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

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

Mary Huntly (NPI 1760952360)

Field	Value
Entity Type	Individual
Organization	Mary Huntly
Address	6655 W Sahara Ave Ste D104
City	Las Vegas
State	NV
ZIP	89146
Taxonomy	Primary Care Nurse Practitioner
NPI Enumerated	November 27, 2018

Payer Source	Total Paid
Medicare	$6.9M
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: Total Medicare revenue is $6.9M and there is no Medicaid billing on file, so Medicaid does not appear in the practice’s current payer mix. That concentration means Medicare payment policy and coverage decisions will drive most of this provider’s revenue and contracting value.

Revenue is highly concentrated in a very small set of Medicare codes: the top 3 Medicare codes account for 98.9% of the provider’s Medicare revenue, with Q4262 representing 77.6%, Q4253 representing 20.7%, and 99350 representing 0.5% of total Medicare revenue. This concentration creates a revenue profile dominated by a few product/procedure lines rather than a diversified E/M mix.

The top two revenue drivers, Q4262 and Q4253, are per‑square‑centimeter add‑on codes for dual layer impax membrane and amniotic membrane (skin substitute related products) and together make up the vast majority of Medicare dollars reported. In operational terms, the practice’s Medicare activity appears to be driven by high‑value, productized wound/skin substitute services or procedures that bill per cm2, indicating a business emphasis on use and reimbursement of advanced biologic graft materials.

Competitive standing on the dominant product codes is modestly strong but not market‑dominant: Q4262 ranks #25 of 141 providers nationally (83th percentile) and is labeled “typical, unremarkable volume for this code,” while Q4253 ranks #31 of 73 providers nationally (58th percentile) and is similarly labeled typical. These ranks indicate the provider is a mid‑to‑upper‑tier user of these specific skin substitute codes nationally but not an outlier leader in volume.

Although add‑on product codes drive the dollar totals, the provider also bills home/residence E/M services: 99350 appears with 333 claims, $102 avg paid/claim, and $34K revenue (0.5% of Medicare revenue) and ranks #823 of 7304 providers nationally (89th percentile). Presence of multiple home visit codes (99350, 99349, 99345, etc.) suggests the practice delivers a measurable amount of home‑based care alongside its productized procedural work, even if those services contribute only a small share of total Medicare dollars.

One clear statistical outlier in utilization is 99442 (344 claims, $50 avg paid/claim, $17.2K revenue, 0.3% of Medicare revenue), which ranks #300 of 21242 providers nationally at the 99th percentile and is described as “notably above typical national volume for this code.” That status indicates unusually high activity on that specific service relative to peers and merits attention for operational or telehealth capacity implications.

The NPI was enumerated on 2018-11-27 (~8 years ago), so this billing profile has been built within roughly an eight‑year period of enrollment. For payers or partners evaluating experience and volume growth, the taxonomy as a Primary Care Nurse Practitioner combined with concentrated high‑value product billing may reflect a specialized service line developed within a primary care credentialing track.

From a payer access and network perspective, the absence of any Medicaid billing on file ("none below") signals either non‑participation in Nevada Medicaid or lack of billed encounters to that program; this limits the provider’s utility for Medicaid beneficiary access and is an important consideration for state Medicaid network planning or managed‑care contracting.

Medicare: Complete Services Breakdown

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

16 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)	5,130	$1,040	$5.3M
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	1,910	$750	$1.4M
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…	330	$100	$34K
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.	220	$100	$22.8K
99442	N/A	340	$50	$17.2K
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…	180	$60	$10.7K
99443	N/A	110	$60	$6.7K
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	$6K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	50	$80	$4.2K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	$110	$2.7K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nevada Distribution

Mary Huntly — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	2	10	1,300	$980	$3.6M
Q4253	3	10	1,520	$690	$2.9M
99350	21	100	100	$120	$33.9K
99349	53	150	100	$80	$23.3K
15271	5	40	80	$110	$17.8K
G0439	491	720	40	$120	$9.6K
99348	85	100	80	$50	$9.2K
99497	260	400	60	$60	$7.6K
99496	31	140	20	$190	$6.9K
96130	18	20	50	$90	$6.5K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nv St Dv Mh Ds Desert Dev Center	NV	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$545.3M
Nv St Dv Mh Ds Desert Dev Center	NV	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$129.8M
My Left Foot Children's Therapy	NV	Pediatric Occupational Therapist	$0	$41.8M
Nv St Dv Mh Ds So Nv Mr Svcs	NV	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$27.6M
Didc Inc.	NV	In Home Supportive Care Agency	$0	$16.2M
State Of Nevada	NV	Case Management Agency	$0	$14M
Above The Rest Home Care Inc.	NV	In Home Supportive Care Agency	$0	$12.3M
Silver Town Incorporated	NV	Adult Day Care Clinic/Center	$0	$12.3M
Eugene Rosenman, Md Ltd	NV	Psychiatry Physician	$0	$12.2M
Nephrology & Endocrine Associates Inc	NV	Nephrology Physician	$0	$11.7M

Mary Huntly — Billing Profile & Reimbursement Data

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Mary Huntly — 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

Nearby Providers

Frequently Asked Questions

References