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.

Judy Pauletich (NPI 1528500360)

Field	Value
Entity Type	Individual
Organization	Judy Pauletich
Address	1255 Mayhill Rd N
City	Maplewood
State	MN
ZIP	55119
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	November 10, 2016

Payer Source	Total Paid
Medicare	$1M
Medicaid	$0

Key Findings

Revenue concentration is extreme: the provider reports $1M in total Medicare revenue and the precomputed top-3 share shows that Q4186, 99309, and 15271 together account for 96.5% of that Medicare revenue. Q4186 alone generates $926.8K (89.4% of Medicare revenue), indicating the practice’s financials are overwhelmingly dependent on a single product/procedure line.

Business/service-line profile points to wound care and advanced skin-substitute use: Q4186 (Epifix, per square centimeter) is the dominant revenue driver and 15271 (skin substitute up to 100 cm2) and 11042 (debridement) are also present in the mix. The code set — dominated by skin substitute and wound-debridement codes — suggests the provider operates as a wound-care/specialty-supply practice rather than a general primary-care panel.

Competitive standing on the lead code is strong: the provider ranks #7 of 122 providers nationally for Q4186 and is in the 95th percentile, described as notably above typical national volume for this code. By contrast, the other revenue contributors show more modest competitive positions: 15271 ranks #129 of 1157 (89th percentile) and 99309 ranks #4459 of 28092 (84th percentile), indicating above-average but not market-dominant activity for those E/M services.

Payer mix is effectively single-payer Medicare: the profile shows $1M in Medicare revenue and explicitly notes no Medicaid billing on file. This absence of Medicaid activity means the provider’s Medicare-focused revenue profile carries most commercial and public-payer exposure and any policy or coverage changes to skin-substitute reimbursement could have outsized impact.

Service-level granularity indicates high utilization of add-on, per-area billing: Q4186 is an add-on, per-square-centimeter code for Epifix and it accounts for $926.8K (89.4%) of Medicare revenue, implying frequent use of billed area-based products rather than one-off procedures. The presence of multiple chronic-care and care-coordination codes (for example 99487, 99489, 99490) at much smaller volumes suggests some longitudinal care or coordination activity, but these are immaterial to revenue.

Revenue concentration creates operational and payer risk: with 96.5% of Medicare revenue coming from the top three codes, the provider’s financial profile is highly concentrated on wound-supply and related procedures. Any reimbursement, coverage, or utilization review changes affecting Q4186 or skin-substitute codes would disproportionately affect this provider’s Medicare revenue.

Tenure and billing history show an established presence: the NPI was enumerated on 2016-11-10 (~10 years ago), indicating a roughly decade-long billing record which supports interpreting current code volumes as the result of an established operational focus rather than a transient pattern.

Code-level utilization context is mixed in statistical characterization: Q4186 is reported as notably above typical national volume for the code, marking the provider as an outlier and leader for Epifix use, while many E/M and care-coordination codes (for example 99309, 99487, 99490) are described as typical or unremarkable volumes, underscoring that the provider’s exceptional activity is concentrated in wound-product billing rather than broad-spectrum clinical visit volume.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4186	Epifix, per square centimeter (add-on, list separately in addition to primary procedure)	7,850	$120	$926.8K
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…	810	$70	$54.9K
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.	190	$100	$18.6K
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.	140	$90	$12K
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…	50	$110	$5.2K
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…	50	$80	$4.5K
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…	90	$50	$4.3K
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…	30	$90	$3K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	30	$50	$1.6K
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…	50	$30	$1.4K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Judy Pauletich — 1 of 14 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

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4186	2	10	2,460	$120	$368.5K
99310	334	340	70	$100	$12.2K
99309	12	540	80	$70	$10.5K
15271	2	10	70	$100	$9.4K
99306	71	180	40	$130	$8.4K
99489	7	20	60	$50	$8K
99487	16	20	50	$90	$7.1K
11042	22	100	60	$60	$5.9K
99305	28	110	30	$100	$4.6K
99308	184	310	40	$50	$3.9K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Judy Pauletich, 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
Fairview Clinics	MN	Primary Care Clinic/Center	$0	$9.4M
Fairview Clinics	MN	Multi-Specialty Clinic/Center	$0	$8M
Fairview Health Services	MN	General Acute Care Hospital	$0	$7.7M
Northern Lights Health LLC	MN	Primary Care Nurse Practitioner	$0	$7.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rescare Minnesota, Inc.	MN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$93.6M
Summit Senior Living, LLC	MN	Assisted Living Facility (Behavioral Disturbances)	$0	$21.1M
Community Dental Care Inc	MN	Dentist	$0	$19.1M
Dental Associates Of St. Paul PA	MN	General Practice Dentistry	$0	$15.5M
Dental Delivery Systems Of St. Paul LLC	MN	General Practice Dentistry	$0	$8.6M
People Incorporated	MN	Community/Behavioral Health Agency	$0	$7.6M
Rhsc Inc.	MN	Mental Illness Community Based Residential Treatment Facility	$0	$4.5M

Judy Pauletich — 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