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

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

Dawnele Taylor (NPI 1215186879)

Field	Value
Entity Type	Individual
Organization	Dawnele Taylor
Address	245 N Waco St Ste 220
City	Wichita
State	KS
ZIP	67202
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 18, 2008

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Key Findings

This provider bills exclusively to Medicare in the dataset: Total Medicare revenue is $1.2M and there is no Medicaid billing on file. The practice is effectively single‑payer (Medicare) in scale, which concentrates financial exposure and analytic focus on Medicare utilization and reimbursement patterns.

Revenue is extremely concentrated in a very small set of procedure codes: the precomputed top 3 Medicare codes by revenue account for 89.8% of this provider's total Medicare revenue. Those top codes are Q4190 (60.0% of Medicare revenue), 99349 (27.7%), and 99344 (2.1%), indicating the business is driven by a narrow set of services.

The code mix and descriptions point to a home‑based wound/skin care and home‑visit practice model: Q4190 (Artacent ac, per square centimeter) is a topical skin substitute that generates $747.3K revenue, and the two highest home/residence E/M codes 99349 (4.6K claims, $345.1K revenue) and 99344 (309 claims, $25.6K revenue) together make up the bulk of billing. High volumes of home/residence visit codes alongside product application suggest the provider delivers wound or dermatologic interventions in patients' homes rather than in a clinic.

Competitive standing for the top codes is exceptional and highly concentrated at the national level: Q4190 ranks #1 of 29 providers nationally (100th percentile; notably above typical national volume for this code), 99349 ranks #7 of 14284 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), and 99344 ranks #36 of 4895 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). These ranks indicate the provider is a dominant national outlier for both the product Q4190 and high‑volume home‑visit E/M services.

Operational intensity is evident in visit counts and average paid/claim: 99349 shows 4.6K claims with an average paid/claim of $75, representing $345.1K of revenue, which implies a high frequency of home visits as a core operational workflow. By contrast, many common office E/M codes (for example 99214 and 99213) appear at far lower volumes, reinforcing a non‑traditional, visit‑at‑home service footprint.

The provider also maintains notable activity in home health certification and nursing facility oversight that complements the home‑visit focus: G0180 (147 claims, $4.9K revenue) ranks #479 of 18863 providers nationally (97th percentile) and G0179 (152 claims, $4.0K revenue) ranks #423 of 6595 providers nationally (94th percentile), while 99309 (nursing facility subsequent visit) has 410 claims and $25.4K revenue. These high percentiles for home‑health related codes support a care model built around home health coordination and nursing facility follow‑up.

Ancillary services are present but not revenue drivers: preventive and vaccine administration codes appear (90756 – 176 claims, $5.6K revenue, 97th percentile; G0008 – 176 claims, $5.1K revenue) and behavioral/psychiatric services (90837, 90792) contribute modestly. These secondary services suggest the practice provides bundled in‑home care components (vaccination, brief psychotherapy evaluations) that support overall patient management but do not materially change revenue concentration.

The provider has long tenure in the Medicare program, with NPI enumerated on 2008-09-18 (~18 years ago). Given the combination of long enrollment, highly concentrated Medicare revenue (top 3 = 89.8%), and extreme national outlier status on several home‑visit and product codes, payers and network managers should consider this entity a specialized, Medicare‑focused home/wound care operator worthy of targeted credentialing review or a tailored contracting approach rather than a general primary care partner.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4190	Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure)	1,940	$390	$747.3K
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…	4,600	$80	$345.1K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	310	$80	$25.6K
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…	410	$60	$25.4K
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…	420	$40	$18.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	150	$90	$14.1K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	90	$120	$11.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	$100	$11.1K
99214	The 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…	160	$60	$8.9K
90756	This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no antibiotics, and is administered as a 0.5 mL injection into…	180	$30	$5.6K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kansas Distribution

Dawnele Taylor — 7 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4190	1	10	620	$410	$333.9K
99309	82	290	150	$70	$23.4K
99214	1,880	4,310	120	$70	$16.4K
90837	119	220	160	$80	$16K
99349	1	130	80	$80	$15.8K
99308	174	260	80	$50	$11.8K
G0439	358	960	70	$90	$10.2K
99213	2,911	4,330	90	$50	$8.7K
99350	37	40	40	$120	$7.2K
99348	6	120	70	$40	$6.4K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexandra Landon	KS	Physician Assistant	$628.4K	$0
Karla Hostetler	KS	Nurse Practitioner	$175.7K	$0
Lynnette Brown	KS	Nurse Practitioner	$171.7K	$0
Stacey Wood	KS	Family Nurse Practitioner	$63.1K	$0
William Simon	KS	Family Medicine Physician	$58.5K	$0
Monica Morales	KS	Psychiatric/Mental Health Nurse Practitioner	$23K	$7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Harry Hynes Memorial Hospice, Inc.	KS	Community Based Hospice Care Agency	$0	$15.5M
Unified School District 259	KS	Local Education Agency (LEA)	$0	$12.9M
Rivercross Hospice L.L.C.	KS	Community Based Hospice Care Agency	$0	$10.2M
Assurance Community Care	KS	Home Health Agency	$0	$5.9M
Premier Open Mri, Inc.	KS	Radiology Clinic/Center	$342.4K	$30.6K
Alan Downen	KS	Hospitalist Physician	$276.4K	$0
R. Bloom	KS	Internal Medicine Physician	$242.5K	$0
Marilyn Jacobs	KS	Internal Medicine Physician	$236.8K	$0
Sohaib Mohiuddin	KS	Nuclear Medicine Physician	$88.8K	$100
Holley Million	KS	Medical Physician Assistant	$78.1K	$0

Dawnele Taylor — 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