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 & MedicaidBrent Eaton
    Ask Trek AI about this page

    Brent Eaton — Billing Profile & Reimbursement Data

    NPI 1699894378 · Sugar Land, TX · Acute Care Nurse Practitioner

    Customize your policy alerts

    Sign up for Brent Eaton — 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.

    Brent Eaton is a acute care nurse practitioner provider located in Sugar Land, Texas. This profile covers 3 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
    OrganizationBrent Eaton
    Address4627 Sunset Circle
    CitySugar Land
    StateTX
    ZIP77479
    TaxonomyAcute Care Nurse Practitioner
    NPI EnumeratedMarch 27, 2007

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

    Payer SourceTotal Paid
    Medicare$5.9M
    Medicaid$0

    Key Findings

    BRENT EATON is effectively a single-payer Medicare biller: total Medicare revenue is $5.9M and there is no Medicaid billing on file. The absence of any Medicaid revenue indicates the provider’s Medicare activity represents the entirety of recorded public-payer claims and should be treated as the primary lens for clinical and business analysis.

    Revenue is highly concentrated in two HCPCS add-on skin product codes: Q4262 accounts for $4.7M (80.3% of total Medicare revenue) and Q4276 accounts for $1.1M (19.4% of total Medicare revenue), together accounting for the precomputed top-3 concentration of 100.0% of this provider’s Medicare revenue. This suggests the practice’s Medicare business is almost exclusively driven by providing and billing for these specific skin substitute products.

    The code mix (Q4262 and Q4276) points to a specialized service line focused on application of advanced skin substitute materials (dual layer impax membrane and Orion products) as add-on supplies per square centimeter. Combined with the smaller use of 15271, the profile indicates procedures involving skin substitute coverage for wounds on trunk/limbs rather than a broad procedural scope, implying a narrow operational focus on wound care and tissue-replacement products.

    Competitive standing is modest for Q4262 and Q4276 at the national level: Q4262 ranks #28 of 141 providers (81th percentile) which the dataset labels as typical, unremarkable volume; Q4276 ranks #8 of 10 providers (22th percentile) also described as typical, unremarkable volume. These ranks indicate the provider is not a national outlier or dominant player for these product codes despite high internal revenue concentration.

    The smaller clinical procedure code 15271 appears only as a marginal revenue contributor ($22.6K, 0.4% of total Medicare revenue) but shows relatively high national standing: it ranks #85 of 1157 providers (93th percentile) and is characterized as typical, unremarkable volume. This suggests the provider bills the skin-substitute application code consistently enough to compare favorably to many peers, but it does not materially drive revenue.

    Tenure data show the provider’s NPI was enumerated on 2007-03-27 (~19 years ago), indicating a long-established billing presence. That duration supports the interpretation that the concentrated billing pattern for skin substitute products reflects a sustained, specialized operational practice rather than a short-term anomaly.

    Given the 100.0% concentration of Medicare revenue in the top-3 codes, payer-mix risk is material: any changes in reimbursement policy or utilization for these specific HCPCS add-on products could disproportionately affect the provider’s revenue. Analysts should treat this profile as single-service-line sensitive and prioritize monitoring coding-specific reimbursement updates and utilization controls for Q4262 and Q4276.

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)4,590$1,030$4.7M
    Q4276Orion, per square centimeter (add-on, list separately in addition to primary procedure)1,000$1,140$1.1M
    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 cm2.230$100$22.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42625301,580$1,010$2.5M
    Q42761101,000$1,140$1.1M
    15271812070$100$9.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lenny JueTXAnesthesiology Physician$91.5K$0
    Jesus FloresWACertified Registered Nurse Anesthetist$31.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Consolidated Home Health Holdings, LLCTXHome Health Agency$0$23.3M
    Fort Bend IsdTXLocal Education Agency (LEA)$0$19.3M
    David AmranTXAllergy & Immunology Physician$2.8M$0
    Tieu Vy NguyenTXOphthalmology Physician$2.8M$0
    Memorial Hermann Surgery Center Sugar Land LLPTXAmbulatory Surgical Clinic/Center$1.8M$0
    Ryan ValicekTXRheumatology Physician$964.7K$0
    Salman AlyTXInternal Medicine Physician$923.9K$0
    Swati JoglekarTXGeriatric Medicine (Internal Medicine) Physician$910.9K$0
    Matthew McmenemyTXOphthalmology Physician$826.9K$0
    Tarek FakhouriTXDermatology Physician$806.6K$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. Texas Distribution
    Brent Eaton — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas