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 Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada 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. Nevada (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.

Hussayn Boumelhem (NPI 1326778176)

Field	Value
Entity Type	Individual
Organization	Hussayn Boumelhem
Address	7626 Avila Beach Ave
City	Las Vegas
State	NV
ZIP	89113
Taxonomy	Family Nurse Practitioner
NPI Enumerated	June 14, 2022

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

This provider’s lifetime Medicare revenue is $1.1M and there is no Medicaid billing on file, so the practice is effectively single-payer on the claims record presented. The absence of any Medicaid revenue indicates limited exposure to state programs and a heavy dependence on Medicare for billed services and cash flow.

Revenue is extremely concentrated in a very small set of codes: the precomputed top 3 Medicare codes by revenue account for 98.1% of this provider's total Medicare revenue. In particular, Q4188 alone represents $1.1M and 93.5% of Medicare revenue, while 11042 accounts for $31.1K (2.8%) and 99348 accounts for $21.4K (1.9%).

The mix of high-revenue codes points to a wound-care and skin-replacement service profile combined with home visits: Q4188 (Amnioarmor) and 15271 (skin substitute) indicate frequent use of biologic skin substitutes, 11042/11000 and 11721 reflect surgical debridement procedures, and 99348/99342 reflect home/residence E/M visits. Taken together, these codes suggest the provider operates a wound-care–oriented practice model that includes procedural wound management and home-based evaluations.

Q4188 ranks #13 of 47 providers nationally (74th percentile; typical, unremarkable volume for this code), which places the provider among a minority of national billers for this specialized product but not at dominant levels within that small peer set. The label “typical, unremarkable volume” implies the provider’s use of Q4188 is notable in absolute revenue share but not an extreme outlier relative to other billers of the same code.

For the debridement and home-visit E/M services, the provider posts upper-percentile national ranks yet these are still described as typical: 11042 ranks #1178 of 10712 providers nationally (89th percentile; typical, unremarkable volume for this code) and 99348 ranks #818 of 11547 providers nationally (93th percentile; typical, unremarkable volume for this code). These positions indicate the provider bills these services more often than many peers, but the activity is within the expected national distribution rather than being an extreme outlier.

Other wound/skin codes show mixed adoption: 15271 (skin substitute for trunk/limbs) brings in $15.1K and ranks #164 of 1157 providers nationally (86th percentile; typical, unremarkable volume for this code), while 11721 (surgical nail debridement) is minimally used ($480) and ranks #12298 of 12535 providers nationally (2th percentile; typical, unremarkable volume for this code). This pattern suggests focused use of certain advanced wound products and limited use of some ancillary procedures.

The provider’s NPI was enumerated on 2022-06-14 (~4 years ago), indicating relatively recent enrollment in the Medicare program. Given the concentrated revenue profile and the recent tenure, the provider may have scaled quickly into a niche (wound/skin substitute) service line since enumeration.

From a payer-management perspective, the heavy dependence on a single high-dollar HCPCS (Q4188 at $1.1M and 93.5% of Medicare revenue) creates concentration risk if coverage, reimbursement, or utilization controls change for that product. Conversely, the revenue concentration also highlights a clear operational focus that payers and network managers can target for utilization review, contractual negotiation, or program design specific to advanced wound-care products and associated home-based services.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4188	Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)	1,420	$750	$1.1M
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.	360	$90	$31.1K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	430	$50	$21.4K
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.	150	$100	$15.1K
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	60	$50	$2.9K
11000	The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.	90	$30	$2.8K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	20	$30	$480

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nevada Distribution

Hussayn Boumelhem — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4188	1	10	1,060	$740	$789.5K
15271	8	40	80	$110	$17.8K
11042	17	120	120	$70	$11.6K
99348	11	100	80	$50	$9.2K
11721	76	80	200	$30	$8.9K
11000	7	10	90	$30	$4.8K
99342	10	40	20	$50	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Park	CA	Internal Medicine Physician	$31.7M	$0
Nyrie Austin	NJ	Family Nurse Practitioner	$15.9M	$8.8K
Patrick Black	CA	Physical Therapist	$14M	$0
Owen Ellington	TX	Hematology & Oncology Physician	$11.5M	$0
Joseph Palumbo	WV	Emergency Medicine Physician	$7.9M	$44.3K
Shelita Jones	TX	Family Nurse Practitioner	$6.7M	$0
Kellie King	TX	Family Nurse Practitioner	$5.3M	$0
Jamie Kate Adoc	CA	Family Nurse Practitioner	$4.7M	$0
Raymond Wawrowski	OH	Physician Assistant	$4.7M	$0
Thuy Vo	CA	Family Nurse Practitioner	$4.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Inc	NV	Ambulance	$5.1M	$47.2M
Fielden Hanson Isaacs Miyada Robison Yeh Ltd	NV	Anesthesiology Physician	$0	$13.9M
Dignity Health	NV	General Acute Care Hospital	$0	$8M
Vituity - Nevada Koury & Partners PLLC	NV	Emergency Medicine Physician	$0	$6.7M
Center For Wellness And Pain Care Of Las Vegas Inc	NV	Pain Medicine (Anesthesiology) Physician	$0	$6.5M
Independent Life LLC	NV	Home Health Agency	$0	$5.4M
Bess Chang	NV	Neurology Physician	$5.2M	$0
Fresenius Medical Care Spring Valley, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.2M
Doctor's Health Network, Inc.	NV	Endocrinology, Diabetes & Metabolism Physician	$0	$4.5M
Childrens Urology Associates, LLC	NV	Pediatric Urology Physician	$0	$2.7M

Hussayn Boumelhem — Billing Profile & Reimbursement Data

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Hussayn Boumelhem — 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