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

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

Michelle Williams (NPI 1588215057)

Field	Value
Entity Type	Individual
Organization	Michelle Williams
Address	1083 W Pheasant Tail Dr
City	Bluffdale
State	UT
ZIP	84065
Taxonomy	Nurse Practitioner
NPI Enumerated	September 25, 2019

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

This provider’s billed Medicare footprint is concentrated: total Medicare revenue is $1.1M and there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the available claims record. Analysts should treat Medicaid comparisons and in‑state payer mix as not applicable for this provider based on the data provided.

Revenue concentration is extreme across a small set of codes: the top three Medicare codes (Q4236, Q4281, 15271) together account for 97.7% of the provider’s total Medicare revenue. Individually, Q4236 generated $634.2K (55.3% of Medicare revenue), Q4281 generated $472.4K (41.2%), and 15271 generated $14.1K (1.2%), indicating almost all Medicare dollars flow through a very narrow code mix.

The clinical/business profile implied by the code mix points to wound‑care and skin substitute services as the dominant service line: Q4236 (Carepatch) and Q4281 (Barrera sl/dl) are per‑square‑centimeter skin substitute add‑ons and 15271 covers skin substitute placement on limbs/trunk. Ancillary codes such as 11042 (debridement) and several home E/M codes (99348, 99349, 99344) appear in smaller volumes, aligning with a practice model focused on wound management and product application rather than broad primary care.

Competitive standing for the two highest‑revenue Q‑codes is modest nationally: Q4236 ranks #63 of 79 providers nationally (21th percentile) and Q4281 ranks #27 of 33 providers nationally (19th percentile), both described in the data as "typical, unremarkable volume for this code." These rank positions indicate the provider is not a dominant national player for those product codes and operates at a modest scale relative to peers who bill the same items.

By contrast, the provider shows relatively stronger placement on CPT 15271 and on some home E/M codes: 15271 ranks #184 of 1157 providers nationally (84th percentile) and 99348 ranks #2437 of 11547 providers nationally (79th percentile), both labeled as typical volumes but at higher percentiles. Those higher percentile ranks suggest the provider is comparatively active in surgical skin substitute coverage and in some home visit E/M activity versus national peers, even though those lines contribute far less revenue than the two Q‑codes.

Operational risk and commercial implications flow from the extreme reliance on a small set of product/add‑on codes: with Q4236 and Q4281 together representing the majority of Medicare dollars and the top three codes making up 97.7% of revenue, payer negotiations, supply purchasing, or changes in Q‑code reimbursement could disproportionately affect this provider’s revenue. Analysts evaluating contracting or business development should prioritize those product codes when modeling revenue sensitivity.

The practice’s Medicare billing tenure is relatively recent: the provider’s NPI was enumerated on 2019-09-25 (~7 years ago). This shorter Medicare billing history may limit trend analyses and suggests growth or concentration patterns should be interpreted with caution until a longer time series is available.

The absence of any Medicaid claims on file is notable for network and access considerations: with no Medicaid billing reported, the provider has limited or no measurable exposure to state Medicaid programs in the available data, which affects cross‑payer comparisons, downstream referral patterns, and any strategy that depends on dual‑payer coverage or Medicaid expansion relationships.

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4236	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	640	$990	$634.2K
Q4281	Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure)	400	$1,190	$472.4K
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.	150	$100	$14.1K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	170	$50	$8.5K
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.	100	$70	$6.9K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	70	$80	$5.9K
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…	30	$100	$2.9K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	20	$90	$2.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Michelle Williams — 1 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4236	1	10	510	$950	$480K
Q4281	1	10	400	$1,190	$472.4K
99349	60	110	90	$80	$15K
15275	10	10	100	$110	$9.8K
11042	54	120	90	$70	$9.1K
15271	3	20	80	$100	$9.1K
99348	19	90	70	$50	$5K
99344	18	40	20	$80	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jacqueline Walker	NV	Nurse Practitioner	$3.4M	$0
Nicholas Hugentobler	CO	Foot & Ankle Surgery Podiatrist	$1.9M	$0
Douglas Toole	UT	Foot & Ankle Surgery Podiatrist	$1.6M	$0
Innovation Medical Group PC	UT	Podiatrist	$0	$741.2K
Laura Hayes	UT	Family Nurse Practitioner	$717.3K	$0
Shawn Isaeff	UT	Vascular & Interventional Radiology Physician	$668K	$0
Aaron Frodsham	UT	Vascular & Interventional Radiology Physician	$484K	$0
Christopher Warner	CO	Vascular & Interventional Radiology Physician	$448.8K	$0
Monish Merchant	FL	Vascular & Interventional Radiology Physician	$306.8K	$120
Sloane Sterling	UT	Physician Assistant	$303.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$15.3M
Jordan School District	UT	Local Education Agency (LEA)	$0	$4.9M
Awakening Behavioral Health, LLC	UT	Substance Abuse Rehabilitation Facility	$0	$2.8M
Foundation For Family Life	UT	Professional Counselor	$0	$1.7M
Terry Sorenson	UT	General Practice Dentistry	$0	$1.6M
Foundation For Family Life	UT	Clinical Medical Laboratory	$0	$460.2K
David Johnson	UT	Pediatric Dentistry	$0	$309.9K
Braden Brklacich	UT	Foot & Ankle Surgery Podiatrist	$214.3K	$0
Jana Parker	UT	Dermatology Physician	$134K	$0
Marcellus Assiago	UT	Nephrology Physician	$109.1K	$240

Michelle Williams — Billing Profile & Reimbursement Data

Sign up for Michelle Williams — Billing Profile & Reimbursement Data policy alerts

Michelle Williams — Billing Profile & Reimbursement Data

Sign up for Michelle Williams — Billing Profile & Reimbursement Data policy alerts

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