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    OpenPayerNPI Medicare & MedicaidCharles Atkinson
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    Charles Atkinson — Billing Profile & Reimbursement Data

    NPI 1871593731 · Tucson, AZ · Surgery Physician

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    Charles Atkinson is a surgery physician provider located in Tucson, Arizona. This profile covers 23 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
    OrganizationCharles Atkinson
    Address5301 E Grant Rd
    CityTucson
    StateAZ
    ZIP85712
    TaxonomySurgery Physician
    NPI EnumeratedJuly 21, 2005

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

    Payer SourceTotal Paid
    Medicare$5.7M
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue is highly concentrated: the top 3 Medicare codes by revenue account for 93.8% of total Medicare revenue, driven overwhelmingly by Q4236 ($4.7M, 82.2%), with 97610 ($352.6K, 6.2%) and Q4188 ($304.1K, 5.3%) making up the remainder of that dominant trio. That level of concentration indicates the practice’s financial profile is closely tied to a small set of wound-care and product-add-on services.

    The code mix points to a specialized advanced wound-care operation: Q4236 (Carepatch), Q4188 (Amnioarmor), skin substitute codes 15271/15275, debridement codes such as 11043/11042/11046, and device/therapy code 97610 (low–frequency ultrasound) together suggest routine use of biological grafts, topical patches, surgical debridement, and adjunctive wound therapies rather than broad general surgery. The presence of multiple home/residence E/M codes (e.g., 99349, 99344) also indicates substantial ambulatory or home-based wound management capacity.

    Q4236 accounts for $4.7M and 82.2% of this provider’s Medicare revenue but is characterized in the peer data as “typical, unremarkable volume for this code,” where this provider ranks #11 of 79 providers nationally (87th percentile). In practice this means the business depends heavily on a single high-revenue product code even though their absolute national rank is not an extreme outlier.

    Use of 97610 is materially above typical national volume: the provider reports $352.6K from 97610 (6.2% of Medicare revenue) and ranks #14 of 320 providers nationally (96th percentile; notably above typical national volume). This suggests a deliberate clinical emphasis on adjunctive wound-healing technologies that is stronger than most peers.

    The provider is an extreme outlier for home/residence established patient visits: 99349 shows 1.6K claims and $151.8K revenue (2.7% of Medicare revenue) and the provider ranks #206 of 14,284 providers nationally (99th percentile; extreme outlier). This unusually high volume of lengthy home E/M visits indicates a significant operational focus on time-intensive, onsite care delivery to patients’ residences.

    Payer mix is effectively single-payer: total Medicare revenue is $5.7M and there is no Medicaid billing on file. The absence of Medicaid revenue (none below) means the provider’s public-payer exposure is concentrated entirely in Medicare, with limited to no Medicaid patient service capture on record.

    The provider’s NPI was enumerated on 2005-07-21 (~21 years ago), signaling long tenure in the market which can support established referral patterns and programmatic relationships for wound care. That longevity, combined with a small set of high-revenue items, suggests a mature, niche operation rather than a generalist practice scaling across many payers.

    Beyond the top codes, the remainder of billed services are distributed across debridement (11043, 11042, 11046), skin grafting/skin substitute adjuncts (15271, 15275, 15272), and routine inpatient/outpatient E/M codes (99223, 99232, 99215). Each of these contributes relatively small revenue shares versus the top-3 concentration, indicating supplemental surgical and E/M activity that supports the core wound-care product and home-visit services rather than representing separate, high-revenue service lines.

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4236Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)4,900$950$4.7M
    97610The provider uses a low–frequency ultrasound device to try to improve wound healing.1,030$340$352.6K
    Q4188Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)400$770$304.1K
    99349The 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…1,570$100$151.8K
    11043The 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…410$180$71.3K
    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 cm2.380$110$41.1K
    15275The 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$120$15.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$130$8.4K
    99344The 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…80$110$8.1K
    11046The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…140$60$7.7K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42361103,940$960$3.8M
    Q4188210450$750$338.2K
    97610220300$300$122.5K
    1104461030$220$22.7K
    992148,70610,410120$80$20.6K
    99349437090$80$17.9K
    1104323070$150$15.8K
    992151,7383,27050$120$11.9K
    992231,1232,77050$130$11K
    1527124090$100$10.8K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Johnson LeeCAPlastic Surgery Physician$22.5M$0
    James MichailCAGeriatric Medicine (Family Medicine) Physician$20.4M$86.8K
    Tmc Medical NetworkAZMulti-Specialty Clinic/Center$0$20.3M
    Gautam BhaktaCAInternal Medicine Physician$19M$0
    Jack AzadCAGeneral Practice Physician$17.2M$0
    Ravindra GautamCAInternal Medicine Physician$13M$0
    Millicent RoveloCAPlastic Surgery Physician$6.1M$0
    Humberto VillalvazoORFamily Medicine Physician$4.3M$0
    Baljeet UppalAZVascular Surgery Physician$2.9M$0
    Omar GonzalezTXEmergency Medicine Physician$2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tucson Medical CenterAZGeneral Acute Care Hospital$0$127.3M
    Codac Health Recovery And WellnessAZCommunity/Behavioral Health Agency$0$97.8M
    Children's Clinics For Rehabilitative ServicesAZMulti-Specialty Clinic/Center$0$58.8M
    Nsi-nursing Service Inc.AZHome Health Agency$0$29.8M
    Arlene BautistaAZFamily Nurse Practitioner$16.8M$0
    I-groupsmedicaltransportaion@wheelchairAZNon-emergency Medical Transport (VAN)$0$15.5M
    Bodycentral Physical Therapy P CAZPhysical Therapy Clinic/Center$0$14.5M
    Arizona Oncology Associates PCAZSpecialist$0$13.9M
    Child & Family Support Services, IncAZCommunity/Behavioral Health Agency$0$13.4M
    Caldera Emergency Physicians LLCAZEmergency Medicine Physician$0$13.2M

    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. Arizona Distribution
    Charles Atkinson — 5 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona