typical in the dataset: Q4262 ranks #15 of 141 providers nationally (90th percentile) and is labeled a typical, unremarkable volume for this code. Framed another way, ERIC OGARI is among the higher-ranking billers of this specialized add-on nationally but the comparator text characterizes the observed volume as not unusual for providers who bill this narrow commodity.

The provider’s E/M activity is modest and consistent with low-volume outpatient visits: 99213 ranks #134815 of 457151 providers nationally (70th percentile) and 99203 ranks #19249 of 161519 providers nationally (88th percentile), both described as typical, unremarkable volume for these codes. These E/M codes contribute only trivial revenue relative to the Q4262-driven business, underscoring that routine clinic visits are not the primary revenue engine.

Absence of Medicaid billing (no Medicaid billing on file) makes payer mix effectively single-payer Medicare; this limits exposure to Medicaid patient populations and state-level reimbursement dynamics but increases financial sensitivity to Medicare policy or coverage decisions affecting Q4262. For contracting and risk modeling, treat this provider as concentrated on Medicare reimbursement flows.

Operational and financial monitoring should focus on the single dominant code and associated supply chain or product relationships: with 99.8% of Medicare revenue tied to Q4262, reimbursement changes, coding edits, product availability, or competitive substitution could materially affect revenue. Analysts should prioritize review of utilization trends for Q4262 and any local competitors who bill the same add-on when assessing business continuity and competitive risk.

Medicare: Complete Services Breakdown

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

6 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)	8,760	$790	$6.9M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	150	$50	$7.6K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	100	$60	$6.3K
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…	60	$50	$3.1K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	10	$20	$180
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	40	$1	$70

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

Claims Volume vs. Arizona Distribution

Eric Ogari — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	9	10	31,870	$890	$43.9M
15274	9	10	310	$60	$22.8K
99213	3,014	9,600	80	$60	$9.6K
99203	658	4,100	40	$70	$4K
81003	270	810	30	$1	$440
87880	261	280	20	$20	$360

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eric Ogari, 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
Banner Urgent Care Services, LLC	AZ	Urgent Care Clinic/Center	$0	$85.2M
Gina Palacios	AZ	Nurse Practitioner	$27M	$0
Elisabeth Balken	AZ	Nurse Practitioner	$23.3M	$0
Good Health Medical, PLLC	AZ	Family Medicine Physician	$0	$16.4M
Banner Urgent Care Arizona LLC	AZ	Urgent Care Clinic/Center	$0	$10.6M
Christina Johnson	AZ	Family Nurse Practitioner	$340K	$0
Seth Six	AZ	Nurse Practitioner	$269.4K	$0
Chelsea Barson	KS	Family Nurse Practitioner	$187.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Good Neighbor Assisted Living Services Inc	AZ	Home Health Agency	$0	$101.4M
Phoenix Spine Goodyear Asc, LLC	AZ	Ambulatory Surgical Clinic/Center	$1.5M	$0
Jason Haugen	AZ	Physician Assistant	$635.8K	$0
Chandrashekar Kalmat	AZ	Pain Medicine (Anesthesiology) Physician	$283.1K	$0
Kathryn Rutherford	AZ	Physical Therapist	$230.5K	$0
David Burgett	AZ	Optometrist	$229.2K	$0
Paul Charnetsky	AZ	Internal Medicine Physician	$211.2K	$0
Nathan Moore	AZ	Adult Reconstructive Orthopaedic Surgery Physician	$194.4K	$0
Sharad Chandrika	AZ	Pulmonary Disease Physician	$180.9K	$0
Colleen Spargur	AZ	Medical Physician Assistant	$112.3K	$0

Eric Ogari — Billing Profile & Reimbursement Data

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Eric Ogari — 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