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

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

Adam Angeles (NPI 1336209345)

Field	Value
Entity Type	Individual
Organization	Adam Angeles
Address	1239 Ne Medical Center Dr Ste 240
City	Bend
State	OR
ZIP	97701
Taxonomy	Plastic and Reconstructive Surgery Physician
NPI Enumerated	December 11, 2006

Payer Source	Total Paid
Medicare	$6.5M
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the available data: total Medicare revenue is $6.5M and there is no Medicaid billing on file. The absence of any Medicaid claims makes the practice highly Medicare‑concentrated for payers/coverage analysis and benchmarking.

Revenue is extremely concentrated in a small set of Medicare codes: the precomputed top 3 Medicare codes by revenue account for 97.7% of this provider's total Medicare revenue, driven by Q4262 ($4.3M, 65.7% of total), Q4227 ($2M, 30.9% of total), and 11046 ($75.4K, 1.2% of total). This degree of concentration means overall revenue is highly sensitive to changes in reimbursement or utilization of these few codes.

The top codes signal a procedure‑and product‑driven wound/reconstructive practice profile: Q4262 (Dual layer impax membrane) and Q4227 (Amniocore) are add‑on biologic membrane products and 11046 is a surgical debridement code, together indicating frequent use of regenerative/amnion membrane products alongside operative wound care. Additional supporting codes such as 11043 and 17250 further underscore a focus on debridement and local wound management rather than broad primary‑care services.

Competitive standing varies by code: for Q4227 this provider ranks #1 of 9 providers nationally (100th percentile; notably above typical national volume), indicating national‑level dominance for that product; Q4262 ranks #23 of 141 (84th percentile; typical, unremarkable volume) so participation there is more modest; 11046 ranks #22 of 652 (97th percentile; notably above typical national volume), showing above‑typical procedural volume for debridement. These mixed rankings imply market leadership for the specific amniocore product and high procedural throughput for wound debridement, while other related products are nearer peer norms.

Claims and payment patterns reinforce the operational model: Q4227 shows 8.7K claims at $231 avg paid/claim while Q4262 shows 5.4K claims at $789 avg paid/claim, and 11046 shows 1.4K claims at $55 avg paid/claim. This mix reflects very high unit volume for one biologic add‑on (Q4227) and substantial per‑unit reimbursement for the other add‑on (Q4262), creating two distinct revenue drivers (volume vs. per‑claim payment) within the same product category.

Clinical visit activity is nontrivial and weighted toward complex established‑patient management: 99215 appears 426 times with $134 avg paid/claim and ranks #2822 of 145531 providers nationally (98th percentile; notably above typical national volume), indicating a meaningful outpatient E/M component for high‑complexity care in addition to procedure/bandaged product billing. New‑patient high‑complexity visits (99205) are minimal (23 claims, $164 avg paid/claim), suggesting follow‑up and established patient management are the primary office visit drivers.

Tenure is long enough to suggest an established practice footprint: NPI enumerated (registered) 2006-12-11 (~20 years ago). This extended enumeration period supports interpretation of these patterns as sustained operational behavior rather than a short‑term anomaly.

Operational and contracting implications: the practice’s financial profile—heavy dependence on a small set of biologic add‑on codes (Q4262, Q4227) and a strong debridement footprint (11046, 11043, 17250)—means payer negotiations, prior‑authorization policies, and supply‑contracting around these products could materially affect revenue. Analysts should treat changes in coverage or unit pricing for Q4227 and Q4262 as high‑impact risks/opportunities for the provider’s Medicare revenue stream.

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
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	5,430	$790	$4.3M
Q4227	Amniocore, per square centimeter (add-on, list separately in addition to primary procedure)	8,700	$230	$2M
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…	1,370	$60	$75.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	430	$130	$57.1K
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…	300	$180	$52.6K
17250	The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.	1,000	$30	$34K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	20	$160	$3.8K

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. Oregon Distribution

Adam Angeles — 4 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	1	10	5,430	$790	$4.3M
Q4227	1	10	8,700	$230	$2M
11046	1	10	210	$50	$25.1K
11043	1	10	100	$150	$19.1K
99215	16	2,170	40	$100	$6.7K
17250	1	10	40	$30	$5.8K
99205	458	940	20	$150	$4.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Clark Pollitt	FL	Diagnostic Radiology Physician	$1.1M	$0
Robert Nusbaum	FL	Diagnostic Radiology Physician	$946.9K	$0
Phillip Mihm	FL	Diagnostic Radiology Physician	$889.9K	$0
Josiah Bancroft	FL	Vascular & Interventional Radiology Physician	$712.6K	$0
Sergio Selva	FL	Diagnostic Radiology Physician	$656.9K	$0
Laura Bancroft	FL	Diagnostic Radiology Physician	$532.8K	$0
Bradley Close	MN	Diagnostic Radiology Physician	$397.3K	$0
Michael Pentaleri	FL	Diagnostic Radiology Physician	$379.6K	$0
Neerav Mehta	FL	Diagnostic Radiology Physician	$357.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ortc, LLC	OR	Substance Abuse Rehabilitation Facility	$747.3K	$16.2M
Telecare Mental Heatlh Service Of Oregon, Inc	OR	Mental Illness Community Based Residential Treatment Facility	$0	$12.8M
Bend Memorial Clinic PC	OR	Family Medicine Physician	$0	$11.7M
Pfeifer & Associates	OR	Community/Behavioral Health Agency	$0	$11.6M
Grants Pass Treatment Center	OR	Substance Abuse Rehabilitation Facility	$0	$9.5M
St. Charles Health System, Inc.	OR	Family Medicine Physician	$0	$8.6M
Deschutes County Oregon	OR	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.9M
Central Oregon Pediatric Associates	OR	Pediatrics Physician	$0	$7.2M
Bend Surgery Center LLC	OR	Ambulatory Surgical Clinic/Center	$4.8M	$1.7M
Central Oregon Emergency Physicians LLC	OR	Emergency Medical Services (Emergency Medicine) Physician	$0	$5.2M

Adam Angeles — 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