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.

Ulrike Pasternak (NPI 1386318780)

Field	Value
Entity Type	Individual
Organization	Ulrike Pasternak
Address	8480 S Eastern Ave Ste F
City	Las Vegas
State	NV
ZIP	89123
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 9, 2021

Payer Source	Total Paid
Medicare	$4M
Medicaid	$0

Key Findings

This provider reports $4M in total Medicare revenue and no Medicaid billing on file, making Medicare the sole recorded public payer for this practice. The top three Medicare codes — Q4262 ($1.4M, 34.5%), Q4173 ($1.2M, 31.1%), and Q4253 ($1.1M, 28.2%) — together account for 93.8% of the provider's Medicare revenue, indicating extreme concentration in a small set of service lines.

The code mix is dominated by add‑on biologic/skin substitute products (Q4262, Q4173, Q4253), which suggests the operation is primarily oriented around advanced wound care or graft/amnio product provision rather than routine office-based primary care. Supporting procedural and wound-care codes appear in the tail of the revenue distribution — for example, 97610, 15271, 15004, and 11000 — consistent with a practice that combines product-based billing with procedural wound management.

Payer mix is effectively single‑payer at the public level: $4M recorded to Medicare and “none below” for Medicaid. This narrow public-payer footprint increases exposure to Medicare reimbursement or coverage changes because there is no Medicaid revenue to offset shifts in Medicare policy or pricing for the high‑revenue products.

Competitive standing across the three revenue-driving Q‑codes is mixed. Q4173 ranks #5 of 19 nationally (78th percentile) and therefore places this provider among higher-volume national billers for that specific product within a small national cohort, while Q4262 (rank #63 of 141, 56th percentile) and Q4253 (rank #37 of 73, 50th percentile) are middle-of-pack and described as typical, unremarkable volume.

Tenure on file is relatively recent: the NPI was enumerated on 2021-08-09 (~5 years ago). Generating $4M in Medicare revenue in roughly five years suggests rapid build-up of the specific product-based service line rather than a long legacy billing history.

Although most revenue comes from product add-ons, the practice also bills evaluation-and-management and higher-complexity office visits. 99214 produced $46.3K (1.2%) and is described as typical, unremarkable volume, while 99215 generated $30.9K (0.8%) and is listed as notably above typical national volume, indicating that a subset of encounters are high complexity and may reflect medically complex wound care follow-up.

Across procedure codes there are no flagging descriptors of extreme outlier behavior; most high-volume procedures are labeled "typical, unremarkable volume." The presence of one E/M code characterized as "notably above typical national volume" (99215) combined with product-dominant revenue suggests a clinical workflow where intensive patient visits accompany high-value product application.

Revenue concentration creates operational and reimbursement risk: with Q4262, Q4173, and Q4253 accounting for 93.8% of Medicare revenue, changes in coverage, pricing, or supplier relationships for these specific add-on products could materially affect top-line public payer receipts. The absence of Medicaid revenue further limits payer diversification, leaving the provider reliant on Medicare dynamics and a narrow set of high-revenue codes.

Medicare: Complete Services Breakdown

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

15 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)	1,510	$920	$1.4M
Q4173	Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure)	1,740	$720	$1.2M
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	1,520	$750	$1.1M
97610	The provider uses a low–frequency ultrasound device to try to improve wound healing.	220	$300	$64.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	550	$90	$46.3K
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…	260	$120	$30.9K
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.	260	$100	$26.6K
15004	The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,…	70	$270	$18.8K
15275	The 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…	140	$110	$15.2K
11000	The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.	490	$30	$13.7K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nevada Distribution

Ulrike Pasternak — 3 of 15 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

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	3	10	1,300	$980	$3.6M
Q4253	4	10	1,520	$690	$2.9M
Q4173	1	10	720	$740	$732.5K
97610	4	10	180	$310	$98.4K
99214	390	3,610	110	$80	$19K
15271	4	40	80	$110	$17.8K
99215	76	790	40	$120	$12.2K
11042	68	120	120	$70	$11.6K
15002	4	10	50	$140	$8.8K
15275	3	20	60	$110	$8.1K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homer Tuazon	NV	Family Nurse Practitioner	$187.8K	$243.8K
Zachariah Jensen	ID	Neuromusculoskeletal Medicine & OMM Physician	$127.1K	$0
Alfred Theodore Maniago	NV	Family Nurse Practitioner	$111.3K	$0
Truong Nguyen	NV	Family Nurse Practitioner	$92.8K	$0
Shalonda Myles	WI	Psychiatric/Mental Health Nurse Practitioner	$46.3K	$0
Veronica Powell	WI	Family Nurse Practitioner	$12.9K	$18.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sl Consulting LLC	NV	Clinical Medical Laboratory	$1.7M	$11.6M
Mountain View Family Services	NV	Behavior Analyst	$0	$11.6M
Children's Bone And Spine Surgery, LLP	NV	Specialist	$0	$5.9M
Caroline A. Bobbett, Dds Apc	NV	Dentist	$0	$3.9M
Freedom Medical Supply LLC	NV	Durable Medical Equipment & Medical Supplies	$0	$3.9M
Nadhc At Eastern, Inc.	NV	Adult Day Care Clinic/Center	$0	$3M
Autism And Brain Institute Inc	NV	Occupational Therapist	$0	$1.6M
Nasim Daoud	NV	Rheumatology Physician	$1.3M	$0
Helga Uzcategui	NV	Ophthalmology Physician	$563.9K	$0
Digestive Disease Center-green Valley	NV	Ambulatory Surgical Clinic/Center	$449.4K	$0

Ulrike Pasternak — 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