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.

Deborah Dugan (NPI 1760824189)

Field	Value
Entity Type	Individual
Organization	Deborah Dugan
Address	4921 E Bell Rd Ste 205
City	Scottsdale
State	AZ
ZIP	85254
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 26, 2013

Payer Source	Total Paid
Medicare	$2.9M
Medicaid	$0

Key Findings

This provider’s Medicare activity is overwhelmingly concentrated in skin‑substitute and grafting add‑on codes: Q4281, Q4164, and Q4188 together account for 97.3% of the provider’s total Medicare revenue, with Q4281 representing 62.1%, Q4164 22.2%, and Q4188 13.0%. The dominance of per‑square‑centimeter add‑on products in the revenue mix indicates an operation built around supplying and billing for skin‑substitute materials used in procedural wound coverage rather than broad primary‑care E/M revenue.

DEBORAH DUGAN’s lifetime Medicare revenue totals $2.9M while there is no Medicaid billing on file, so the provider is effectively single‑payer (Medicare) in scale and payer mix. The absence of any Medicaid claims suggests limited participation or contracting in state programs and little to no Medicaid revenue diversification.

Competitive standing across the three revenue drivers is mixed: Q4281 ranks #10 of 33 providers nationally (72th percentile) and is described as typical, unremarkable volume for the code, while Q4164 ranks #6 of 7 (17th percentile) and Q4188 ranks #41 of 47 (13th percentile), both also labeled typical. Taken together, these ranks imply the provider is not a dominant national player for these products but occupies a modest, specialized niche with relatively higher activity on Q4281.

Procedure and wound‑care activity beyond the three top add‑ons is consistent with hands‑on wound management: 11042 (debridement) shows 371 claims and $30.4K revenue (1.1% of Medicare revenue) and ranks #1136 of 10712 (89th percentile), indicating above‑median national volume for debridement. The presence of 15271 (120 claims, $11.9K, 0.4% revenue) further supports that the provider performs or supports use of skin substitutes on trunk/limb wounds, reinforcing a wound‑care/specialty procedural profile.

Home‑visit E/M billing appears as a meaningful ancillary line: 99348 records 358 claims and $17.5K revenue (0.6% of Medicare revenue) and ranks #1054 of 11547 (91th percentile), and 99342 records 68 claims and $3.1K (0.1% revenue) with a 78th percentile rank. These volumes suggest the provider supplements procedural wound services with home‑based evaluation and management encounters, pointing to a mixed delivery model that includes in‑home care.

Several laboratory codes for amplified nucleic acid probe testing appear at low revenue and low share of total Medicare revenue (for example, 87798: 260 claims, $8.8K, 0.3% of Medicare revenue; 87640/87500/87651/87641 each show 20 claims and $680 revenue). These lab codes are low‑percentile or mid‑percentile nationally and represent small, ancillary testing activity rather than a core revenue stream.

Tenure data shows the provider’s NPI was enumerated on 2013-07-26 (~13 years ago), indicating an established billing history over roughly a decade. That tenure aligns with development of a concentrated procedural niche rather than a recent or transient practice.

From an operational and payer‑strategy perspective, the extreme reliance on three skin‑substitute add‑on codes for 97.3% of Medicare revenue creates business concentration risk: changes in reimbursement, supply availability, or utilization policies for Q4281, Q4164, or Q4188 could materially affect revenue. Combined with no Medicaid billing on file, the provider has limited payer diversification and appears specialized in a narrow set of procedural wound‑care products and related services.

Medicare: Complete Services Breakdown

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

13 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)	1,460	$1,220	$1.8M
Q4164	Helicoll, per square centimeter (add-on, list separately in addition to primary procedure)	600	$1,050	$633.6K
Q4188	Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)	500	$750	$372.5K
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.	370	$80	$30.4K
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…	360	$50	$17.5K
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.	120	$100	$11.9K
87798	The lab analyst performs a test for an infectious agent not specified in another code using an amplified nucleic acid probe technique. Use this code if you know the laboratory technique is amplified…	260	$30	$8.8K
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…	70	$50	$3.1K
93922	Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral	30	$50	$1.4K
87500	The lab analyst performs a test for vancomycin resistance in an infectious organism’s nucleic acid using amplified probe technique. VRE, vancomycin resistant enterococcus, is the most common organism…	20	$30	$680

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Deborah Dugan — 1 of 13 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

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4281	1	10	1,460	$1,220	$1.8M
Q4164	1	10	600	$1,050	$633.5K
87798	8	10	650	$30	$553.2K
Q4188	1	10	450	$750	$338.2K
87500	6	10	70	$30	$71.5K
87641	7	10	70	$30	$59.7K
87651	9	20	20	$30	$17.8K
15271	14	40	90	$100	$10.8K
87640	6	10	90	$30	$10.4K
11042	14	240	70	$60	$8.2K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Park	CA	Internal Medicine Physician	$31.7M	$0
Nyrie Austin	NJ	Family Nurse Practitioner	$15.9M	$8.8K
Patrick Black	CA	Physical Therapist	$14M	$0
Owen Ellington	TX	Hematology & Oncology Physician	$11.5M	$0
Joseph Palumbo	WV	Emergency Medicine Physician	$7.9M	$44.3K
Shelita Jones	TX	Family Nurse Practitioner	$6.7M	$0
Kellie King	TX	Family Nurse Practitioner	$5.3M	$0
Jamie Kate Adoc	CA	Family Nurse Practitioner	$4.7M	$0
Raymond Wawrowski	OH	Physician Assistant	$4.7M	$0
Siya Oloso	TX	Family Nurse Practitioner	$4.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifetree Inc.	AZ	Home Health Agency	$0	$117M
Theraplay4kidz, LLC	AZ	Occupational Therapist	$0	$47.1M
Genetic Technological Innovations, LLC	AZ	Clinical Medical Laboratory	$21.5M	$14.5M
Southwestern Eye Center Ltd	AZ	Ophthalmology Physician	$0	$15.9M
Flor Fimbres	AZ	Nurse Practitioner	$8.5M	$0
Hermes Health Labs	AZ	Clinical Medical Laboratory	$1.2M	$1.3M
Myrna-leticia Rivas	AZ	Family Nurse Practitioner	$2M	$0
Christopher Dwiggins	AZ	Medical Physician Assistant	$1.3M	$0
Robin Ross	AZ	Retina Specialist (Ophthalmology) Physician	$720.8K	$0
Genevieve Egnatios	AZ	Dermatology Physician	$674.2K	$0

Deborah Dugan — 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