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

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

Thomas Denmark (NPI 1881629079)

Field	Value
Entity Type	Individual
Organization	Thomas Denmark
Address	2488 E 81st St Ste 2000
City	Tulsa
State	OK
ZIP	74137
Taxonomy	Family Medicine Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicare	$5.3M
Medicaid	$0

Key Findings

This provider’s commercial footprint is effectively single-payer Medicare: lifetime Medicare revenue is $5.3M and there is no Medicaid revenue on file (no Medicaid billing on file), indicating the practice’s billing activity is concentrated entirely in the Medicare program. Analysts should treat Medicaid as absent when comparing payer mix or forecasting payer shifts for this NPI.

Revenue concentration is extremely high: the precomputed top-3 statement shows the top 3 Medicare codes account for 100.0% of this provider's total Medicare revenue, driven overwhelmingly by Q4276 (71.9%) and Q4262 (27.9%), with 15271 contributing only 0.2%. This means the provider’s financial performance on Medicare is dominated by two product-oriented HCPCS codes.

The code mix points to a wound-care or skin-substitute product business model rather than routine primary-care E/M: Q4276 (Orion, per square centimeter add-on) and Q4262 (Dual layer impax membrane, per square centimeter add-on) together generate the vast majority of payments, and 15271 (use of a skin substitute covering wounds) is also present. As a Family Medicine Physician by taxonomy, these billing patterns suggest the practice specializes operationally in application of skin substitutes and related wound procedures rather than typical office-based evaluation and management.

Unit and volume economics underscore product-driven revenue: Q4276 has 3.3K claims at $1171 avg paid/claim yielding $3.8M, and Q4262 has 1.5K claims at $1023 avg paid/claim yielding $1.5M. Those high average paid-per-claim figures combined with multi‑thousand claim counts indicate revenue is being produced by per-square-centimeter supply/procedure billing rather than high-volume low-dollar E/M visits.

Competitive standing is modest-to-typical against national peers for these codes: Q4276 ranks #4 of 10 nationally (67th percentile; typical, unremarkable volume for this code), Q4262 ranks #67 of 141 (53th percentile; typical, unremarkable volume for this code), and 15271 ranks #376 of 1157 (67th percentile; typical, unremarkable volume for this code). The provider is not a dominant national player overall, but shows noticeable participation in a narrow set of skin-substitute product codes relative to peers.

Non-product E/M services are negligible in Medicare billing: 99348 (home/residence established patient visit, low MDM or ≥30 minutes) appears only 26 claims at $57 avg paid/claim for $1.5K total and ranks #9150 of 11547 (20th percentile; typical, unremarkable volume for this code). This confirms the practice’s Medicare revenue is overwhelmingly product/procedure-based rather than being supported by routine home or office E/M volume.

The NPI tenure is long-standing — enumerated on 2006-07-12 (~20 years ago) — which suggests an established billing history and operational continuity that produced the $5.3M Medicare lifetime revenue figure. Combined with the concentrated code mix, the long tenure indicates the provider has been operating this wound‑care/product-focused model for an extended period.

From an operational and payer-risk perspective, the practice is exposed to concentration risk: reliance on two add-on skin-substitute HCPCS codes (Q4276 and Q4262) that together comprise nearly all Medicare revenue creates sensitivity to changes in product pricing, reimbursement policy, or utilization review for those specific codes. The absence of Medicaid billing on file (no Medicaid billing on file) also means there is no state‑payer diversification to offset Medicare-specific coverage changes.

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4276	Orion, per square centimeter (add-on, list separately in addition to primary procedure)	3,280	$1,170	$3.8M
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	1,460	$1,020	$1.5M
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.	90	$110	$10.3K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	30	$60	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Thomas Denmark — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4276	1	10	3,280	$1,170	$3.8M
Q4262	2	10	1,590	$1,040	$1.7M
15271	17	30	100	$90	$10.9K
99348	93	110	70	$40	$6.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medicine Physicians Of Tulsa County, LLC	OK	Emergency Medicine Physician	$0	$18M
Curtis Phillips	OK	Surgery Physician	$167.6K	$115.7K
Vicky Cha	OK	Family Nurse Practitioner	$179K	$0
Taylor Scott	OK	Emergency Medicine Physician	$164.9K	$0
Henry Tan	OK	Emergency Medicine Physician	$160.7K	$0
Melissa Evans-brave	OK	Emergency Medicine Physician	$153.7K	$0
Jerrod King	TX	Emergency Medicine Physician	$130.4K	$0
Barrett Bradt	OK	Emergency Medicine Physician	$117.7K	$0
Eric Canaday	OK	Emergency Medicine Physician	$114.8K	$0
Jordan Wolfe	RI	Emergency Medicine Physician	$99.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alpha Medical Laboratory LLC	OK	Clinical Medical Laboratory	$6.6M	$1.2M
Stephen W. Groves Md, PC	OK	Ophthalmology Physician	$0	$3.2M
Matthew Comstock	OK	Interventional Cardiology Physician	$2.8M	$0
Clinton J Baird Plc	OK	Neurological Surgery Physician	$0	$2.6M
Certigen Laboratory, LLC	OK	Clinical Medical Laboratory	$2.1M	$284.3K
Chris King Counseling Services LLC	OK	Professional Counselor	$0	$2.2M
Advanced Orthopedics Of Oklahoma PLLC	OK	Orthopaedic Surgery Physician	$0	$2M
Gilead Counseling Center LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M
Birth & Beyond Pediatrics, P.C.	OK	Pediatrics Physician	$0	$1.6M
Brandon Claflin	OK	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$532.7K	$0

Thomas Denmark — Billing Profile & Reimbursement Data

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Thomas Denmark — 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