Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidVictoria Knauf
    Ask Trek AI about this page

    Victoria Knauf — Billing Profile & Reimbursement Data

    NPI 1528625027 · Durango, CO · Foot & Ankle Surgery Podiatrist

    Customize your policy alerts

    Sign up for Victoria Knauf — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Victoria Knauf is a foot & ankle surgery podiatrist provider located in Durango, Colorado. This profile covers 14 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationVictoria Knauf
    Address1266 Escalante Dr Ste 201
    CityDurango
    StateCO
    ZIP81303
    TaxonomyFoot & Ankle Surgery Podiatrist
    NPI EnumeratedMay 21, 2019

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.7M
    Medicaid$0

    Key Findings

    Revenue is highly concentrated: the provider reports $1.7M in lifetime Medicare revenue and the precomputed top‑3 codes account for 97.5% of that total. In particular, Q4262 alone accounts for $1.6M and 95.0% of Medicare revenue, indicating the practice’s income is dominated by a single add‑on product code rather than a broad mix of high‑value procedures.

    Service line inference: the dominant use of Q4262 (Dual layer impax membrane, per square centimeter) together with 15275 (skin substitute for complex wounds) signals a clinical focus on wound care and advanced skin‑substitute therapies in a foot & ankle podiatry setting. Routine podiatric procedures (for example 11721 nail debridement and 11755 nail biopsies) appear as secondary volume drivers, suggesting the practice couples wound‑care product use with standard outpatient podiatry services.

    Payer mix and market exposure: this provider is effectively single‑payer from the dataset’s perspective — Medicare revenue totals $1.7M and there is no Medicaid billing on file. The absence of Medicaid activity means the provider’s revenue and operational risk are concentrated in Medicare policy and reimbursement trends rather than diversified across state programs.

    Competitive standing for the revenue drivers is modest rather than dominant. Q4262 ranks #64 of 141 providers (55th percentile) and is described in the source as "typical, unremarkable volume for this code," while 15275 ranks #256 of 888 (71th percentile) and 99213 ranks #29296 of 457151 (94th percentile) but is also labeled "typical, unremarkable volume for this code;" these placements indicate the provider is not an outlier or national leader on these specific codes despite the heavy revenue concentration.

    Operational profile nuance: several high‑count, low‑value CPTs (for example 11721 with 370 claims and 11755 with 93 claims) contribute modestly to revenue ($10.4K and $8.1K respectively). This pattern—many routine procedure claims combined with one very large product‑code revenue stream—suggests day‑to‑day clinic activity is built around standard podiatry encounters that are financially leveraged by advanced wound‑care product billing.

    Tenure and scale: the NPI was enumerated 2019-05-21 (~7 years ago), so the provider’s Medicare footprint and the $1.7M lifetime Medicare revenue reflect activity within approximately a seven‑year operating window. This tenure is sufficient to establish a stable local practice pattern but still relatively recent compared with long‑tenured national leaders.

    Business risk implications: because 95.0% of Medicare revenue derives from Q4262 and the top three codes represent 97.5% of Medicare revenue, the practice is particularly exposed to reimbursement changes, coding edits, or payer policy shifts that affect skin substitute and add‑on product billing. Payor negotiations, coverage policy changes, or shifts in clinical guidelines for skin substitutes would have outsized impact on this provider’s revenue profile.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)1,500$1,060$1.6M
    99213The 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…480$70$31.1K
    15275The 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…90$130$10.9K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.370$30$10.4K
    99203The 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…130$80$9.4K
    11755This procedural code is used when the physician biopsies the nail plate, bed, hyponychium, proximal nail folds, or lateral nail folds.  Each one is a separate procedure.90$90$8.1K
    11042The 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 cm2.50$100$4.6K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.120$30$3.2K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.20$110$2.1K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…20$60$1.2K

    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

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42625101,500$970$4.8M
    1527581090$110$11.4K
    9930822825080$50$8.4K
    110428613080$70$8.3K
    1172122140130$30$6.6K
    992132307,20070$60$6.6K
    1175531030$90$5.7K
    99304132030$60$4.6K
    992031242,65030$70$3.1K
    11750487020$110$3.1K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Justin CurtisCOPodiatrist$7.7M$0
    Kewa Pueblo Health CorporationNMCommunity/Behavioral Health Agency$0$4.9M
    Nicholas HugentoblerCOFoot & Ankle Surgery Podiatrist$1.9M$0
    Kewa Pueblo Health CorporationNMFederally Qualified Health Center (FQHC)$0$1.4M
    Kayse LakeCOPodiatrist$1.3M$790
    Sonam KundelingNMNephrology Physician$194.9K$0
    Angela JoNMFamily Medicine Physician$72.7K$0
    Gail NortonNMFamily Medicine Physician$39.7K$0
    Emily RothmanNMFamily Medicine Physician$39.1K$0
    Jimmie CharlieNMFamily Medicine Physician$26K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Connections Inc.COIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$21.5M
    Southwest Colorado Mental Health Center, IncCOMental Health Clinic/Center (Including Community Mental Health Center)$0$13.5M
    Sara HaugCORetina Specialist (Ophthalmology) Physician$3.9M$0
    Moss FenbergCORetina Specialist (Ophthalmology) Physician$2.3M$0
    Durango Fire Protection DistrictCOLand Ambulance$434.9K$1.7M
    Grant GebhardCOOphthalmology Physician$706.5K$0
    Mark GaughanCODermatology Physician$480.5K$0
    Carmen JulianCODermatology Physician$420.6K$0
    Kristin PogueCOPhysician Assistant$191K$0
    Janelle StewartCOPhysician Assistant$138.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Colorado Distribution
    Victoria Knauf — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado