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

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

Sophie Jernigan (NPI 1134728272)

Field	Value
Entity Type	Individual
Organization	Sophie Jernigan
Address	561 Elaine Dr
City	Nashville
State	TN
ZIP	37211
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	October 20, 2020

Payer Source	Total Paid
Medicare	$131.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	1,160	$90	$109K
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…	220	$60	$13.2K
G0317	Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary…	340	$20	$6.4K
99316	The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.	20	$80	$1.4K
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…	20	$50	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Sophie Jernigan — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	365	660	270	$70	$29.8K
99310	1	270	60	$100	$11.6K
99316	126	160	30	$80	$4K
99497	549	770	40	$60	$3.9K
G0317	7	30	80	$20	$3.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Diagnostic Imaging, PC	TN	Internal Medicine Physician	$0	$29.9M
Jose Pratts Emanuelli	TN	Diagnostic Radiology Physician	$759.9K	$16.3K
Selcuk Tombul	TN	Cardiovascular Disease Physician	$734.6K	$27K
Keith Loven	TN	Dermatology Physician	$702.1K	$0
Robert Chen	TN	Dermatology Physician	$544.5K	$103.3K
Paul Fleser	TN	Vascular Surgery Physician	$574.4K	$0
Gibran Naddy	TN	Internal Medicine Physician	$545K	$28.9K
Kenneth Homolya	TN	Pain Medicine (Anesthesiology) Physician	$551.9K	$0
Jeffrey Poole	TN	Foot & Ankle Surgery Podiatrist	$473.5K	$2.3K
James Griffith	KS	MOHS-Micrographic Surgery Physician	$452.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Omni Visions, Inc.	TN	Foster Care Agency	$0	$133.3M
D&s Residential Services, LP	TN	In Home Supportive Care Agency	$0	$77.7M
Cg Of Tennessee, LLC	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$63.5M
Hca Health Services Of Tennessee, Inc.	TN	General Acute Care Hospital	$0	$27.5M
Nashville Pediatric Providers, LLC	TN	Pediatric Nurse Practitioner	$0	$20M
Omni Community Health	TN	Social Worker	$0	$18.2M
Smile Center For Children	TN	Pediatric Dentistry	$0	$9.6M
Option Care Infusion Services, LLC	TN	Home Infusion Therapy Pharmacy	$0	$8.9M
Pediatric Partners Of Nashville, PLLC	TN	Pediatrics Physician	$0	$5.7M
Lifecare Heritage	TN	Adult Day Care Clinic/Center	$0	$4.8M

Sophie Jernigan — Billing Profile & Reimbursement Data

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Sophie Jernigan — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References