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

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

Nikolaus King (NPI 1780279448)

Field	Value
Entity Type	Individual
Organization	Nikolaus King
Address	7640 Wolf River Cir Fl 2
City	Germantown
State	TN
ZIP	38138
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	March 4, 2021

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

This provider is effectively single-payer: total Medicare revenue is $2.4M and there is no Medicaid billing on file, so Medicaid does not contribute to this provider’s documented revenue mix. That concentrated payer profile means Medicare reimbursement trends and policy changes will disproportionately affect the practice’s cashflow.

Revenue is extremely concentrated in a single procedure line: the precomputed top 3 Medicare codes by revenue account for 98.1% of total Medicare revenue, with Q4217 alone producing $2.2M revenue (95.5% of Medicare revenue; 2.5K claims, $884 avg paid/claim). This level of dependence on one add-on wound-product code indicates the provider’s Medicare book is driven by a narrow set of billables.

The code mix and descriptions point to a wound-care specialty operation: Q4217 (biowound/woundfix product), plus debridement codes 11042 and 11045 and skin substitute 15271 are the primary revenue drivers. Together these codes describe an outpatient wound management workflow that uses both procedural debridement and productized skin-substitute therapies rather than a general primary-care practice.

Despite the revenue concentration in Q4217, the provider’s competitive standing on that code is unremarkable nationally: Q4217 ranks #21 of 65 providers nationally (69th percentile) and is labeled as "typical, unremarkable volume for this code." In other words, the provider’s dollar exposure to Q4217 is high, but its national volume rank does not indicate dominance in the code class.

Evaluation-and-management activity is present but contributes only a small share of revenue: 99214 accounts for $32.9K (422 claims, $78 avg paid/claim) and 99213 accounts for $8.3K (151 claims, $55 avg paid/claim); both are described as "typical, unremarkable volume for this code." This pattern suggests the practice bills routine office E/M visits alongside its procedural wound-care services but does not rely on E/Ms for the bulk of revenue.

Procedural breadth within wound care is visible but secondary to the product line: 11042 ($26.2K, 359 claims, $73 avg), 11045 ($13K, 541 claims, $24 avg) and 15271 ($13K, 144 claims, $90 avg) indicate regular debridement and use of skin substitutes in the same episodes of care. These entries show the provider offers a mix of hands-on tissue management plus product-based closures or coverings, consistent with an outpatient wound clinic model.

The provider has a relatively recent enrollment tenure (NPI enumerated 2021-03-04, ~5 years ago), which means the current revenue concentration into wound-product codes was established early in practice life. That tenure combined with a narrow code mix could reflect a focused clinical strategy or referral-driven niche rather than a broad ambulatory practice.

From a risk and operational perspective, the practice’s heavy reliance on one Medicare product code and the absence of any Medicaid billing represent concentration risk: most top codes are labeled "typical, unremarkable volume," and there are no Medicaid claims to diversify payer exposure. Payers and network managers should view this entity as a specialized, Medicare-centric wound-care provider with material revenue sensitivity to changes in reimbursement rules for Q4217 and related wound-product services.

Medicare: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	2,540	$880	$2.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	420	$80	$32.9K
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.	360	$70	$26.2K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	540	$20	$13K
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.	140	$90	$13K
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…	150	$60	$8.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	60	$110	$6.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	30	$100	$2.8K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	10	$130	$1.4K
99203	The provider sees a new 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 provider…	10	$70	$770

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Nikolaus King — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4217	2	10	3,920	$860	$3.4M
99214	1,723	11,370	120	$80	$16.6K
11042	24	250	100	$60	$9.1K
99215	886	2,710	40	$110	$8.3K
99213	3,329	11,030	80	$50	$8K
15271	3	20	70	$80	$6.7K
99204	3,037	5,490	30	$100	$5.3K
99205	1,224	1,300	20	$140	$4.9K
11045	4	60	90	$20	$3.5K
99203	3,558	3,750	30	$70	$3.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Scott Martin	MS	Family Medicine Physician	$9M	$0
Mid-south Imaging & Therapeutics, P.A.	TN	Diagnostic Radiology Physician	$0	$8.2M
Shannon Weathers	MS	Family Nurse Practitioner	$4.6M	$0
Lori Case	MS	Family Nurse Practitioner	$4.2M	$0
Raza Hashmi	TN	Rheumatology Physician	$3.9M	$0
Amy Shuptrine	TX	Nurse Practitioner	$3.7M	$0
Chelsea Cockrell	MS	Family Nurse Practitioner	$3M	$0
Anna Gordon	MS	Nurse Practitioner	$2.9M	$0
Abbey Ross	MS	Nurse Practitioner	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Byram Healthcare Centers, Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$44.3M
Campbell Clinic, PC	TN	Orthopaedic Surgery Physician	$0	$28M
The West Clinic P.C.	TN	Specialist	$0	$16M
Poplar Avenue Clinic PLLC	TN	Gynecologic Oncology Physician	$0	$9.7M
Diagnostic Ultrasound Consultants	TN	Diagnostic Radiology Physician	$0	$8.5M
David Portnoy	TN	Hematology & Oncology Physician	$6.5M	$0
Stephen Huddleston	TN	Retina Specialist (Ophthalmology) Physician	$5.7M	$0
Stern Cardiovascular Foundation, Inc	TN	Cardiovascular Disease Physician	$0	$4.7M
G I Diagnostic And Therapeutic Center LLC	TN	Endoscopy Clinic/Center	$4.2M	$8.6K
Memphis Neurology PLLC	TN	Neurology Physician	$0	$3.9M

Nikolaus King — 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