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    OpenPayerNPI Medicare & MedicaidSarah Hull
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    Sarah Hull — Billing Profile & Reimbursement Data

    NPI 1366093312 · Farmington, MO · Nurse Practitioner

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    Sarah Hull is a nurse practitioner provider located in Farmington, Missouri. This profile covers 10 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
    OrganizationSarah Hull
    Address530 N Middle St
    CityFarmington
    StateMO
    ZIP63640
    TaxonomyNurse Practitioner
    NPI EnumeratedSeptember 21, 2019

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

    Payer SourceTotal Paid
    Medicare$2.6M
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer: lifetime Medicare revenue is $2.6M while Total Medicaid revenue is none (no Medicaid billing on file). The absence of Medicaid activity means payer exposure and market footprint are concentrated in the Medicare channel.

    Revenue is highly concentrated in a very small set of procedures: the precomputed top 3 Medicare codes by revenue account for 98.9% of the provider’s total Medicare revenue, with Q4186 alone representing $2.5M (97.2% of Medicare revenue). This level of concentration indicates the practice’s financial performance is driven almost entirely by one add‑on skin substitute code.

    The code mix strongly points to a procedural wound‑care service line: heavy use of Q4186 (Epifix, per square centimeter) alongside 15271/15272 (skin substitute grafting) and debridement codes such as 11042 and 97597 suggests the provider focuses on applying skin substitutes and performing wound debridement rather than general primary‑care visits. The provider’s taxonomy as Nurse Practitioner aligns with delivering outpatient wound care and procedure‑based services.

    The practice bills very few standard office E/M visits relative to procedural revenue — 99213 appears with 75 claims and $4.1K in revenue, a small fraction of total Medicare receipts. This underscores a procedure‑heavy model (device/product and procedural reimbursement) instead of a visit‑driven ambulatory practice.

    On competitive standing, the provider is an extreme national outlier for the primary product: Q4186 ranks #1 of 122 providers nationally (100th percentile; extreme outlier), and an additional skin‑substitute code 15272 also ranks #1 of 88 providers nationally (100th percentile; extreme outlier). These ranks indicate unusually high national volume for those specific codes compared with peers, signaling dominance in billing for those specific skin substitute products.

    Other Medicare codes present a mixed competitive picture: 15271 ($34.7K, 1.3% of revenue) ranks #36 of 1157 providers (97th percentile; notably above typical national volume), while 11042 ($10.9K, 0.4% of revenue) ranks #3362 of 10712 providers (68th percentile; typical, unremarkable volume). This suggests strength in specific skin‑substitute procedures but otherwise typical volumes for standard debridement services.

    The extreme concentration in one add‑on product creates operational and reimbursement risk: with $2.5M tied to Q4186 (97.2% of Medicare revenue), any changes in Medicare coverage, pricing, or supplier availability for that product could materially affect the provider’s revenue stream. Analysts should flag dependency on a single high‑yield code when assessing revenue sustainability and payer negotiation risk.

    The provider’s NPI was enumerated on 2019-09-21 (~7 years ago), indicating a relatively recent enrollment window. Generating $2.6M in lifetime Medicare revenue concentrated in a narrow set of procedural codes over that period may reflect rapid scaling of a niche wound‑care operation or targeted service adoption rather than a long‑established multiservice practice.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4186Epifix, per square centimeter (add-on, list separately in addition to primary procedure)21,160$120$2.5M
    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 cm2.360$100$34.7K
    11042The 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 cm2.150$80$10.9K
    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…600$20$9K
    99213The 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…80$60$4.1K
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…150$20$3.6K
    29580The provider applies an Unna boot, a spiral compression dressing, made of cotton and zinc oxide paste or other emollients, that keeps the skin moist and free of irritation while applying pressure to…110$30$3.5K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…60$60$3.4K
    0598TThe provider uses real–time fluorescence imaging in a darkened clinical setting to examine a wound. The provider uses this imaging to identify and locate bacterial infection in the wound and to…40$50$2K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…50$40$2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q41861101,060$120$509.5K
    0598T1620400$40$19.9K
    99308389490170$50$19.3K
    110426421090$60$10.4K
    15272110600$20$9.2K
    1527112070$90$8.8K
    992133,9908,73070$50$7K
    110452040140$20$4.2K
    975976113050$40$3.4K
    2958021030$40$2.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Iron County Hospital DistrictMOCritical Access Hospital$0$5.7M
    Nadeem AhmedMOPulmonary Disease Physician$192K$426.2K
    Philip BeuchertNYDiagnostic Radiology Physician$583.7K$1.7K
    Zia AhmadMOCardiovascular Disease Physician$507.4K$0
    Bryan PiotrowskiMOCardiovascular Disease Physician$427.9K$0
    Inderjit SinghMONephrology Physician$355.5K$63.6K
    Debra OdenKSDiagnostic Radiology Physician$253.7K$92.6K
    Jeremy HavasFLDiagnostic Radiology Physician$263.3K$82.8K
    Sergey SorinMOFamily Medicine Physician$248.4K$18.2K
    James FernandezMNDiagnostic Radiology Physician$248.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parkland Health CenterMOGeneral Acute Care Hospital$0$33.5M
    L.i.f.e Center For Independent LivingMOSpecialist$0$19.5M
    St. Francois County Ambulance DistrictMOLand Ambulance$1.5M$12.4M
    L.i.f.e., Inc.MOIn Home Supportive Care Agency$0$5.4M
    Greater Heights Adhc, LLCMOAdult Day Care Clinic/Center$0$5.2M
    St. Francois County Board For The Developmentally DisabledMOCase Management Agency$0$4.5M
    Healthy Home & Family, Inc.MOHome Health Agency$0$4.3M
    Physician Groups LcMOMulti-Specialty Clinic/Center$0$4.2M
    Surgery Center Of Farmington, L.L.C.MOAmbulatory Surgical Clinic/Center$538.5K$262.7K
    Air Evac Ems IncMOAir Ambulance$497.3K$0

    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. Missouri Distribution
    Sarah Hull — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri