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

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

Samuel Jurca (NPI 1962069203)

Field	Value
Entity Type	Individual
Organization	Samuel Jurca
Address	372 S Eagle Rd Ste 168
City	Eagle
State	ID
ZIP	83616
Taxonomy	Family Medicine Physician
NPI Enumerated	May 22, 2019

Payer Source	Total Paid
Medicare	$24M
Medicaid	$0

Key Findings

This provider’s Medicare billing is dominated by high‑unit, supply‑intensive wound/skin‑substitute procedures: Q4262 and Q4205 are per‑square‑centimeter add‑on membrane graft codes with average paid/claim of $1056 and $1163 respectively, and the file also includes other skin substitute codes (e.g., 15271, 15272). That code mix suggests the practice operates with a wound‑care or graft‑focused service line that bills per‑area supply items rather than a traditional office‑visit‑only model, despite the provider taxonomy of Family Medicine Physician.

Revenue concentration is extreme: the top three Medicare codes (Q4262, Q4205, and 99308) together account for 99.0% of this provider’s total Medicare revenue. Specifically, Q4262 generated $12.1M (50.3% of total Medicare revenue), Q4205 generated $11.5M (47.9%), and 99308 generated $170.6K (0.7%), so nearly all Medicare dollars flow through a very small set of codes.

This provider is effectively single‑payer: Medicare lifetime revenue is $24M and there is no Medicaid billing on file. The absence of any Medicaid claims means payers and analysts should treat this entity as concentrated on Medicare populations and reimbursement rules rather than a mixed Medicaid/Medicare business model.

Competitive standing by code is mixed but shows national leadership in at least one high‑revenue item: Q4205 ranks #2 of 63 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code), indicating the provider is a major national billing outlier for that membrane graft code. Q4262 ranks #12 of 141 nationally (92th percentile) but is characterized in the file as typical/unremarkable for that code, so the provider is notable but not singularly dominant across both membrane codes.

The provider also bills heavily in post‑acute and home/nursing‑facility E/M codes, indicating a significant outreach or SNF/home‑visit component to its operations. For example, 99308 shows 3K claims at $56 avg paid/claim with $170.6K revenue and ranks #355 of 25763 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), and other home/nursing facility codes (99349, 99306, 99345, 99344) appear across the top 25, reinforcing a dual focus on wound procedures plus facility/home care.

Multiple additional wound‑care codes are flagged as statistical outliers, supporting a specialized operational profile rather than scattered billing: 15271 ($69.1K, ranks #14 of 1157; 99th percentile; extreme outlier) and several debridement and wound‑therapy codes appear with high national percentiles. At the same time, several common office/hospital E/M codes appear at modest volumes and percentiles, showing the practice has supplemental generalist activity but is not primarily an outpatient clinic billing base.

The provider has been enumerated on the NPI since 2019-05-22 (~7 years ago), which means the observed $24M in Medicare revenue and the high volumes for supply‑intensive codes were established over roughly a seven‑year timeframe. Analysts should consider tenure when benchmarking throughput, contracting history, and how rapidly a specialized service line scaled.

From a payer and contracting perspective, the extreme concentration of Medicare dollars in a few add‑on, per‑cm2 membrane and skin‑substitute codes creates both negotiation leverage and operational exposure: payers face a concentrated spend pool that could be a target for coverage or price adjustments, while the provider is exposed if reimbursement policy, coding guidance, or supply pricing for those specific codes changes. The pattern argues for targeted medical‑policy review and focused audit/contracting attention on the dominant codes rather than broad, across‑the‑board interventions.

Medicare: Complete Services Breakdown

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

19 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)	11,430	$1,060	$12.1M
Q4205	Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)	9,880	$1,160	$11.5M
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	3,050	$60	$170.6K
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.	590	$120	$69.1K
97610	The provider uses a low–frequency ultrasound device to try to improve wound healing.	160	$340	$52.5K
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…	280	$100	$27.8K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	190	$140	$26.4K
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,…	190	$80	$14.6K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	200	$60	$11.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	130	$70	$8.6K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Samuel Jurca — 3 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	1	10	1,390	$1,020	$1.4M
97610	22	10	200	$290	$45.5K
99349	252	80	120	$80	$14.3K
99306	63	60	40	$130	$12.7K
99214	23,163	2,690	90	$70	$10.4K
99233	8,411	400	60	$90	$9.4K
99223	9,498	500	30	$120	$6.6K
99213	9,848	2,770	70	$50	$5.7K
99308	30	80	60	$50	$5.4K
99239	3,718	310	40	$80	$5.1K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shelita Jones	TX	Family Nurse Practitioner	$6.7M	$0
Richard Lane	TX	Retina Specialist (Ophthalmology) Physician	$4.8M	$0
Thomas Oei	TX	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Anywhere Clinic LLC	NV	Psychiatry Physician	$0	$4M
Ronald Drengler	TX	Medical Oncology Physician	$3.8M	$0
Jose Martinez	TX	Ophthalmology Physician	$3.8M	$0
Jeremiah Brown	TX	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Sarah Holy	TX	Retina Specialist (Ophthalmology) Physician	$3.5M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Robert Zajac	TX	Infectious Disease Physician	$3.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All Care Health Solutions-pcs Divisionllc	ID	Home Health Agency	$0	$7M
Ot 4 Kidz, Inc	ID	Occupational Therapist	$0	$4M
Speech Tree Inc	ID	Speech-Language Pathologist	$0	$1.5M
Sensory Bin Pediatric Therapy Clinic, PLLC	ID	Occupational Therapist	$0	$825.4K
Ryan Judd	ID	Dental Anesthesiology	$0	$729.5K
Eagle Oral Surgery And Dental Implant Center PLLC	ID	Oral and Maxillofacial Surgery (Dentist)	$0	$486.9K
Kami Bellomy	ID	Family Nurse Practitioner	$480.3K	$0
Adams Eyecare Inc	ID	Optometrist	$0	$435.4K
Tdmk, LLC	ID	Home Health Agency	$0	$355.3K
Cody Bonine	ID	Family Nurse Practitioner	$186.8K	$0

Samuel Jurca — Billing Profile & Reimbursement Data

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Samuel Jurca — 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