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    OpenPayerNPI Medicare & MedicaidLaura Hayes
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    Laura Hayes — Billing Profile & Reimbursement Data

    NPI 1689398992 · Murray, UT · Family Nurse Practitioner

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    Laura Hayes is a family nurse practitioner provider located in Murray, Utah. 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
    OrganizationLaura Hayes
    Address308 E 4500 S
    CityMurray
    StateUT
    ZIP84107
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedSeptember 29, 2022

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

    Payer SourceTotal Paid
    Medicare$717.3K
    Medicaid$0

    Key Findings

    LAURA HAYES has generated $717.3K in lifetime Medicare revenue and has no Medicaid billing on file, making her effectively a single-payer (Medicare-focused) billing profile. Her NPI was enumerated on 2022-09-29 (~4 years ago), indicating a relatively recent entry in the Medicare billing universe with most activity concentrated after that enrollment date.

    Revenue is highly concentrated in a single procedural add-on: Q4262 drives $642.2K (89.6% of this provider's total Medicare revenue) and 607 claims with an average paid/claim of $1058. The platform’s precomputed metric shows the provider’s top 3 Medicare codes account for 95.2% of total Medicare revenue, signaling material dependence on a narrow set of services.

    The code mix suggests a combined wound-care and post-acute care practice: heavy use of Q4262 (dual layer impax membrane) alongside skin-substitute code 15271 ($14.5K, 148 claims) and debridement 97597 (30 claims). Concurrent billing for nursing facility E/M codes 99309 (358 claims, $24.7K) and 99310 (159 claims, $15.6K) plus prolonged-service G0317 indicates routine visits in SNF or long-term care settings with adjunctive wound-product procedures.

    Despite Q4262 accounting for the majority of this provider’s Medicare dollars, LAURA HAYES is not a high-volume national outlier on that code: Q4262 ranks #113 of 141 providers nationally (20th percentile) and is characterized in the data as "typical, unremarkable volume." This juxtaposition—local revenue concentration versus modest national rank—suggests the provider’s use of Q4262 is large for this practice but not uncommon across peers.

    Secondary codes show mixed competitive placement: 99310 ranks #3131 of 12486 providers nationally (75th percentile) and 99309 ranks #10002 of 28092 (64th percentile), both labeled "typical, unremarkable volume," indicating above-median activity for nursing-facility E/M relative to peers. By contrast, 15271 ranks #175 of 1157 providers nationally (85th percentile) and is also labeled "typical, unremarkable volume," which implies comparatively strong relative use of skin-substitute products even if the absolute dollars ($14.5K) are modest versus Q4262.

    The operational profile implied by the code mix—high-volume claims for a product add-on (Q4262) plus frequent nursing facility visits and wound-care procedures—points to a business model that pairs point-of-care E/M services with device/skin-substitute sales or applications. For payers evaluating network value or utilization risk, this pattern signals concentrated spend tied to a specific product/service workflow rather than broad primary care panel management.

    From a payer contracting and utilization-management perspective, the concentration (top-3 = 95.2%) increases revenue-risk sensitivity: changes in coverage or reimbursement for Q4262 or related skin-substitute codes would disproportionately impact the provider’s Medicare receipts. Given the absence of Medicaid billing on file, any payer negotiation or program changes in Medicare would have outsized effects because there is no observable Medicaid revenue to buffer changes.

    Operationally, the provider’s claims counts (e.g., Q4262: 607 claims; 99309: 358 claims; 99310: 159 claims) and relatively recent enrollment (~4 years) suggest rapid adoption of a specific service line post-enumeration. Analysts should interpret high per-claim payment for Q4262 ($1058 avg paid/claim) together with the national rank information to assess whether local utilization patterns reflect standard care pathways in the provider’s locale or a concentrated procedural focus that merits closer review in network planning.

    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)610$1,060$642.2K
    99309The 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…360$70$24.7K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…160$100$15.6K
    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 cm2.150$100$14.5K
    99308The 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…200$50$9.5K
    99349The 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…50$80$3.6K
    99306The 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…30$120$3.4K
    99305The 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…30$80$2.1K
    G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…40$20$800
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…30$20$690

    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
    Q4262310630$1,060$726K
    9930943130150$70$31.7K
    99310287090$100$24.2K
    99306436070$130$15.5K
    993497511090$80$15K
    9930838100110$50$11.2K
    1527122080$100$9.1K
    99305254040$90$5.7K
    97597305040$60$4K
    G031791060$20$2.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michelle WilliamsUTNurse Practitioner$1.1M$0
    Gadzoom Health LLCUTFamily Medicine Physician$0$1.1M
    Garth MuirUTInternal Medicine Physician$403.2K$24.3K
    David SmithUTInternal Medicine Physician$355.8K$0
    Aaron AndersonUTFamily Medicine Physician$341.7K$0
    Daniel WightmanUTInternal Medicine Physician$254K$0
    Laura SlaughUTFamily Nurse Practitioner$202.5K$0
    Tyler BarneyUTFamily Medicine Physician$200.2K$0
    Vickie HuntUTFamily Nurse Practitioner$193.3K$0
    Tyler NixonUTInternal Medicine Physician$160.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$68.7M
    Ihc Health Services, Inc.UTClinical Medical Laboratory$2.7M$17.9M
    Alpine Home Medical Equipment LLCUTOxygen Equipment & Supplies (DME)$0$18.6M
    Ddi VantageUTDevelopmentally Disabled Services Day Training Agency$0$18.4M
    Utah Emergency PhysiciansUTEmergency Medicine Physician$0$14.5M
    Home Caregivers Partnership, LLCUTHome Health Agency$0$10.4M
    Gcs FoundationUTSupports Brokerage Agency$0$6.2M
    Ihc Health Services IncUTDiagnostic Radiology Physician$0$6.1M
    Joel HerringUTRetina Specialist (Ophthalmology) Physician$5.6M$23.7K
    Project RealityUTMental Health Counselor$0$5.1M

    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. Utah Distribution
    Laura Hayes — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah