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

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

Abbey Ford (NPI 1417629452)

Field	Value
Entity Type	Individual
Organization	Abbey Ford
Address	1650 N Farwell Ave
City	Milwaukee
State	WI
ZIP	53202
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 29, 2021

Payer Source	Total Paid
Medicare	$806K
Medicaid	$0

Key Findings

This provider’s documented payer footprint is effectively single-payer: total Medicare revenue is $806K and there is no Medicaid billing on file. The top 3 Medicare codes by revenue account for 96.0% of the provider’s Medicare receipts, indicating Medicare-driven volume and revenue concentration.

The code mix indicates a wound-care–focused practice with home-visit components: Q4190 (Artacent ac, per square centimeter) and 97610 (low–frequency ultrasound for wound healing) together dominate the revenue base, and additional codes such as 11042 (debridement) and 15271 (skin substitute for trunk/limbs) reinforce a wound treatment service line. The presence of multiple home/residence visit codes (for example 99348) suggests significant care delivered in non-clinic settings.

Revenue concentration is extreme within Medicare: Q4190 alone generates $626.8K (77.7% of the provider’s Medicare revenue) and the second code, 97610, contributes $126.1K (15.6%). With the top 3 codes totaling 96.0% of Medicare revenue, the practice’s financial performance is heavily dependent on a very small set of wound-care services and materials.

Competitive standing on the largest revenue driver is modest: Q4190 ranks #6 of 29 providers nationally and is in the 82th percentile, characterized in the file as typical, unremarkable volume for this code. That ranking combined with the high revenue share suggests the provider is not a national outlier in volume for Q4190, even though Q4190 is the dominant revenue source for this NPI.

For the second major code, 97610, the provider reports 441 claims and $126.1K in revenue, ranking #61 of 320 providers nationally (81th percentile) and also labeled typical, unremarkable volume; this indicates the provider’s use of therapeutic ultrasound is in line with many peers rather than uniquely high. For 99348 (home/residence E/M; 433 claims, $21.2K, 2.6% of revenue) the provider ranks #799 of 11547 (93th percentile), which signals relatively higher standing among a large national cohort for home-visit E/M services despite the small share of total revenue.

The provider’s NPI was enumerated on 2021-09-29 (~5 years ago), indicating a relatively recent entry or re-enumeration in available Medicare files; given the concentrated revenue profile, this may reflect a focused or developing wound-care practice rather than an established, diversified multi-service group. Tenure combined with concentration suggests limited diversification to date.

From a payer and network-planning perspective, the absence of Medicaid billing on file means this clinician currently presents no measurable Medicaid capacity; commercial or Medicare Advantage networks seeking wound-care capacity in Milwaukee should treat the practice as essentially Medicare-only based on available claims. If a payer’s strategy requires Medicaid-participating wound-care providers, this NPI would not meet that criterion in current records.

Across the top-codes shown, the dataset labels volumes as typical or unremarkable rather than extreme outliers, so the pattern is one of high revenue concentration into commonly billed wound-care items rather than anomalous billing behavior. The combination of a dominant skin-substitute code (Q4190) and typical-volume percentiles suggests the key clinical differentiator for this provider is product-driven wound treatment rather than unusually high service frequency.

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
Q4190	Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure)	1,420	$440	$626.8K
97610	The provider uses a low–frequency ultrasound device to try to improve wound healing.	440	$290	$126.1K
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…	430	$50	$21.2K
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.	160	$80	$13.1K
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.	130	$90	$11.8K
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…	60	$110	$6.3K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	20	$80	$1.3K

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. Wisconsin Distribution

Abbey Ford — 3 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4190	1	10	1,050	$470	$495.5K
97610	1	10	100	$290	$57.5K
99350	61	130	50	$120	$13.3K
15271	2	10	90	$80	$8.8K
11042	31	140	70	$60	$6.9K
99348	1	160	50	$40	$4K
99344	29	50	20	$90	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicole Kirk	KS	Family Nurse Practitioner	$3M	$0
Rajesh Iyengar	IL	Family Medicine Physician	$1.2M	$1.6M
Shawn Love	IL	Orthopaedic Surgery Physician	$597.7K	$353.6K
Jessica Kot	IL	Family Nurse Practitioner	$849.4K	$0
Kathleen Gonzales	IL	Family Nurse Practitioner	$588.5K	$114.5K
Samuel Asomaning	CT	Adult Health Nurse Practitioner	$675.6K	$0
Katherine Piehl	MN	Nurse Practitioner	$668.3K	$0
Lisa Loring	IL	Nurse Practitioner	$564.7K	$11.2K
Karla Montelongo	KS	Family Nurse Practitioner	$560.5K	$0
Jennifer Stropkey	WI	Nurse Practitioner	$405.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$22M
M. L. Tharps & Associates LLC	WI	Supports Brokerage Agency	$0	$9.9M
Dva Renal Healthcare Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
City Of Milwaukee Health Dept	WI	Clinic/Center	$0	$3.5M
Murtaza Sajan	WI	Dentist	$0	$3.1M
William Maloney	WI	Emergency Medicine Physician	$96.4K	$655.9K
Aleksandar Rosich	WI	Internal Medicine Physician	$219.4K	$311.8K
Kelly Ann Cullen	WI	Emergency Medicine Physician	$106K	$266.7K
Fleming Dermatopathology, LLC	WI	Dermatopathology Physician	$298.5K	$0
David Lieberman	WI	Emergency Medicine Physician	$29K	$223.2K

Abbey Ford — Billing Profile & Reimbursement Data

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Abbey Ford — 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