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

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

Nicole Siddons (NPI 1467803403)

Field	Value
Entity Type	Individual
Organization	Nicole Siddons
Address	1700 University Ave W Fl 1
City	Saint Paul
State	MN
ZIP	55104
Taxonomy	Family Nurse Practitioner
NPI Enumerated	June 30, 2016

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

This provider’s observed revenue is concentrated in Medicare: Total Medicare revenue is $1.1M while Total Medicaid revenue is none (no Medicaid billing on file), so the payer mix in available claims is effectively single‑payer Medicare. The absence of Medicaid billing on file means there is no Medicaid-derived revenue to evaluate for in‑state competitive positioning or payer diversification analyses.

Revenue concentration is extreme: the precomputed top 3 Medicare codes account for 93.3% of this provider's total Medicare revenue, with one code dominating the book of business. That concentration signals that a small set of services drives almost all billing activity and financial performance in the Medicare data.

Q4186 is the dominant revenue driver and defines the practice’s service mix: Q4186 appears in 8K claims at $119 avg paid/claim producing $951.6K revenue (84.4% of this provider's total Medicare revenue). The code Q4186 (Epifix, per square centimeter) is a skin‑substitute add‑on product, so billing heavily for Q4186 indicates a clinical focus on wound care and skin substitute application rather than a broad spectrum of primary care procedures.

Secondary procedure and service codes suggest a blended model of wound/dermatologic interventions plus longitudinal management in institutional settings: 15271 (skin substitute, trunk/arms/legs) appears (225 claims, $91 avg paid/claim, $20.5K revenue) and 11042 (debridement) also appears among top codes, while nursing facility E/M codes (for example 99309: 1.1K claims, $68 avg paid/claim, $75.8K revenue) and chronic care management codes (99489: 558 claims, $46 avg paid/claim, $25.7K revenue) are present. Taken together, the mix points to a practice that combines wound procedures with facility‑based E/M and chronic care coordination.

Competitive standing for the product line is elevated nationally: the provider ranks #6 of 122 providers for Q4186 (96th percentile; notably above typical national volume for this code), which positions them as a high‑volume national participant for Epifix billing. By contrast, other high‑revenue codes show strong but more distributed participation—99309 ranks #2740 of 28092 (90th percentile) and 99489 ranks #258 of 1836 (86th percentile)—indicating above‑median activity in nursing facility and care‑coordination services but not the same outlier status as Q4186.

The Q4186 billing pattern is both volume‑intensive and unit‑priced: 8K claims at $119 avg paid/claim yielded $951.6K in revenue and accounts for 84.4% of the provider’s Medicare revenue. This creates a business dependency on the skin‑substitute product line that, absent diversification, could make revenue swings sensitive to utilization changes, coding policy shifts, or supply/coverage changes for that specific product.

Provider tenure is established but not long tenure by some measures: NPI enumerated on 2016-06-30 (~10 years ago), indicating roughly a decade of billable activity under the current NPI. The time in the registry combined with a concentrated, high‑volume Q4186 practice suggests this pattern has likely been in place for multiple years rather than representing a one‑off short‑term spike.

Operational and payer implications of no Medicaid activity are material for payers and network planners: with Total Medicaid revenue listed as none (no Medicaid billing on file), the provider’s visible commercial/Medicaid footprint is absent in administrative claims, which limits leverage for Medicaid network access and means Medicare dynamics will dominate contracting, utilization management, and risk assessments based on available data.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4186	Epifix, per square centimeter (add-on, list separately in addition to primary procedure)	8,000	$120	$951.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,110	$70	$75.8K
99489	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	560	$50	$25.7K
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.	230	$90	$20.5K
99487	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	180	$90	$15.4K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	70	$120	$7.7K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	70	$90	$6K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	150	$40	$5.8K
99439	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	140	$30	$4.4K
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…	40	$90	$3.6K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Nicole Siddons — 3 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4186	1	10	2,460	$120	$368.5K
99310	244	340	70	$100	$12.2K
99309	6	540	80	$70	$10.5K
15271	1	10	70	$100	$9.4K
99306	52	180	40	$130	$8.4K
99489	2	20	60	$50	$8K
99487	3	20	50	$90	$7.1K
11042	84	100	60	$60	$5.9K
99305	23	110	30	$100	$4.6K
99308	90	310	40	$50	$3.9K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fairview Health Services	MN	General Acute Care Hospital	$0	$90.4M
Fairview Express Care	MN	Specialist	$0	$33.1M
Fairview Health Services	MN	General Acute Care Hospital	$0	$30M
Fairview Health Services	MN	Emergency Medicine Physician	$0	$26.6M
Fairview Health Services	MN	General Acute Care Hospital	$0	$17.2M
Fairview Express Care	MN	General Practice Physician	$0	$11.4M
Healtheast Medical Research Institute	MN	Clinic/Center	$0	$11.4M
Fairview Clinics	MN	Primary Care Clinic/Center	$0	$9.4M
Healtheast Medical Research Institute	MN	Clinic/Center	$0	$8.7M
Healtheast Medical Research Institute	MN	Internal Medicine Physician	$0	$8.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heritage Home Health Care Inc.	MN	Home Health Agency	$0	$66.7M
Amherst H. Wilder Foundation	MN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$33.9M
Allegiance Ability Assistance LLC	MN	Home Health Agency	$0	$25.9M
Pathways Counseling Center, Inc.	MN	Rehabilitation Psychologist	$0	$23.3M
Catholic Charities Of The Archdiocese Of St Paul & Mpls	MN	Case Management Agency	$0	$17.5M
Twin Town Treatment Center LLC	MN	Substance Abuse Rehabilitation Facility	$0	$16.7M
Caremate Home Health Care, Inc.	MN	Home Health Agency	$0	$14.2M
Ea Bilingual Services, Inc.	MN	Interpreter	$0	$12.6M
Transitions Homes Corporation	MN	Substance Abuse Rehabilitation Facility	$0	$11.8M
Asian-american Home Health Care Services, Incorporated	MN	Home Health Agency	$0	$11.4M

Nicole Siddons — 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