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

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

Joshua Holland (NPI 1922071232)

Key Findings

Field	Value
Entity Type	Individual
Organization	Joshua Holland
Address	15396 N 83rd Ave
City	Peoria
State	AZ
ZIP	85381
Taxonomy	Family Medicine Physician
NPI Enumerated	February 8, 2006

Payer Source	Total Paid
Medicare	$5.1M
Medicaid	$0

This provider’s billed Medicare footprint is concentrated and material: total Medicare revenue is $5.1M while Medicaid is none (no Medicaid billing on file), making the practice effectively single‑payer with Medicare as the dominant revenue source. The absence of any Medicaid claims on file limits cross‑payer diversification and means payer‑policy changes at Medicare could have outsized impact on overall revenue.

Revenue concentration is extreme: the top 3 Medicare codes by revenue account for 96.9% of this provider's total Medicare revenue. Those three codes are Q4262 ($2.5M, 48.8%), Q4205 ($2.1M, 42.1%), and 97610 ($308K, 6.0%), demonstrating that a very small set of CPT/HCPCS entries drives nearly all Medicare receipts.

The code mix strongly indicates a wound‑care and skin‑substitute service line: the two largest revenue drivers are Q4262 and Q4205 (add‑on membrane graft/wrap codes billed at $1019 avg paid/claim and $1163 avg paid/claim respectively), supported by wound‑healing modalities such as 97610 (low‑frequency ultrasound), 97605 (negative‑pressure therapy), 15271 (skin substitute), 97597 (debridement), and 29581 (multilayer compression). Together these codes point to a procedural, device‑ and product‑heavy wound care practice rather than a general primary‑care revenue mix.

Competitive standing is mixed across the top codes: for Q4262 the provider ranks #39 of 141 nationally (73th percentile) and for Q4205 ranks #16 of 63 (76th percentile), both characterized in the source as "typical, unremarkable volume" relative to peers; these positions suggest the provider is a modest but not dominant participant nationally for the membrane graft codes. By contrast, 97610 ranks #22 of 320 (93th percentile) and is labeled "notably above typical national volume," indicating above‑typical activity in low‑frequency ultrasound wound therapy compared with peers.

There are clear statistical outliers in specific adjunct therapies: 97605 (negative‑pressure wound therapy) ranks #6 of 154 nationally (97th percentile) and is marked "notably above typical national volume," even though it represents only $3.2K and 0.1% of Medicare revenue. This pattern — small absolute dollars but top‑tier rank — suggests specialized use of certain therapies at higher intensity or frequency than most peers, which could reflect a focused clinical protocol or patient population.

Home‑visit E/M codes are present across several entries (for example, 99349: 486 claims, $99 avg paid/claim, $48.1K revenue, rank #1896 of 14284, 87th percentile; 99348: 322 claims, $58 avg paid/claim, $18.7K revenue, rank #1229 of 11547, 89th percentile), showing a nontrivial component of home‑based care activity. While these E/M codes are small contributors to total Medicare revenue (each under 1%), their relatively high percentile ranks indicate the provider is more active in home/residence visits than many peers, consistent with a practice model that includes in‑home wound care.

Tenure is long enough to suggest established operations: the NPI was enumerated (registered) 2006‑02‑08 (~20 years ago), indicating nearly two decades of being listed in Medicare files. That longevity supports the interpretation that the current code mix and revenue concentration reflect sustained clinical focus rather than a very recent change in practice.

Clinical and commercial risk observations: reliance on high‑unit, add‑on product codes (Q4262 at $1019 avg paid/claim and Q4205 at $1163 avg paid/claim) means revenue is sensitive to changes in reimbursement or coverage policy for membrane grafts and skin substitutes. Coupled with the Medicare‑only payer mix (Medicaid none (no Medicaid billing on file)) and the fact that the top 3 codes account for 96.9% of Medicare revenue, the provider’s financial profile would be materially affected by any shifts in coding guidance, competitive product availability, or utilization controls targeting these specific codes.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	2,440	$1,020	$2.5M
Q4205	Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)	1,850	$1,160	$2.1M
97610	The provider uses a low–frequency ultrasound device to try to improve wound healing.	890	$350	$308K
99349	The 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…	490	$100	$48.1K
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.	260	$120	$31.2K
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…	320	$60	$18.7K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	110	$160	$17K
29581	The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…	270	$60	$16.2K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	160	$80	$12.2K
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	60	$150	$9.4K

Showing 1–10 of 13

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pain Center Of Arizona PC	AZ	Interventional Pain Medicine Physician	$0	$21.3M
Arizona Dental Anesthesia PLLC	AZ	Dental Anesthesiology	$0	$11M
Dvma, LLC	AZ	Internal Medicine Physician	$0	$9.7M
Joy Schechtman	AZ	Rheumatology Physician	$7.8M	$0
Surgery Center Of Peoria, LLC	AZ	Ambulatory Surgical Clinic/Center	$408.4K	$7M
Phoenix Medical Group, P.C.	AZ	Pulmonary Disease Physician	$0	$7M
Ravi Bhalla	AZ	Rheumatology Physician	$2.8M	$435.8K
Ski Ambulatory Surgical Centers, LLC	AZ	Ambulatory Surgical Clinic/Center	$1.1M	$1.7M
Jason Samuelian	AZ	Radiation Oncology Physician	$2.1M	$0
Terry Lee	AZ	Radiation Oncology Physician	$1.2M	$0

Joshua Holland — Billing Profile & Reimbursement Data

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Joshua Holland — 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

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	10	10	31,870	$890	$43.9M
Q4205	1	10	970	$1,160	$1.4M
97610	3	20	300	$300	$122.5K
99349	48	370	90	$80	$17.9K
99350	132	240	70	$120	$17.6K
15271	3	40	90	$100	$10.8K
29581	3	30	60	$60	$7.9K
99348	22	260	50	$50	$6.5K
97597	13	120	60	$60	$4.5K
99345	7	120	20	$130	$4.4K