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

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

Nicole Kirk (NPI 1598378986)

Field	Value
Entity Type	Individual
Organization	Nicole Kirk
Address	4747 S Broadway Ave
City	Wichita
State	KS
ZIP	67216
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 26, 2020

Payer Source	Total Paid
Medicare	$3M
Medicaid	$0

Key Findings

This provider’s Medicare billing is heavily focused on a single product line: Q4217 accounts for $3M and 97.8% of the provider’s total Medicare revenue, indicating the practice is essentially a wound care/advanced biologic skin substitute operation rather than a general primary-care billing profile. The dominance of Q4217 suggests the business model is centered on supplying or applying woundfix/biowound products on a per-square-centimeter add-on basis rather than generating volume across typical E/M office codes.

Medicare revenue scale is meaningful in isolation: lifetime Medicare revenue is $3M, while there is no Medicaid billing on file. This makes the provider effectively single-payer (Medicare) in the available data, with no recorded Medicaid mix to diversify payer exposure or patient population in state programs.

Revenue concentration is extreme: the precomputed top-3 Medicare codes by revenue together account for 99.0% of this provider’s Medicare revenue, reinforcing that a tiny set of wound-related and skin substitute codes drive nearly all billed dollars. That concentration implies financial and operational dependence on a narrow set of services and supplies tied to woundcare products.

Competitive standing on the dominant code is modest nationally: Q4217 activity ($3M revenue from 2.8K claims) ranks #19 of 65 providers nationally and sits in the 72th percentile, which the source labels as typical, unremarkable volume for the code. In plain terms, the provider is a meaningful regional participant for Q4217 but not a national outlier or market leader.

Ancillary E/M and debridement codes appear only as very small contributors to revenue: codes such as 99350 ($20.8K, 176 claims), 15271 ($14.8K, 164 claims), and 11042 ($11.9K, 150 claims) each represent under 1% of Medicare revenue individually yet together form the remaining portion of the top-3 mix that reaches the 99.0% precomputed share. These supporting codes indicate the provider performs associated home or wound procedures and uses skin substitutes, aligning with a woundcare-focused practice model rather than primary-care panel management.

Across standard office E/M codes this provider is low-volume: 99213 and 99203 appear with single- to double-digit claim counts and trivial revenue contributions ($920 and $780 respectively), both ranking in low national percentiles. That pattern further supports the conclusion that routine office visits are not the practice’s primary revenue driver and that billing is concentrated on procedure/supply codes.

Provider tenure is moderate: the NPI was enumerated on 2020-08-26 (~6 years ago), giving the clinician several years in the Medicare program to establish a specialized woundcare billing pattern. The multi-year presence with concentrated revenues suggests an intentional business focus rather than a short-term claim spike.

There is no Medicaid activity to benchmark against in-state peers, so competitive assessment and payer diversification analysis must rely on Medicare only. The absence of Medicaid billing on file means in-state program volumes, reimbursement behavior, and potential eligibility-based referrals cannot be assessed from these records.

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	2,780	$1,070	$3M
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	180	$120	$20.8K
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.	160	$90	$14.8K
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.	150	$80	$11.8K
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…	120	$50	$6.1K
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…	60	$100	$5.9K
17250	The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.	70	$40	$2.6K
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	$1.9K
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…	20	$40	$920
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…	20	$50	$780

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kansas Distribution

Nicole Kirk — 3 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4217	1	10	1,510	$1,070	$1.6M
11042	43	100	90	$50	$10K
99213	3,711	4,330	90	$50	$8.7K
15271	3	20	60	$90	$8.5K
15275	11	30	60	$90	$8K
99350	2	40	40	$120	$7.2K
99348	39	120	70	$40	$6.4K
99203	1,168	1,450	30	$60	$3.6K
99344	18	30	20	$90	$3.3K
17250	1	10	20	$40	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Multicare Health System	WA	General Acute Care Hospital	$0	$162.2M
Multicare Health System	WA	Children's Hospital	$0	$108.4M
Multicare Health System	WA	General Acute Care Hospital	$0	$77.8M
Multicare Health System	WA	Family Medicine Physician	$0	$75M
Multicare Health System	WA	General Acute Care Hospital	$0	$55.1M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Multicare Health System	WA	Community/Behavioral Health Agency	$0	$48.2M
Multicare Health System	WA	Internal Medicine Physician	$0	$46.6M
Multicare Health System	WA	General Acute Care Hospital	$0	$30.9M
Multicare Health System	WA	Pediatrics Physician	$0	$29.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gracemed Health Clinic, Inc	KS	Federally Qualified Health Center (FQHC)	$0	$2.1M
Compassionate Home Health LLC	KS	Home Health Registered Nurse	$0	$2M
Karla Montelongo	KS	Family Nurse Practitioner	$560.5K	$0

Nicole Kirk — Billing Profile & Reimbursement Data

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Nicole Kirk — 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