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    OpenPayerNPI Medicare & MedicaidIlana Ford
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    Ilana Ford — Billing Profile & Reimbursement Data

    NPI 1801529540 · Humble, TX · Family Nurse Practitioner

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    Ilana Ford is a family nurse practitioner provider located in Humble, Texas. This profile covers 6 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationIlana Ford
    Address15835 Tayden Point Dr
    CityHumble
    StateTX
    ZIP77346
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedJuly 8, 2022

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$715.9K
    Medicaid$0

    Key Findings

    ILANA FORD is enumerated as an NPI on 2022-07-08 (~4 years ago), indicating a relatively recent entry into Medicare billing activity. This short tenure aligns with a focused procedural mix rather than a broad outpatient panel, based on the codes and revenue distribution reported.

    Medicare accounts for the entirety of billed public-payer revenue on file, with Total Medicare revenue reported as $715.9K and no Medicaid billing on file; this provider is effectively a single-payer (Medicare) biller in the data set. Analysts should treat Medicaid-driven comparisons as inapplicable because there is no Medicaid activity to evaluate.

    Revenue is extremely concentrated in a single procedure: Q4262 represents $670.8K of billed Medicare revenue (93.7% of this provider's total Medicare revenue) with 634 claims and an average paid per claim of $1058. The precomputed top-3 codes collectively account for 99.2% of Medicare revenue, signaling that the practice’s financial performance is highly dependent on a narrow set of wound/skin-substitute procedures.

    The CPT/HCPCS mix (Q4262, 15271, 11000, plus some E/M codes like 99214) points to a wound-care or skin-substitute–oriented service line that bills both per-area add-on supply codes and ancillary debridement procedures. The presence of 15271 (skin substitute up to 100 cm2) and 11000 (debridement) alongside the high-volume add-on Q4262 implies procedural visits focused on wound coverage and graft/substitute application rather than a primarily office-visit–driven practice.

    Competitive standing on the primary revenue code is modest nationally: Q4262 ranks #110 of 141 providers (22th percentile) and is characterized in the file as "typical, unremarkable volume for this code," indicating this provider is not a dominant national player for that specific add-on procedure despite it driving the bulk of the provider’s revenue. Secondary codes 99214 (rank #83083 of 479517, 83th percentile) and 15271 (rank #339 of 1157, 70th percentile) are also labeled as typical, unremarkable volumes, suggesting routine utilization patterns relative to peers rather than specialty-center levels of activity.

    Smaller E/M and facility codes appear in the mix but contribute only modestly to revenue: 99214 accounts for $28.7K (4.0% of Medicare revenue) and 15271 contributes $10.1K (1.4% of Medicare revenue). These figures, together with the high per-claim average on Q4262 ($1058), suggest that revenue drivers are procedure- and supply-intensive episodes rather than large volumes of evaluation-and-management encounters.

    From a risk and business resilience perspective, the extreme reliance on a single add-on supply/procedural code (Q4262 at 93.7%) creates sensitivity to reimbursement, coverage policy, or utilization changes affecting that code. Payers and network analysts should flag this concentration when assessing contract negotiations or utilization-management programs because shifts in coding guidance or payment for Q4262 would materially affect this provider’s Medicare revenue.

    Operationally, the presence of nursing-facility initial care code 99305 (16 claims, $1.4K, labeled typical) alongside initial new-patient code 99204 and facility debridement codes suggests the provider delivers both outpatient wound procedures and some facility-based encounters, but at low volumes. Overall, the profile reads as a small, procedure-focused practice with concentrated Medicare revenue and no Medicaid footprint to diversify public-payer exposure.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)630$1,060$670.8K
    99214The 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…350$80$28.7K
    15271The 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 cm2.100$100$10.1K
    99204The 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$110$3.6K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…20$90$1.4K
    11000The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.30$40$1K

    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

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42622301,580$1,010$2.5M
    9921442232,500110$80$17.6K
    15271612070$100$9.9K
    993053061040$100$6.9K
    9920468116,38030$110$5.6K
    1100075070$40$3.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Flor FimbresAZNurse Practitioner$8.5M$0
    Nicole LeeTXGerontology Nurse Practitioner$2.5M$0
    Myrna-leticia RivasAZFamily Nurse Practitioner$2M$0
    Erika MartinTXFamily Nurse Practitioner$1.8M$0
    Demia LouisTXFamily Nurse Practitioner$1.7M$0
    Aspara WyattTXFamily Nurse Practitioner$1.5M$0
    Jason RedwineTXFamily Nurse Practitioner$1.3M$0
    Rongna SunTXFamily Nurse Practitioner$1.3M$0
    Christopher DwigginsAZMedical Physician Assistant$1.3M$0
    Matthew DilworthTXAcute Care Nurse Practitioner$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peter MorganTXSurgery Physician$311.3K$0
    Jouvonna GrayTXFamily Nurse Practitioner$61.1K$0
    Caleb DeikeTXFamily Nurse Practitioner$56.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Ilana Ford — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas