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.

Josue Moran (NPI 1316427313)

Key Findings

Field	Value
Entity Type	Individual
Organization	Josue Moran
Address	8852 Sw 25th St
City	Miami
State	FL
ZIP	33165
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	August 19, 2018

Payer Source	Total Paid
Medicare	$7.4M
Medicaid	$0

Provider profile and payer scale: JOSUE MORAN is listed as a Gerontology Nurse Practitioner with an NPI enumerated 2018-08-19 (~8 years ago). Lifetime Medicare revenue totals $7.4M and there is no Medicaid billing on file, indicating this practice operates effectively as a single-payer (Medicare) billing entity at present.

Extreme revenue concentration in a narrow set of Medicare codes: the precomputed top-three Medicare codes account for 95.4% of this provider's total Medicare revenue, driven by Q4262 ($4.2M, 56.3%), Q4276 ($2.8M, 37.5%), and 11043 ($125.3K, 1.7%). This concentration means most of the practice’s revenue depends on a very small set of product/procedure codes rather than a broad mix of E/M services.

Business/service-line implications from code mix: the top Medicare codes (Q4262 and Q4276 are add-on skin substitute/membrane HCPCS Q-codes, and 11043 is a deep tissue debridement CPT) indicate the practice is focused on advanced wound care and product-driven wound management rather than primarily generalist office-based E/M. The high average paid per claim for these product codes (Q4262 $1069 avg paid/claim; Q4276 $1171 avg paid/claim) underscores substantial revenue coming from device/product billing alongside procedural debridement.

Clinical footprint beyond products: the provider also bills significant nursing facility and home-visit E/M activity (for example, 99309: 1.5K claims, $115.5K revenue; 99347: 804 claims, $24.9K revenue), showing operational involvement in post-acute or long-term care settings. Despite this, these E/M lines represent a much smaller share of overall Medicare revenue compared with the Q-codes and therefore appear secondary to the wound-product focus.

Competitive standing on leading codes is mixed: for Q4262 the provider ranks #32 of 141 nationally (78th percentile) and is described as a typical, unremarkable volume for that code, while for Q4276 the provider ranks #5 of 10 nationally (56th percentile) which places them among a small national cohort for that specific product. Several other codes show elevated relative volume — for example, 11042 is listed as notably above typical national volume (rank #216 of 10712, 98th percentile) and 99309 is also notably above typical national volume (rank #1541 of 28092, 95th percentile) — indicating pockets of above-peer activity within their service mix.

Statistical outliers and concentration implications: multiple billed codes are explicitly labeled “notably above typical national volume” (examples include 99309, 11042, and 99347), suggesting the provider delivers certain services at materially higher volumes than most peers. Coupled with the 95.4% revenue concentration in three codes, this pattern creates both specialization advantages and exposure if utilization or reimbursement for those specific codes changes.

Operational inference about niche positioning: the prominence of Q4262 and Q4276 (combined $7.0M in Medicare revenue) suggests the provider may function as a local source for high-cost wound-care products or implants, rather than a high-volume general medical practice. The small national denominator for Q4276 (10 providers) and the provider’s placement within that set (rank #5) reinforces a niche/operator interpretation rather than broad-market dominance.

Single-payer exposure and planning consideration: because Medicaid billing is absent and Medicare accounts for the entire recorded lifetime payer revenue ($7.4M), the practice’s financial performance is heavily tied to Medicare coverage, payment rates, and product-specific reimbursement policies. Payers or partner organizations evaluating contracting or risk arrangements should treat this provider as Medicare-dependent with concentrated product/procedure risk drivers.

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
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	3,900	$1,070	$4.2M
Q4276	Orion, per square centimeter (add-on, list separately in addition to primary procedure)	2,370	$1,170	$2.8M
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	760	$170	$125.3K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,520	$80	$115.5K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	890	$70	$65.3K
11046	The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…	640	$60	$35.6K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	800	$30	$24.9K
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.	210	$110	$22.4K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	150	$130	$19.4K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	150	$90	$12.6K

Showing 1–10 of 17

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4276	2	10	1,990	$1,150	$2.3M
Q4262	5	40	1,120	$1,000	$1.7M
11043	51	310	200	$160	$60.7K
99309	212	2,150	290	$80	$45K
99308	1,462	2,110	250	$50	$30.8K
99233	4,017	9,970	100	$90	$20.1K
11044	78	120	60	$210	$20K
99232	10,564	13,090	120	$60	$17.5K
11042	54	1,000	100	$70	$17.4K
99306	259	1,170	70	$140	$15.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ariza Quality Medical Services,inc	FL	Home Health Agency	$0	$62.1M
Faith Health Care, Inc.	FL	Home Health Agency	$0	$46.9M
Premium Home Health Care Inc	FL	Home Health Agency	$0	$30.6M
Bridge Of Care LLC	FL	Community/Behavioral Health Agency	$0	$16.7M
Serenity Community Mental Health Center LLC	FL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.5M
Miami Personal Behavioral LLC	FL	Case Management Agency	$0	$13.4M
Providence Homecare LLC	FL	Nursing Care Agency	$0	$12.6M
Yovany Abreu	FL	In Home Supportive Care Agency	$0	$9M
Ap Care Services Corp.	FL	In Home Supportive Care Agency	$0	$8.5M
Doral Imaging Institute LLC	FL	Radiology Clinic/Center	$1.5M	$14.8K

Josue Moran — Billing Profile & Reimbursement Data

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Josue Moran — 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