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

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

Jamison Feramisco (NPI 1043410871)

Key Findings

Field	Value
Entity Type	Individual
Organization	Jamison Feramisco
Address	8898 Navajo Rd # C-349
City	San Diego
State	CA
ZIP	92119
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 19, 2007

Payer Source	Total Paid
Medicare	$6.1M
Medicaid	$0

This provider’s Medicare billing pattern is concentrated in wound care and dermatologic procedural services that rely on advanced biologic and topical therapies. The three highest-revenue codes are Q4180 ($1.6M, 26.9% of total Medicare revenue), 96910 ($1.4M, 23.6%), and Q4229 ($801.7K, 13.4%), and the top 3 codes together account for 63.9% of this provider’s total Medicare revenue, indicating the practice’s core business is procedure- and product-driven rather than broad, office-based primary care alone.

Medicare is effectively the sole public payer exposure for this provider: Total Medicare revenue is $6.1M while there is no Medicaid billing on file. That payer mix makes the provider essentially single-payer (Medicare) from a public-program perspective, which concentrates reimbursement risk and negotiations around Medicare coverage and pricing policies.

Several codes show dominant national rankings, marking this provider as a major national outlier for specific supplies and procedures. Q4180 and 96910 each rank #1 nationally and are flagged as “100th percentile; extreme outlier,” while Q4229 ranks #2 (98th percentile; notably above typical volume); these positions indicate unusually high national activity for those particular codes compared with peers.

The code mix includes high-volume use of per-square-centimeter biologic skin products and skin substitutes (Q4180, Q4229, Q4232, 15271, 15275) alongside high-volume phototherapy (96910) and debridement/wound-management procedures (11042, 11043, 97597). For example, Q4232 generated $762.5K (12.7% of Medicare revenue) and 15271 generated $49.1K (0.8%), suggesting revenue is materially driven by consumable biologic products and procedural throughput as much as by evaluation-and-management visits.

Home and nursing-facility E/M services are a meaningful secondary service line, supporting a mixed-delivery model that pairs in-person procedural care with on-site visits. Notable Medicare revenues include 99349 at $342K (5.7%), 99309 at $91.6K (1.5%), and 99348 at $72.9K (1.2%), which indicates substantial billed volume for home/residence and nursing facility visits in addition to procedural work.

The provider’s portfolio combines multiple codes labeled as unusually high-volume: several codes are described as “extreme outlier” or “notably above typical national volume,” including 11200 (100th percentile; extreme outlier), 17110 (99th percentile; extreme outlier), 17000 (100th percentile; extreme outlier), and 99349 (100th percentile; extreme outlier). This clustering of high-percentile codes across both procedure and visit categories suggests a consistent pattern of above-typical utilization across multiple service types rather than a single-code anomaly.

While some procedural codes are extreme outliers, other commonly billed services fall in more typical ranges, signaling a mixed competitive standing across code types. Examples include 11043 (91st percentile; typical, unremarkable volume) and 99350 (84th percentile; typical, unremarkable volume), indicating that for some standard wound-care and home-visit codes the provider’s activity aligns with broader peer activity even as specialty-product codes dominate.

The provider’s NPI was enumerated 2007-07-19 (~19 years ago), indicating an established tenure in the market; coupled with concentrated, high-revenue code usage this suggests a sustained, specialized operation. For payer analysts, this combination — long tenure, Medicare-only public payer exposure, and a high concentration in a few high-revenue biologic/procedural codes — highlights areas for focused network contracting, utilization review, and product-level payment policy monitoring.

Medicare: Complete Services Breakdown

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

46 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4180	Revita, per square centimeter (add-on, list separately in addition to primary procedure)	4,180	$390	$1.6M
96910	The provider applies tar or petrolatum to the skin and exposes the area to ultraviolet B, or UVB, rays to treat certain skin diseases such as psoriasis.	13,260	$110	$1.4M
Q4229	Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	4,290	$190	$801.7K
Q4232	Corplex, per square centimeter (add-on, list separately in addition to primary procedure)	3,160	$240	$762.5K
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…	3,320	$100	$342K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	1,270	$110	$137.4K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	2,330	$50	$104.9K
11043	The 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…	550	$170	$92K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,050	$90	$91.6K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	1,010	$80	$82.4K

Showing 1–10 of 46

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4180	1	10	590	$440	$606.7K
Q4229	1	10	1,620	$180	$383.5K
Q4232	1	10	270	$230	$184.7K
11043	64	370	120	$170	$52.1K
96910	1	100	230	$110	$51K
99309	265	1,790	210	$80	$48.1K
99350	134	550	80	$140	$38.8K
99308	428	1,640	190	$60	$35.5K
99489	117	120	130	$60	$31.8K
99349	6	870	110	$90	$31.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colusa Indian Community Council	CA	Federally Qualified Health Center (FQHC)	$0	$62.4M
Harjot Maan	CA	MOHS-Micrographic Surgery Physician	$1.5M	$0
Arudi Prabhakar	CA	Specialist	$845.6K	$0
Jorge Coll	FL	Internal Medicine Physician	$815.3K	$0
Rosemary Castoreno	TX	Internal Medicine Physician	$698.5K	$0
Bradley Goad	VA	Internal Medicine Physician	$444.3K	$0
James Williams	WI	Family Medicine Physician	$381.1K	$780
Tamara Chittenden	NC	Internal Medicine Physician	$371.4K	$0
Julia Vega	FL	Family Nurse Practitioner	$332.6K	$0
Brandon Haubner	NC	Family Medicine Physician	$301.7K	$0

Jamison Feramisco — Billing Profile & Reimbursement Data

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Jamison Feramisco — 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

Frequently Asked Questions

References