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    OpenPayerNPI Medicare & MedicaidLizbet Rubio
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    Lizbet Rubio — Billing Profile & Reimbursement Data

    NPI 1659963320 · Aurora, CO · Family Nurse Practitioner

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    Lizbet Rubio is a family nurse practitioner provider located in Aurora, Colorado. This profile covers 10 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLizbet Rubio
    Address13741 E Rice Pl Ste 101
    CityAurora
    StateCO
    ZIP80015
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedFebruary 4, 2021

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in the dataset: lifetime Medicare revenue is $1.9M while there is no Medicaid billing on file, indicating all documented public-payer activity is Medicare-focused and the practice likely relies on Medicare patients for its publicly reported volume. The absence of Medicaid billing suggests limited engagement with that program or that Medicaid activity is routed through another tax ID or subcontractor.

    Revenue is highly concentrated in a very small set of procedure codes: the top 3 Medicare codes by revenue account for 96.6% of this provider's total Medicare revenue, signaling that a narrow suite of services drives nearly all reported Medicare income. This concentration raises business implications for revenue stability — changes in payment, utilization, or access for those specific services would disproportionately affect overall revenue.

    Clinical/service-line profile is dominated by advanced wound and biologic membrane therapies: Q4262 (Dual layer impax membrane) and Q4253 (Zenith amniotic membrane) together represent the majority of billing ($1.2M and $549.8K respectively) and align with use of amniotic/placental membrane products, while 97610 (low-frequency ultrasound for wound healing) adds a wound-care modality. These codes indicate the provider operates primarily in specialized wound care or advanced biologic dressing application rather than general primary care.

    Competitive standing on the primary revenue codes is modest rather than dominant: for Q4262 the provider ranks #80 of 141 nationally (44th percentile) and for Q4253 ranks #59 of 73 (19th percentile), both described as typical, unremarkable volumes. The rank/percentile profiles show the provider is an active participant in these niche services but not a national leader or high-volume outlier for either code.

    For commonly billed office E/M codes the provider shows limited volume: 99214 accounts for $28.1K and 99213 for $1.9K of Medicare revenue, with national percentiles at the 81st and 23rd respectively, reflecting modest use of standard evaluation-and-management visits relative to peers and reinforcing that ambulatory E/M encounters are not the primary revenue driver. The presence of both new-patient (99204) and established-patient higher-level E/M codes indicates the provider does perform clinic visits, but these make up a small share of total Medicare revenue.

    Tenure is short-to-moderate: the NPI was enumerated on 2021-02-04 (~5 years ago), so the provider’s Medicare billing history spans roughly a five-year period. That timeframe, combined with concentrated code usage, suggests a relatively recent focus or ramp-up in wound-care/biologic membrane services rather than a long-standing, broadly diversified Medicare practice.

    Procedure mix includes multiple debridement and skin-substitute codes (11042, 11000, 15271) alongside advanced membrane products, pointing to a service model that pairs wound bed preparation with biologic coverings. These complementary code groups support a bundled wound-care delivery approach where the provider bills both mechanical/operative wound management and higher-value allograft/xenograft products.

    Statistical descriptors attached to the codes support a characterization of typical utilization rather than outlier behavior: most top codes are labeled “typical, unremarkable volume” across national peers, and percentile ranks mostly fall in the middle ranges. This pattern indicates the provider’s activity is within normal peer variation for specialized wound-care procedures, rather than unusually high or low compared with national Medicare providers.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)1,210$1,010$1.2M
    Q4253Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)740$750$549.8K
    97610The provider uses a low–frequency ultrasound device to try to improve wound healing.200$310$62.5K
    99214The 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…330$90$28.1K
    15271The 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$100$16.1K
    99204The 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…70$110$7.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$120$5.1K
    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$80$3.5K
    11000The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.120$30$3.1K
    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…30$60$1.9K

    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

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42626101,500$970$4.8M
    Q42538103,440$520$3.5M
    97610210170$320$47.9K
    992148958,16080$80$11.3K
    1527132070$100$8.9K
    110428813080$70$8.3K
    992151,5463,23040$110$8.1K
    992135,2467,20070$60$6.6K
    992046093,67030$110$4.7K
    1100031090$30$3.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ty ShettronCOFamily Nurse Practitioner$3M$0
    Crystal BirdsongWANurse Practitioner$2M$0
    Sarah Jane ZanoneCONurse Practitioner$1.2M$0
    Marcel MarcosCOFamily Nurse Practitioner$1M$0
    Alexandra LetsingerCONurse Practitioner$83.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Deluxe Homehealth Care Agency LLCCOHome Health Agency$0$8M
    New Day In Home Support & Respite Services, Inc.COIn Home Supportive Care Agency$0$7.9M
    101 Home Care LLCCOHome Health Agency$0$4.7M
    Kmb Endeavors, IncCOBehavior Analyst$0$4.1M
    Angel's Service LLCCODevelopmentally Disabled Services Day Training Agency$0$3.8M
    Heather KrohnCOFamily Nurse Practitioner$121.7K$0
    Amy QuinnCOFamily Nurse Practitioner$58.7K$0
    Phillip SmithCOMedical Physician Assistant$22.1K$0
    Karalyn Pazdernik-harmonCOPhysician Assistant$11.7K$0
    Sofia GoliCOAcute Care Nurse Practitioner$4.5K$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
    Lizbet Rubio — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado