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.

Malaina Spain (NPI 1417547746)

Field	Value
Entity Type	Individual
Organization	Malaina Spain
Address	3150 N Tenaya Way
City	Las Vegas
State	NV
ZIP	89128
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 20, 2021

Payer Source	Total Paid
Medicare	$774.4K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is modest in absolute scale but highly concentrated: total Medicare revenue is $774.4K and there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the available data. The NPI was enumerated on 2021-01-20 (~5 years ago), indicating roughly five years of billing history to generate this revenue profile.

Revenue is extremely concentrated in a single product line: the precomputed top-3 Medicare codes account for 98.1% of the provider’s total Medicare revenue. In particular, Q4188 alone drives the vast majority of receipts, creating a concentrated revenue exposure to reimbursement or utilization changes tied to that code.

Q4188 is the dominant code for this provider — 968 claims at $745 avg paid/claim for $721.2K in revenue, representing 93.1% of the provider’s Medicare revenue. Q4188 ranks #23 of 47 providers nationally and is described as “typical, unremarkable volume” (52th percentile), so while this provider bills a large dollar amount for the code, it sits at a middle rank among a relatively small national cohort of Q4188 billers.

The secondary Medicare revenue streams are 11042 ($24.3K from 283 claims at $86 avg paid/claim) and 99348 ($14.1K from 287 claims at $49 avg paid/claim); together with Q4188 these three codes form the 98.1% revenue concentration. Both 11042 and 99348 rank high in percentile terms (85th and 88th percentiles respectively) and are labeled "typical, unremarkable volume," meaning the provider bills these services at higher-than-average volumes against large national peer pools but they remain small contributors to overall revenue.

The mix of high-dollar Q4188 (amnio-derived skin substitute) with debridement codes such as 11042 and 11000 and skin‑substitute coverage codes like 15271 indicates a clinical/service-line focus on wound care and advanced biologic dressings. Presence of home visit E/M codes (99348 and 99342) further suggests part of the service model includes in‑home wound management or home‑based follow-up, combining procedural wound care with residential evaluation services.

Competitive standing is mixed: for the flagship revenue driver Q4188 the provider is not a dominant national player (rank #23 of 47, 52th percentile), whereas the debridement and home‑visit codes (11042 at 85th percentile and 99348 at 88th percentile) show relatively higher volumes compared with broad national cohorts. Taken together, the provider appears to compete at above‑average intensity for routine procedural and home E/M codes while relying primarily on one high‑value skin substitute code for revenue.

Several lower‑revenue codes show divergent peer positions that illuminate business breadth and gaps. 15271 ($9.5K, rank #376 of 1157, 67th percentile) and 11000 ($2.3K, rank #139 of 430, 67th percentile) are moderate relative performers in wound/skin procedure categories, while 11721 ($450, rank #12198 of 12535, 2th percentile) is negligible compared with peers, indicating minimal activity in surgical nail procedures.

From a commercial risk and contracting perspective, reliance on a single high‑dollar code (Q4188 at $721.2K and 93.1% of Medicare revenue) creates sensitivity to coverage, pricing, or utilization changes for that product; the absence of Medicaid billing further concentrates payer exposure. For analysts assessing network value or contracting leverage, this profile signals a strong procedural dependency with limited diversification across payers and service lines.

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)	970	$750	$721.2K
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.	280	$90	$24.3K
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…	290	$50	$14.1K
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.	90	$100	$9.5K
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	$2.7K
11000	The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.	90	$30	$2.3K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	20	$30	$450

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

Malaina Spain — 0 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	3	40	80	$110	$17.8K
11042	11	120	120	$70	$11.6K
99348	10	100	80	$50	$9.2K
11721	195	80	200	$30	$8.9K
11000	1	10	90	$30	$4.8K
99342	1	40	20	$50	$2.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Mountainview Hospital, Inc.	NV	General Acute Care Hospital	$0	$32.1M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$22.9M
Ellis Bandt Birkin Kollins & Wong PLLC	NV	Diagnostic Radiology Physician	$0	$18.1M
Nevada Acute Medical Services-scherr 1 PC	NV	Hospitalist Physician	$0	$13.5M
Renal Care Group Las Vegas, LLC	NV	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$13.4M
Laboratory Medicine Consultants Ltd	NV	Clinical Medical Laboratory	$1.9M	$9.2M
Cybt, Inc	NV	In Home Supportive Care Agency	$0	$11.1M
Kan-di-ki LLC	NV	Clinical Medical Laboratory	$5M	$3.6M
Southwest Rehabilitation Physicians & Farhang Associates PLLC	NV	Pain Medicine Physician	$0	$7.1M
New Century Rehabilitation LLC	NV	Physical Therapist	$0	$6.9M

Malaina Spain — 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