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NPI 1710427133 · Schaumburg, IL · Family Nurse Practitioner
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Laxmi Deshabathini is a family nurse practitioner provider located in Schaumburg, Illinois. This profile covers 11 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Laxmi Deshabathini |
| Address | 1355 Remington Rd |
| City | Schaumburg |
| State | IL |
| ZIP | 60173 |
| Taxonomy | Family Nurse Practitioner |
| NPI Enumerated | March 4, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3.3M |
| Medicaid | $13.7K |
Medicare revenue is the dominant payer for this practitioner: reported lifetime Medicare revenue is $3.3M compared with $13.7K in Medicaid, indicating an effectively Medicare‑focused billing footprint rather than a balanced dual‑payer practice. Medicaid activity exists but is small in scale relative to Medicare, suggesting the provider’s core service lines and revenue are driven by Medicare beneficiaries.
Revenue concentration on Medicare is extremely high: the precomputed top 3 Medicare codes account for 99.1% of the provider’s total Medicare revenue, driven primarily by Q4281 ($2.5M, 76.1%) and Q4262 ($748K, 22.6%). This concentration implies that a narrow set of services — largely tied to the Q‑codes listed below — is generating nearly all Medicare income for the NPI.
Business/service‑line implication from the top Medicare codes: Q4281 and Q4262 are per‑square‑centimeter add‑on codes for skin substitute products and membranes, which positions the provider’s operations around wound care or advanced wound dressing/synthetic graft application. The presence of these material add‑on codes at scale, plus smaller volumes of home visit E/M codes like 99349, indicates a practice model focused on wound management with ancillary home‑based evaluation and management services.
Competitive standing on the top Medicare material code is notable but not dominant: Q4281 ranks #7 of 33 providers nationally, indicating this provider is among the higher reporters of that product nationally, yet the available label for statistical standing is “typical, unremarkable volume.” By contrast, Q4262 ranks #95 of 141 providers nationally, a more modest position that aligns with a mid‑tier national presence for that specific membrane product.
Medicaid billing profile is concentrated around home/residence E/M visits: Medicaid revenue is driven overwhelmingly by 99349 (1K claims, $12.4K, 92.0% of Medicaid revenue), with ancillary telemedicine and shorter home visit codes making up nearly all remaining Medicaid revenue. This pattern indicates that Medicaid patient encounters are primarily home visits and remote management rather than the high‑value material/product billing seen in Medicare.
Competitive standing in the in‑state Medicaid market is modestly above average for the leading Medicaid code: Medicaid 99349 ranks #73 of 410 providers in‑state and is labeled “typical, unremarkable volume,” which suggests this provider is a meaningful but not dominant participant in home visit E/M services within the state. Overall Medicaid volumes and revenue remain small in absolute terms, limiting market influence despite that rank.
Tenure and billing history: the provider’s NPI was enumerated on 2017-03-04 (~9 years ago), providing a multi‑year window for the Medicare‑heavy billing pattern to establish; the longevity supports that the observed concentration in skin substitute coding and home E/M services is an enduring part of the practice rather than a transient spike.
Statistical characterization of code volumes: across both payers, the listed codes are consistently labeled in the source as “typical, unremarkable volume” for their respective ranks, which means that while Q4281 is among the higher reporters nationally (#7 of 33), the vendor’s own classification does not flag these as statistical outliers or extreme deviations from peer behavior. Payer and code‑level labels therefore support interpreting this profile as specialized (skin substitute/wound care plus home visits) but not anomalous in the claims distribution.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| Q4281 | Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) | 2,070 | $1,220 | $2.5M |
| Q4262 | Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) | 950 | $790 | $748K |
| 99349 | The 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… | 200 | $60 | $12.5K |
| 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. | 80 | $100 | $8K |
| 99496 | The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact… | 30 | $180 | $5.7K |
| 99443 | N/A | 50 | $70 | $4K |
| 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. | 40 | $90 | $4K |
| 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… | 80 | $40 | $3.2K |
| 99423 | Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code… | 80 | $20 | $1.8K |
| 99342 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30… | 30 | $50 | $1.5K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| Q4281 | 2 | 10 | 2,170 | $1,210 | $2.6M |
| Q4262 | 2 | 10 | 950 | $960 | $1.7M |
| 99423 | 4 | 20 | 30 | $30 | $20.8K |
| 99349 | 241 | 730 | 100 | $90 | $20.7K |
| G0439 | 3,834 | 4,030 | 70 | $130 | $13.6K |
| 11042 | 361 | 480 | 90 | $70 | $10.1K |
| 99348 | 263 | 560 | 70 | $50 | $9K |
| 15271 | 24 | 60 | 70 | $90 | $7.2K |
| 99496 | 110 | 560 | 20 | $210 | $5.5K |
| 99342 | 72 | 140 | 30 | $60 | $3.4K |
Showing 1–10 of 11
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99349 | The 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… | 1,030 | $10 | $12.4K |
| 99423 | Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code… | 40 | $20 | $630 |
| 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… | 40 | $10 | $380 |
| 99491 | The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare… | 20 | $1 | $70 |
| 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… | 50 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99349 | The 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… | 73 | 410 | 170 | $30 | $19.1K |
| 99423 | Using online communication technologies, a physician or other qualified healthcare professional discusses a health issue and possible treatment or management with an established patient. This code… | 36 | 50 | 70 | $30 | $13.3K |
| 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… | 95 | 150 | 130 | $30 | $11.7K |
| 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… | 155 | 270 | 80 | $10 | $6.6K |
| 99491 | The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare… | 21 | 30 | 30 | $10 | $2K |
Other providers in the same ZIP code as Laxmi Deshabathini, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Quest Diagnostics LLC Il | IL | Clinical Medical Laboratory | $3.5M | $50.7M |
| Alpha Lab Services Inc | IL | Clinical Medical Laboratory | $15.4M | $2.4K |
| Prism Health Care Services, Inc. | IL | Durable Medical Equipment & Medical Supplies | $0 | $4.9M |
| Trinity Care Providers Inc | IL | In Home Supportive Care Agency | $0 | $3.7M |
| Ritesh Patel | IL | Internal Medicine Physician | $255.6K | $2.2M |
| Solomon Sager | IL | Clinical Cardiac Electrophysiology Physician | $1M | $236.9K |
| Mednow Laboratory LLC | IL | Clinical Medical Laboratory | $1.1M | $0 |
| Parag Doshi | IL | Interventional Cardiology Physician | $885K | $122.5K |
| Aasita Patel | IL | Cardiovascular Disease Physician | $843.1K | $72.5K |
| Elsayed Mohamed | IL | Interventional Cardiology Physician | $790K | $38.8K |
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