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    OpenPayerNPI Medicare & MedicaidPatrick Black
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    Patrick Black — Billing Profile & Reimbursement Data

    NPI 1326439159 · Beaumont, CA · Physical Therapist

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    Patrick Black is a physical therapist provider located in Beaumont, California. This profile covers 9 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
    OrganizationPatrick Black
    Address1676 E 6th St
    CityBeaumont
    StateCA
    ZIP92223
    TaxonomyPhysical Therapist
    NPI EnumeratedFebruary 16, 2015

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

    Payer SourceTotal Paid
    Medicare$14M
    Medicaid$0

    Key Findings

    PATRICK BLACK is effectively a Medicare-focused physical therapy provider: reported lifetime Medicare revenue is $14M while there is no Medicaid billing on file, indicating a single-payer footprint in available claims data and limited or no engagement with Medicaid-covered patients. The NPI was enumerated on 2015-02-16 (~11 years ago), which supports a multi-year operating history to generate the reported Medicare volume.

    Revenue concentration is extremely high: the precomputed top 3 Medicare codes account for 81.9% of this provider's total Medicare revenue, meaning a small set of procedures dominates financial performance and operational throughput. Analysts should treat changes in utilization or reimbursement for those codes as having outsized impact on overall revenue.

    The provider’s top Medicare code by revenue is Q4262, contributing $6.5M (46.3% of Medicare revenue) with 6.3K claims and an average paid/claim of $1037; its national rank for Q4262 is #20 of 141 (86th percentile), which positions the provider as a sizable but not dominant national participant for that code. The combination of high absolute revenue and a strong percentile rank suggests deep specialization or focused service lines tied to Q4262 procedures.

    Q4188 and Q4281 together account for a further concentrated share: Q4188 generated $2.7M (19.3% of Medicare revenue) with 3.6K claims and ranks #4 of 47 (93th percentile), while Q4281 yielded $2.3M (16.2% of Medicare revenue) with 1.9K claims and ranks #8 of 33 (78th percentile). These ranks indicate unusually high relative activity for Q4188 and elevated activity for Q4281 versus national peers, reinforcing that a narrow set of allograft/skin substitute add-on products drives the practice.

    Code-level mix and descriptions indicate a wound-care/skin-substitute service line: the largest revenue codes (Q4262, Q4188, Q4281, Q4236 and Q4248) are all per-square-centimeter skin/substitute or amniotic membrane add-ons, and CPT 15271/15275/15272 entries reflect usage of skin substitutes and grafting. This profile suggests the practice concentrates on advanced wound management, grafting procedures, and sale/implantation of amniotic or membrane products rather than routine therapeutic exercise.

    There are notable statistical outliers in specific CPTs: 15271 is flagged as an “extreme outlier” nationally (533 claims, $68.8K revenue; ranks #18 of 1157, 99th percentile), indicating exceptionally high utilization of that particular skin substitute graft code compared with peers. Similarly, 15272 is described as “notably above typical national volume” (273 claims, $5.5K; ranks #7 of 88, 93th percentile), which supports the view of specialization in larger-area grafting sessions. These labels imply the provider operates at much higher intensity for select graft codes than most national peers.

    Competitive standing is mixed across codes: for Q4188 the provider is a top-tier national outlier (rank #4/47, 93th percentile), while for several other codes—Q4262 (86th percentile) and Q4281 (78th percentile)—the provider is a high-volume but not leading national participant. For lower-revenue codes such as 15275 and 97110 the provider sits in much more typical percentile ranges, suggesting concentrated investment in a narrow set of higher-revenue services rather than broad-based service volume.

    From a payor-strategy perspective, the absence of Medicaid billing means any payer-contracted strategies or risk-sharing with state programs would be minimal or non-existent based on the claims on file; commercial or Medicare Advantage arrangements (not shown here) would be the likeliest levers if the provider seeks to monetize its specialized wound-care services. Analysts should treat this profile as a Medicare-centric specialty operation with concentrated product/code mix exposure.

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)6,250$1,040$6.5M
    Q4188Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)3,630$740$2.7M
    Q4281Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure)1,870$1,220$2.3M
    Q4236Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)2,420$940$2.3M
    Q4248Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)240$750$175.8K
    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 cm2.530$130$68.8K
    15275The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…120$140$15.7K
    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…270$20$5.5K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…140$20$2.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q423612203,950$960$6.2M
    Q42622102,370$1,030$3.8M
    Q4281420940$1,210$1.9M
    Q41882301,120$750$1.1M
    Q4248610810$810$905.4K
    1527110170110$110$18.6K
    971105,6096,720490$20$17.1K
    152753112060$120$12.1K
    1527253090$20$3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richard ParkCAInternal Medicine Physician$31.7M$0
    Nyrie AustinNJFamily Nurse Practitioner$15.9M$8.8K
    Owen EllingtonTXHematology & Oncology Physician$11.5M$0
    Joseph PalumboWVEmergency Medicine Physician$7.9M$44.3K
    Shelita JonesTXFamily Nurse Practitioner$6.7M$0
    Kellie KingTXFamily Nurse Practitioner$5.3M$0
    Jamie Kate AdocCAFamily Nurse Practitioner$4.7M$0
    Raymond WawrowskiOHPhysician Assistant$4.7M$0
    Thuy VoCAFamily Nurse Practitioner$4.4M$0
    Siya OlosoTXFamily Nurse Practitioner$4.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beaumont Radiology Services LLCCARadiology Clinic/Center$217K$60

    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. California Distribution
    Patrick Black — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California