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

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

Nicholas Hugentobler (NPI 1508096116)

Field	Value
Entity Type	Individual
Organization	Nicholas Hugentobler
Address	270 E 8th Ave
City	Durango
State	CO
ZIP	81301
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	July 16, 2009

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

This provider is effectively single‑payer: lifetime Medicare revenue is $1.9M and there is no Medicaid billing on file, indicating the practice’s revenue and patient mix are concentrated in the Medicare population rather than split between Medicare and Medicaid. This payer concentration suggests a predominantly older patient panel and exposes the practice to Medicare policy and rate changes.

Revenue is extremely concentrated in a very small set of services: the precomputed top 3 Medicare codes by revenue account for 93.4% of this provider's total Medicare revenue. The single largest driver is Q4250 (1.2K claims, $1414 avg paid/claim, $1.6M revenue; 85.4% of Medicare revenue), which alone makes up the vast majority of reported Medicare receipts.

The code mix indicates a clinical focus on advanced wound care and use of biologic/skin‑substitute products combined with routine podiatric procedures. In addition to Q4250, the provider bills 15275 (102 claims, $129 avg paid/claim, $13.2K revenue) and debridement/skin excision codes such as 11042 (77 claims, $73 avg paid/claim, $5.6K revenue) and 97597 (24 claims, $73 avg paid/claim, $1.8K revenue), which together support an interpretation that the practice delivers wound and tissue replacement therapies for foot and ankle conditions.

There is a sizeable in‑office molecular testing footprint alongside the wound‑care signals: 87798 appears as the second highest Medicare revenue code (3.1K claims, $34 avg paid/claim, $104.3K revenue; 5.5% of Medicare revenue), and several other amplified nucleic acid probe codes (87481, 87651, 87640, 87500, 87641, etc.) appear in the top 25 with typical national percentiles. This pattern is consistent with regular use of point‑of‑care or outsourced molecular assays in tandem with procedural care.

Competitive standing is mixed by measure and code: for Q4250 the provider ranks #3 of 8 nationally (71th percentile; described as typical, unremarkable volume), which places them among the small group of higher users for that add‑on product, while for office and diagnostic volume the provider shows above‑typical activity—99213 ranks #13090 of 457151 providers (97th percentile; notably above typical national volume) and 73630 ranks #791 of 30788 providers (97th percentile; notably above typical national volume). In short, the provider is a high‑volume clinic for routine E/M and foot radiography relative to peers, and a prominent biller of Q4250 within a narrow national cohort.

The provider has an established enrollment history (NPI enumerated 2009-07-16, ~17 years ago), which supports the likelihood of mature referral relationships and operational stability behind the observed revenue patterns. That tenure, combined with concentrated product use, suggests an entrenched service model rather than a newly launched revenue stream.

From a business risk and contracting perspective, heavy reliance on a single high‑revenue add‑on and the Medicare program creates sensitivity to payer edits, code-level policy changes, or price adjustments for Q4250 and related wound‑care supplies. Given that top codes are concentrated (top 3 = 93.4%), any reimbursement or utilization shift for those specific codes would materially affect overall Medicare revenue, and payers or network negotiators should note this asymmetry when evaluating the provider.

Medicare: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4250	Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure)	1,150	$1,410	$1.6M
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	3,070	$30	$104.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	730	$70	$49.6K
87481	The lab analyst performs a test for Candida species using amplified nucleic acid probe technique.	700	$30	$23.8K
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…	140	$100	$14.2K
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…	100	$130	$13.2K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	350	$30	$9.1K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	120	$80	$8.8K
99204	The provider sees a new 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 provider…	50	$130	$6.1K
11721	The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.	190	$30	$5.8K

Showing 1–10 of 32

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Nicholas Hugentobler — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

32 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4250	1	10	1,150	$1,410	$1.6M
87798	7	50	350	$30	$112.5K
87801	12	20	70	$70	$79.2K
87481	7	50	120	$30	$25K
15275	3	10	90	$110	$11.4K
99214	2,662	8,160	80	$80	$11.3K
11056	68	70	70	$60	$9.1K
87653	20	50	30	$30	$8.4K
11042	67	130	80	$70	$8.3K
87500	6	40	30	$30	$7.5K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Justin Curtis	CO	Podiatrist	$7.7M	$0
Jacqueline Walker	NV	Nurse Practitioner	$3.4M	$0
Victoria Knauf	CO	Foot & Ankle Surgery Podiatrist	$1.7M	$0
Douglas Toole	UT	Foot & Ankle Surgery Podiatrist	$1.6M	$0
Kayse Lake	CO	Podiatrist	$1.3M	$790
Michelle Williams	UT	Nurse Practitioner	$1.1M	$0
Innovation Medical Group PC	UT	Podiatrist	$0	$741.2K
San Juan County Hospital	UT	Rural Health Clinic/Center	$0	$702.8K
Shawn Isaeff	UT	Vascular & Interventional Radiology Physician	$668K	$0
San Juan County Hospital	UT	Critical Access Hospital	$0	$519K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southwest Colorado Mental Health Center, Inc	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$18.2M
Catholic Health Initiatives Colorado	CO	General Acute Care Hospital	$0	$6M
Pediatric Partners Of The Southwest	CO	Pediatrics Physician	$0	$5.8M
Southwest Colorado Mental Health Center, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$4.5M
Southwest Colorado Mental Health Center, Inc	CO	Federally Qualified Health Center (FQHC)	$0	$4.3M
Kyle Piwonka	CO	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Clayton Labaume	CO	Surgical Physician Assistant	$1.4M	$0
Sano Vita Inc	CO	Community/Retail Pharmacy	$86.6K	$359.1K
Joshua Zastrocky	CO	Ophthalmology Physician	$352.5K	$0
Jonathan Clark	CO	Radiation Oncology Physician	$340.9K	$0

Nicholas Hugentobler — 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