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

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

Anna Gordon (NPI 1124765656)

Field	Value
Entity Type	Individual
Organization	Anna Gordon
Address	60 Physicians Ln
City	Southaven
State	MS
ZIP	38671
Taxonomy	Nurse Practitioner
NPI Enumerated	May 16, 2022

Payer Source	Total Paid
Medicare	$2.9M
Medicaid	$0

Key Findings

ANNA GORDON is effectively a Medicare-focused Nurse Practitioner practice in Southaven, MS: lifetime Medicare revenue is $2.9M and there is no Medicaid billing on file, so the provider operates as a single-payer (Medicare) billing entity in the available data. The NPI was enumerated 2022-05-16 (~4 years ago), indicating a relatively recent enrollment period.

Revenue is highly concentrated in three wound-care product/add-on codes: Q4205 ($1.3M revenue, 1.1K claims, $1131 avg paid/claim, 43.7% of this provider's total Medicare revenue), Q4217 ($968.6K revenue, 1.1K claims, $871 avg paid/claim, 33.1% of this provider's total Medicare revenue), and Q4236 ($579.6K revenue, 552 claims, $1050 avg paid/claim, 19.8% of this provider's total Medicare revenue). Those top 3 codes together account for 96.7% of this provider's total Medicare revenue, so changes to coverage or reimbursement for these product/add-on codes would materially affect overall revenue.

The code mix indicates a wound-care and advanced skin-substitute orientation: the three largest revenue drivers (Q4205, Q4217, Q4236) are membrane graft/skin-substitute add-on codes billed per square centimeter, and the presence of 15271 and 15275 (skin substitute codes) plus debridement codes 11042 and 11043 further supports that the practice delivers procedural wound care and product-based wound management rather than primarily office-based E/M visits. This profile suggests the operation centers on supplying and applying biologic dressings and performing associated wound procedures.

Competitive standing on the national Medicare leaderboard is modest for the top product codes: Q4205 ranks #28 of 63 nationally (56th percentile; typical, unremarkable volume for this code), Q4217 ranks #39 of 65 nationally (41th percentile; typical, unremarkable volume for this code), and Q4236 ranks #66 of 79 nationally (17th percentile; typical, unremarkable volume for this code). Those ranks indicate the provider is not a dominant national outlier for these products but is an established, typical-volume participant in this specialized service niche.

There are several procedure codes where the provider sits well above many peers despite smaller revenue shares: 15271 ($18.2K revenue) ranks #104 of 1157 nationally (91th percentile; typical, unremarkable volume for this code) and 11042 ($16.9K revenue) ranks #1916 of 10712 nationally (82th percentile; typical, unremarkable volume for this code). These higher percentiles for skin-substitute use and debridement suggest relative specialization or focused case mix in those specific procedural areas even though they contribute modestly to total Medicare dollars.

Home- and facility-based E/M services appear as a minor but consistent component of care delivery: 99349 shows 324 claims ($79 avg paid/claim, $25.6K revenue, 0.9% of this provider's total Medicare revenue) and other home/nursing facility codes (99348, 99350, 99307, 99344) are present at low volumes and low revenue shares. The presence of these codes indicates some provision of home/residence and nursing facility visits to support wound-care patients, but these E/M services are not a major revenue driver.

Operationally, the practice’s financial exposure is concentrated in per-square-centimeter skin substitute/add-on supplies (Q4205, Q4217, Q4236) which together make up 96.7% of Medicare revenue; this creates a focused service-line profile where reimbursement policy or supply pricing for those specific HCPCS products would have outsized impact on the provider’s Medicare income. Given the lack of Medicaid billing on file, any contractual or coverage shifts in Medicare would not be offset by Medicaid revenue for this provider.

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
Q4205	Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)	1,130	$1,130	$1.3M
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	1,110	$870	$968.6K
Q4236	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	550	$1,050	$579.6K
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…	320	$80	$25.6K
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.	200	$90	$18.2K
11042	The 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.	250	$70	$16.9K
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…	80	$130	$10.8K
15002	The provider incises the skin of a body part with an open wound, burn eschar, or scar contracture to prepare the site to receive a skin graft. This procedure helps in repairing an area of the trunk,…	40	$210	$8.8K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	50	$90	$5K
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…	90	$50	$4.2K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Anna Gordon — 1 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4217	4	10	1,130	$980	$1.6M
Q4236	13	20	850	$1,050	$1.2M
Q4205	2	10	750	$1,130	$853.6K
11043	23	50	70	$140	$19.3K
11042	42	140	120	$60	$13.5K
99349	13	110	60	$80	$10.8K
99350	36	60	50	$110	$10.4K
15002	2	10	40	$180	$9.3K
15271	1	40	70	$80	$6.5K
15275	13	20	60	$90	$6.4K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Strategic Solutions-panola Medical Center LLC	MS	Rural Acute Care Hospital	$0	$17.6M
Scott Martin	MS	Family Medicine Physician	$9M	$0
Strategic Solutions-panola Medical Center LLC	MS	Rural Health Clinic/Center	$0	$6.7M
Shannon Weathers	MS	Family Nurse Practitioner	$4.6M	$0
Lori Case	MS	Family Nurse Practitioner	$4.2M	$0
Strategic Solutions-panola Medical Center LLC	MS	Rural Health Clinic/Center	$0	$4M
Amy Shuptrine	TX	Nurse Practitioner	$3.7M	$0
Chelsea Cockrell	MS	Family Nurse Practitioner	$3M	$0
Abbey Ross	MS	Nurse Practitioner	$2.6M	$0
Sarah Sanchez	FL	Family Nurse Practitioner	$2.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Hospital-desoto, Inc,	MS	General Acute Care Hospital	$0	$41.6M
Sidhu Pediatrics, LLC	MS	Pediatrics Physician	$0	$10.8M
Desoto Pediatric Extended Care LLC	MS	Pediatric Skilled Nursing Facility	$0	$8.2M
Spectra Laboratories Inc	MS	Clinical Medical Laboratory	$1.8M	$6.2M
Desoto Family Counseling Center PLLC	MS	Community/Behavioral Health Agency	$0	$5.6M
Simple Strokestherapy Consultants, PA	MS	Physical Therapist	$0	$5.1M
John Acosta	MS	Pediatric Dentistry	$0	$4.7M
Rcg Southaven, LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Roberts & Garza Orthodontics Services PLLC	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.4M
Genesis Healthcare LLC	MS	Home Health Agency	$0	$2.9M

Anna Gordon — 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