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

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

Debra Hexom (NPI 1801218102)

Field	Value
Entity Type	Individual
Organization	Debra Hexom
Address	161 N Date St
City	Escondido
State	CA
ZIP	92025
Taxonomy	Family Nurse Practitioner
NPI Enumerated	January 6, 2014

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4248	Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)	1,550	$820	$1.3M
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	750	$640	$478.8K
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.	210	$100	$20.6K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	100	$160	$17K
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.	200	$70	$13.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Debra Hexom — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4253	6	10	3,110	$670	$2.3M
Q4248	2	10	810	$810	$905.4K
11043	201	370	120	$170	$52.1K
15271	31	170	110	$110	$18.6K
11042	320	1,030	100	$80	$18.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neighborhood Healthcare	CA	Federally Qualified Health Center (FQHC)	$0	$125M
Neighborhood Healthcare	CA	Federally Qualified Health Center (FQHC)	$0	$38.3M
Dap Health, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$28.6M
Empower Genomics Corp	CA	Clinical Medical Laboratory	$6.5M	$252.2K
Escondido Ca Endoscopy Asc LP	CA	Ambulatory Surgical Clinic/Center	$499.2K	$5.2M
Amar Amin	CA	Diagnostic Radiology Physician	$3.6M	$6.5K
Joshua Morrison-reyes	CA	Retina Specialist (Ophthalmology) Physician	$2M	$18.2K
Philip Bosch	CA	Urology Physician	$1.3M	$230
Mission Treatment Services, Inc.	CA	Methadone Clinic	$167.7K	$683.8K
Veni-express, Inc.	CA	Clinical Medical Laboratory	$487.1K	$221.9K

Debra Hexom — Billing Profile & Reimbursement Data

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Debra Hexom — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References