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

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

Keith Goss (NPI 1700860715)

Field	Value
Entity Type	Individual
Organization	Keith Goss
Address	3042 W. Queek Creek Rd.
City	Chandler
State	AZ
ZIP	85286
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	December 2, 2005

Payer Source	Total Paid
Medicare	$91.3M
Medicaid	$0

Key Findings

This provider’s Medicare business is overwhelmingly concentrated in high-cost skin substitute/add-on material codes: Q4262 accounts for $83.6M (91.7% of Medicare revenue) and Q4276 accounts for $7.5M (8.2% of Medicare revenue), while the precomputed top-three codes together represent 99.9% of total Medicare revenue. That concentration signals the practice’s revenue model is driven almost entirely by per–square‑centimeter implantable or graft material billing rather than a broad mix of evaluation-and-management or routine procedural services.

Q4262 is an extreme outlier in national volume for this code, with 97.9K claims, $854 avg paid/claim, $83.6M revenue and a rank of #3 of 141 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). Being a near-top national performer on Q4262 suggests the provider is a dominant supplier of that specific product or service line in the Medicare market.

Q4276 is also a standout: 6.6K claims, $1137 avg paid/claim, $7.5M revenue and a rank of #1 of 10 providers nationally (100th percentile; notably above typical national volume for this code). This rank and the high average paid/claim indicate another concentrated, high-dollar revenue stream tied to a specific add-on material used by the practice.

Secondary skin-substitute and wound-care codes such as 15274 (672 claims, $63 avg paid/claim, $42.3K revenue; ranks #6 of 46, 89th percentile) and 15273 (134 claims, $190 avg paid/claim, $25.5K revenue; ranks #5 of 43, 90th percentile) are present at notable national percentiles but contribute negligible dollars compared with the two dominant Q-codes. These codes reinforce a clinical focus on wound coverage and grafting in the practice’s service mix, even though they do not materially move overall revenue.

Practice-level clinical activity beyond graft materials appears limited in revenue impact: common office E/M codes 99213 and 99212, debridement 11042, and nail trimming G0127 are billed but together represent only trivial shares of the Medicare total. The presence of these routine codes (e.g., 99213: 249 claims, $15.7K revenue) indicates the provider still performs standard outpatient evaluation and wound-care procedures alongside the high-volume material billing.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $91.3M while there is no Medicaid billing on file. This asymmetry means competitive and utilization analyses should treat the provider as Medicare-centric with no Medicaid footprint to compare or negotiate against locally.

The provider’s NPI was enumerated on 2005-12-02, roughly 21 years ago, indicating a long tenure that could support established supply chains, referral patterns, or specialized equipment use needed for high-volume graft/material billing. Such longevity combined with concentrated code volume suggests an entrenched operational model focused on the specific high-dollar materials driving revenue.

From a competitive standpoint, this entity is a major national outlier for at least two narrow product/service codes (Q4262 and Q4276) and a high-percentile national participant on several related skin-substitute codes. For payers and competitors, the provider represents a concentrated, specialty-focused site of Medicare spend that may warrant targeted contract, utilization management, or clinical-review attention specific to add-on skin-substitute/material billing rather than broad primary-care or general podiatry services.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	97,940	$850	$83.6M
Q4276	Orion, per square centimeter (add-on, list separately in addition to primary procedure)	6,570	$1,140	$7.5M
15274	The provider uses a skin substitute such as an allograft or xenograft to cover a trunk, arms, and/or legs wound surface area of up to an additional 100 cm2 in a patient 10 years or older, or 1…	670	$60	$42.3K
15273	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs that are greater than or equal to 100 cm2. This code covers the first…	130	$190	$25.5K
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.	240	$90	$22.7K
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…	250	$60	$15.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	220	$40	$8.7K
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.	70	$120	$7.9K
97597	The 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,…	60	$80	$4.7K
15272	At the same session that the provider uses a skin substitute, such as an allograft or xenograft, to cover the wounds on the patient’s trunk, arms, and/or legs up to an area of 100 scm2, the provider…	130	$20	$2.5K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Keith Goss — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	3	10	31,870	$890	$43.9M
Q4276	1	10	6,570	$1,140	$7.5M
15274	3	10	310	$60	$22.8K
15273	3	10	130	$150	$22.4K
15271	26	40	90	$100	$10.8K
99213	1,774	9,600	80	$60	$9.6K
11042	29	240	70	$60	$8.2K
97597	55	120	60	$60	$4.5K
G0127	31	50	120	$10	$3.9K
99212	124	2,310	30	$40	$2.4K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jorge Kinds	AZ	Family Nurse Practitioner	$123.9M	$0
Winslow Memorial Hospital Inc	AZ	Critical Access Hospital	$0	$38M
Flagstaff Medical Center	AZ	Air Ambulance	$0	$37.6M
Gina Palacios	AZ	Nurse Practitioner	$27M	$0
Elisabeth Balken	AZ	Nurse Practitioner	$23.3M	$0
Eric Ogari	AZ	Family Nurse Practitioner	$6.9M	$0
Inder Singh	CA	Interventional Cardiology Physician	$4.7M	$0
Joel Rainwater	AZ	Diagnostic Radiology Physician	$1.7M	$0
Michael Switzer	AZ	Vascular & Interventional Radiology Physician	$1.5M	$0
Grant Fankhauser	AZ	Vascular Surgery Physician	$1.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Option 1 Nutrition Solutions, LLC	AZ	Parenteral & Enteral Nutrition Supplies (DME)	$0	$79M
Tylers Place Az Inc	AZ	Home Health Agency	$0	$18.7M
Nava Home Crae LLC	AZ	Assisted Living Facility	$0	$18.5M
Banner Health	AZ	General Acute Care Hospital	$0	$8.3M
Mohammad Shakir	AZ	Specialist	$838.6K	$0
Bsc Chandler LLC	AZ	Ambulatory Surgical Clinic/Center	$569.3K	$180.6K
Jon Stevenson	AZ	Interventional Cardiology Physician	$748.6K	$0
Gautam Kedia	AZ	Cardiovascular Disease Physician	$716K	$0
Himal Shah	AZ	Clinical Cardiac Electrophysiology Physician	$578.8K	$0
Akshit Sharma	AZ	Interventional Cardiology Physician	$506.3K	$0

Keith Goss — 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