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    OpenPayerNPI Medicare & MedicaidTara Sykes
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    Tara Sykes — Billing Profile & Reimbursement Data

    NPI 1033437587 · Biloxi, MS · Family Nurse Practitioner

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    Tara Sykes is a family nurse practitioner provider located in Biloxi, Mississippi. This profile covers 16 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
    OrganizationTara Sykes
    Address250 Beauvoir Rd
    CityBiloxi
    StateMS
    ZIP39531
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMay 7, 2010

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the only payer activity on file: Total Medicare revenue is $1.6M and there is no Medicaid billing on file, making the practice effectively single‑payer Medicare in scale. The absence of Medicaid claims means payer diversification is minimal and reimbursement exposure will be concentrated in Medicare policy and pricing for the services reported.

    Revenue is extremely concentrated in a single code family: the precomputed top 3 Medicare codes account for 95.0% of this provider’s total Medicare revenue, with Q4262 alone representing $1.5M or 92.1% of Medicare revenue. That concentration indicates the provider’s financial performance is heavily dependent on a narrow set of services rather than a broad mix of evaluation-and-management or primary-care billing.

    The CPT/HCPCS mix points to a wound-care and procedural practice model: high-volume Q4262 billing alongside multiple debridement codes (11043, 11047, 11044, 11042, 11046, 11045) suggests frequent use of an implantable/advanced wound product plus procedural debridement services. The presence of home-visit E/M codes such as 99349 and 99350 further indicates substantial outpatient or home-based wound management rather than a routine office-only primary care model.

    Despite the dominance of Q4262 in revenue, the provider is not an outsized national leader on that specific code: Q4262 ranks #59 of 141 providers nationally (59th percentile) and is described as typical/unremarkable volume for that code. In other words, the provider’s large dollar share comes from heavy utilization of a high-value add-on code rather than from unusually high national market share for that procedure.

    Home and residence visit E/M activity is present but not extreme: 99349 shows 357 claims and $27.1K revenue and ranks #2724 of 14284 providers nationally (81th percentile) with typical, unremarkable volume for the code. That ranking supports an operational model that includes field-based patient care, but the provider does not appear to be a dominant national outlier in home-visit E/M volume.

    Office-based primary care E/M codes are low relative to national peers, consistent with a procedure-focused specialty profile. For example, 99204 ranks #208764 of 227068 providers nationally (4th percentile) and 99213 ranks #416873 of 457151 providers nationally (8th percentile), indicating comparatively limited billing for new and established office visits versus broader primary-care providers.

    The provider has an established NPI history that supports continuity of practice: NPI enumerated on 2010-05-07 (~16 years ago). Long tenure combined with a concentrated procedural portfolio suggests an experienced, focused service line rather than a newly launched or broadly diversified practice.

    Operational and revenue sensitivity should be noted because of reliance on one high-value code and lack of Medicaid activity. With $1.6M tied largely to Q4262 (92.1%) and no Medicaid revenue to offset payer shifts, changes in Medicare coverage, pricing, or utilization of Q4262 or associated debridement services could materially affect this provider’s Medicare revenue profile.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)1,620$910$1.5M
    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…360$80$27.1K
    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…160$130$19.4K
    11047The provider uses surgical instruments to remove dead, infected tissue from bone as well as the epidermis, dermis, and subcutaneous tissue, muscle, and/or fascia if needed. She performs this service…240$70$17.6K
    11044The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…80$190$14.2K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.230$60$13.5K
    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…190$70$13.1K
    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…170$50$7.7K
    11045The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…170$20$4.1K
    99350The 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…30$110$3.6K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42621101,440$930$1.1M
    11047310240$90$67.6K
    1104442030$220$40.3K
    992141,8994,110170$70$21.9K
    11043145070$140$19.3K
    110461020160$50$13.8K
    1104248140120$60$13.5K
    993491111060$80$10.8K
    99350396050$110$10.4K
    992133,7104,000100$50$10.3K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Blandon SorrellLAFamily Nurse Practitioner$6.2M$0
    Wound Care Associates LLCLASpecialist$0$5.6M
    Shanda JacksonLAFamily Nurse Practitioner$4M$0
    Stephen PriceLAPhysician Assistant$3.4M$0
    Jared SmithLAFamily Nurse Practitioner$2.6M$0
    Lakisher MorganLAFamily Nurse Practitioner$2M$0
    Relias Emergency Medicine Specialists Of Amory, LLCMSEmergency Medicine Physician$0$1.8M
    Gavin MayoMSFamily Nurse Practitioner$1.5M$0
    Stefanie CorleyLAFamily Nurse Practitioner$1.2M$0
    Amie WilsonLAFamily Nurse Practitioner$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hattiesburg Road Dental, P.C.MSGeneral Practice Dentistry$0$16.2M
    Painstop Spine Clinic, LLCMSInterventional Pain Medicine Physician$0$4.6M
    Gulf Shores Adult Day CareMSAdult Day Care Clinic/Center$0$3.7M
    Mitchell GruichMSPediatrics Physician$0$2.3M
    Tri County Eye Clinic, PLLCMSOphthalmology Physician$0$1.7M
    Anne BarananoMSRetina Specialist (Ophthalmology) Physician$1.7M$530
    Building Behaviors Counseling Services, LLCMSMental Health Counselor$0$1.6M
    Children's International, LLCMSRural Health Clinic/Center$0$1.5M
    Evelyn CollierMSGeneral Practice Dentistry$0$1.4M
    Gulf Coast Outpatient Surgery Center, LLCMSAmbulatory Surgical Clinic/Center$732.4K$409K

    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. Mississippi Distribution
    Tara Sykes — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi