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

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

Louis Heuser (NPI 1770887572)

Field	Value
Entity Type	Individual
Organization	Louis Heuser
Address	1860 Mellwood Ave Ste 197
City	Louisville
State	KY
ZIP	40206
Taxonomy	Public Health & General Preventive Medicine Physician
NPI Enumerated	January 7, 2011

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

This provider’s Medicare business is narrowly concentrated: total Medicare revenue is $1.7M and the precomputed top 3 Medicare codes account for 98.7% of that revenue, indicating the practice’s financials are dominated by a very small set of services rather than a broad mix of E/M or procedural codes. That concentration implies revenue sensitivity to utilization or coverage changes for those few codes.

The dominant revenue driver is Q4186, which accounts for $1.6M and 94.1% of the provider’s Medicare revenue. The provider ranks #4 of 122 nationally for Q4186 and is described as an extreme outlier — this positions the clinician as an unusually high-volume national supplier of Epifix/skin substitute product services relative to peers.

Secondary procedure codes 15271 and 15275 together represent a small portion of Medicare revenue ($46.4K and $14.8K respectively) but still appear in the provider’s top-paid services. 15271 ranks #23 of 1157 providers nationally (98th percentile, notably above typical national volume) while 15275 ranks #109 of 888 (87th percentile), which supports a pattern of frequent use of skin substitute and grafting-related procedures in addition to the dominant Q4186 supply code.

The provider also bills home visit E/M codes such as 99349 (324 claims, $30.1K, 79th percentile) and 99344 (45 claims, $4.5K, 77th percentile), indicating a mixed service model that includes both supply-heavy wound care interventions and some home-based evaluation and management encounters. These E/M volumes are unremarkable nationally but confirm that patient evaluation occurs in-home settings in addition to procedural supply billing.

Payer mix is functionally single-payer from a public-program perspective: there is $1.7M in lifetime Medicare revenue and no Medicaid billing on file. This means the provider’s publicly visible reimbursement profile is effectively 100% Medicare in scope and any analyses of public-payer exposure should treat Medicaid as absent.

Competitive standing varies by code: for Q4186 the provider is a top national outlier (98th percentile, extreme outlier) and therefore a dominant supplier of that specific item, while for other codes like 99349 and 99344 the provider’s volumes are typical (79th and 77th percentiles) and place them among many modestly participating clinicians. For 15271 the provider is notably above typical volume (98th percentile) suggesting strong competitive presence in certain skin substitute procedures beyond Q4186.

Tenure in the Medicare program is long: the NPI was enumerated on 2011-01-07 (~15 years ago), indicating an established billing history that aligns with sustained high-volume activity for the provider’s top codes. This length of enrollment supports interpretation of observed patterns as stable rather than transient.

Given that Q4186 alone represents the vast majority of Medicare revenue (94.1%) and combined top-3 codes represent 98.7% of Medicare revenue, the provider’s business and service-line risk is concentrated in skin substitute supply and related wound-grafting procedures; payers or network managers should consider that changes to reimbursement, utilization management, or product access for these specific codes could materially affect this provider’s Medicare revenue.

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4186	Epifix, per square centimeter (add-on, list separately in addition to primary procedure)	13,410	$120	$1.6M
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.	430	$110	$46.4K
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…	320	$90	$30.1K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	130	$110	$14.8K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	50	$100	$4.5K
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…	160	$20	$2.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Louis Heuser — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4186	1	10	3,900	$120	$631.2K
99349	41	190	110	$70	$13.8K
15275	4	10	70	$100	$12.1K
15271	1	10	80	$90	$10.9K
15272	1	10	160	$20	$2.8K
99344	11	70	20	$90	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laura Cline	OH	Family Medicine Physician	$232.5K	$0
Gillbert Hallman	MS	Diagnostic Radiology Physician	$199.3K	$0
David Box	IN	Ophthalmology Physician	$187.8K	$0
David Hall	IN	Emergency Medicine Physician	$146.8K	$0
Luis Velasco	IN	Obstetrics & Gynecology Physician	$138.1K	$0
Holly Terry	IN	Family Nurse Practitioner	$131.6K	$0
Ami Rice	IN	Obstetrics & Gynecology Physician	$127.5K	$0
Kevin Krembs	WI	Internal Medicine Physician	$125.6K	$0
Daniel Bonnin	IN	General Practice Physician	$64.1K	$0
Alexei Krainev	KY	General Practice Physician	$6.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Open Doors, LLC	KY	Community/Behavioral Health Agency	$0	$40M
Home Of The Innocents	KY	Pediatric Skilled Nursing Facility	$0	$7.4M
Commonwealth Nursing Solutions, LLC	KY	In Home Supportive Care Agency	$0	$4.9M
Guruprasad Pattar	KY	Ophthalmology Physician	$391.2K	$0
Brennan Greene	KY	Ophthalmology Physician	$374K	$0
Robert Zax	KY	MOHS-Micrographic Surgery Physician	$336.5K	$0
John Meyer	KY	Ophthalmology Physician	$259.8K	$0
Mark Cassol	KY	Ophthalmology Physician	$155.3K	$460
Victoria Yatsuknenko	KY	Physician Assistant	$125.8K	$0
Walgreen Co	KY	Pharmacy	$117.6K	$0

Louis Heuser — Billing Profile & Reimbursement Data

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Louis Heuser — 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