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

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

Laura Kaiser (NPI 1376960864)

Field	Value
Entity Type	Individual
Organization	Laura Kaiser
Address	2390 West Congress
City	Lafayette
State	LA
ZIP	70506
Taxonomy	Adult Health Clinical Nurse Specialist
NPI Enumerated	March 24, 2014

Payer Source	Total Paid
Medicare	$5.1M
Medicaid	$0

Key Findings

Medicare-revenue concentration is extreme: the provider reports $5.1M in total Medicare revenue with the precomputed top-3 Medicare codes accounting for 99.5% of that total, and a single code, Q4217, contributing $5M (98.3% of Medicare revenue). This level of concentration indicates the business is almost entirely dependent on a single procedure line for its Medicare income, creating high exposure to any changes in reimbursement or utilization policies for that code.

Q4217 drives the practice’s volume and unit economics: the provider billed Q4217 for 4.3K claims at $1157 avg paid/claim, producing $5M in revenue and ranking #10 of 65 nationally (86th percentile; typical, unremarkable volume for this code). The code description (wound-related biologic product billed per square centimeter) together with the claim count and high avg paid/claim suggests the operation focuses on wound-product supply or wound-care applications that are billed on a per-area basis.

Supplementary home-based E/M and prolonged-service codes are present but account for a trivial share of revenue: 99350 (392 claims, $118 avg paid/claim, $46.3K revenue; ranks #680 of 7304 nationally, 91th percentile; typical, unremarkable volume) and G0318 (710 claims, $20 avg paid/claim, $14.2K revenue; ranks #59 of 946 nationally, 94th percentile; typical, unremarkable volume) together contribute under 2% of Medicare revenue. These entries imply the provider also bills for home or residence evaluation and management and associated prolonged time units, but those E/M activities are secondary to the wound-product revenue stream.

Procedure mix is consistent with wound-care and skin-replacement services beyond the dominant Q4217: codes such as 15271 (75 claims, $89 avg paid/claim, $6.7K revenue) and debridement 11042 (72 claims, $79 avg paid/claim, $5.7K revenue) appear among top codes. The presence of skin-substitute and debridement codes alongside Q4217 supports an interpretation that the provider’s clinical activity centers on wound management and related procedures.

Payer mix is effectively single-payer Medicare: lifetime Medicaid revenue is listed as none (no Medicaid billing on file), so this provider operates with Medicare-only billing on file and has no observable Medicaid footprint. That concentration means payers and network planners should treat this entity as a Medicare-focused provider when assessing access, reimbursement risk, or network sufficiency.

Competitive standing is mixed but not extreme: for its dominant code Q4217 the provider ranks #10 of 65 nationally (86th percentile) and is explicitly labeled as "typical, unremarkable volume for this code," while ancillary codes like G0318 and 99350 sit in higher percentiles (94th and 91th percentile, respectively) but are likewise described as "typical, unremarkable volume." In plain terms, the provider is a prominent user of Q4217 within a limited national peer set but does not register as an extreme outlier by the supplied labels.

Tenure is long enough to establish a billing pattern: the NPI was enumerated on 2014-03-24 (~12 years ago), indicating the provider has maintained this billing profile for roughly a decade-plus and allowing payers to evaluate trends over multiple policy periods. Stability of enrollment combined with the concentrated revenue mix suggests historical operational focus rather than a recent, short-lived billing spike.

Operational risk and contracting implications: because $5M of the $5.1M Medicare revenue is tied to a single wound-product code (Q4217 at 98.3% of Medicare revenue) and there is no Medicaid activity, the provider represents a high-revenue, single-service dependency. For payers and contracting teams, this pattern merits focused review of coding practices, supply-chain arrangements for skin-substitutes/wound products, and contingency planning in case of policy or reimbursement changes affecting Q4217.

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
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	4,340	$1,160	$5M
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	390	$120	$46.3K
G0318	Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	710	$20	$14.2K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	70	$130	$8.8K
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.	80	$90	$6.7K
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.	70	$80	$5.7K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	50	$100	$5.1K

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. Louisiana Distribution

Laura Kaiser — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4217	1	10	4,340	$1,160	$5M
99350	5	50	60	$120	$14.8K
99310	92	150	80	$100	$13.7K
11042	111	200	80	$60	$10.2K
15271	6	20	30	$90	$4.2K
G0318	2	20	100	$20	$3.9K
99345	1	30	30	$120	$3.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Hospital & Clinics, Inc.	LA	General Acute Care Hospital	$0	$60.9M
Lsuhn Billing LLC	LA	Multi-Specialty Clinic/Center	$0	$45.7M
University Hospital & Clinics, Inc.	LA	Anesthesiology Physician	$0	$12.1M
Wade May	LA	Cardiovascular Disease Physician	$1.8M	$0
Perri Prellop	LA	Radiation Oncology Physician	$450.2K	$0
Michael Leddy	LA	Sports Medicine (Orthopaedic Surgery) Physician	$261.2K	$0
Paul Buzhardt	LA	Adult Reconstructive Orthopaedic Surgery Physician	$228.5K	$0
Matthew Williams	LA	Orthopaedic Surgery Physician	$223.6K	$0
Edward Yerger	LA	Specialist	$218.2K	$0
Kristen Sager	AR	Medical Oncology Physician	$211.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Complete Home Health, Inc.	LA	Home Health Agency	$0	$57.4M
Share Care Usa	LA	Developmentally Disabled Services Day Training Agency	$0	$27.4M
Alternative Home Care Specialists, Inc.	LA	Personal Care Attendant	$0	$21.9M
Eckerd Youth Alternatives , Inc. Dba Eckerd Connects	LA	Case Management Agency	$0	$17.7M
Cadence Of Acadiana, Inc.	LA	Case Management Agency	$0	$14.1M
Lafayette Association For Retarded Citizens, Inc.	LA	Respite Care	$0	$12.4M
Aa Angel Care Inc	LA	Early Intervention Provider Agency	$0	$11.8M
Congress Emergency Group LLC	LA	Emergency Medicine Physician	$0	$11.4M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$6.7M
Lafayette Association For Retarded Citizens, Inc.	LA	Developmentally Disabled Services Day Training Agency	$0	$6.6M

Laura Kaiser — Billing Profile & Reimbursement Data

Sign up for Laura Kaiser — Billing Profile & Reimbursement Data policy alerts

Laura Kaiser — Billing Profile & Reimbursement Data

Sign up for Laura Kaiser — Billing Profile & Reimbursement Data policy alerts

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