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

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

Questcare Medical Services, PLLC (NPI 1497807713)

Field	Value
Entity Type	Organization
Organization	Questcare Medical Services, PLLC
Address	3301 Matlock Rd
City	Arlington
State	TX
ZIP	76015
Taxonomy	Nurse Practitioner
NPI Enumerated	January 17, 2007

Payer Source	Total Paid
Medicaid	$13.1M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	86,790	$70	$6.2M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	61,970	$80	$4.8M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	51,760	$40	$2M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	6,730	$1	$26.9K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	300	$90	$26.6K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	2,510	$1	$5K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	320	$1	$320
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	40	$1	$40
99053	The provider renders overnight services at a 24 hour facility.	18,580	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Questcare Medical Services, PLLC — 4 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	18	710	1,790	$200	$2.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	34	730	1,960	$100	$1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	12	590	740	$170	$969.2K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	120	280	190	$130	$148.6K
71045	In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…	359	550	970	$10	$82K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	62	490	470	$1	$17.5K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	88	130	100	$1	$1.7K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	1	30	160	$1	$1.1K
99053	The provider renders overnight services at a 24 hour facility.	6	40	340	$1	$700

Related Providers

Other providers that share a Tax Identification Number (TIN) with Questcare Medical Services, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christina Kammerer	TX	Emergency Medicine Physician	$219.4K	$0
Robert Collier	TX	Emergency Medicine Physician	$180K	$0
Manish Acharya	WI	Emergency Medicine Physician	$59.4K	$86.4K
Jessica Baxley	NC	Emergency Medicine Physician	$134.2K	$0
Ashton Hudson	KY	Emergency Medicine Physician	$120.7K	$0
Joe Nieto	TX	Emergency Medicine Physician	$96.5K	$16.7K
Mark Slepin	FL	Emergency Medicine Physician	$92.2K	$0
John Peffer	NM	Emergency Medicine Physician	$80.9K	$0
Ryan Martin	TX	Surgical Physician Assistant	$78.5K	$0
Tyler Jefferson	TX	Physician Assistant	$50.6K	$0

Nearby Providers

Other providers in the same ZIP code as Questcare Medical Services, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wilcare Dallas, Inc.	TX	Personal Care Attendant	$0	$75.1M
Columbia Medical Center Of Arlington Subsidiary LP	TX	General Acute Care Hospital	$0	$21.8M
Upnt Surgery LLC	TX	Ambulatory Surgical Clinic/Center	$2.3M	$0
Thomas Eidson	TX	Phlebology Physician	$627.8K	$0
Thomas Purgason	TX	Internal Medicine Physician	$341.9K	$0
Jesse Even	TX	Orthopaedic Surgery Physician	$270.4K	$0
Ryan Murphy	TX	Orthopaedic Surgery of the Spine Physician	$120K	$0
Rajesh Gogia	TX	Diagnostic Radiology Physician	$98.5K	$0
Yordanos Habtegebriel	TX	Pulmonary Disease Physician	$86.4K	$0
Francisco Rodriguez	TX	Orthopaedic Surgery Physician	$85K	$0

Questcare Medical Services, PLLC — Billing Profile & Reimbursement Data

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Questcare Medical Services, PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References