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

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

Bethany Jameson (NPI 1225551484)

Field	Value
Entity Type	Individual
Organization	Bethany Jameson
Address	428 S Gilbert Rd Ste 101
City	Gilbert
State	AZ
ZIP	85296
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 19, 2017

Payer Source	Total Paid
Medicare	$49.9M
Medicaid	$0

Key Findings

This provider has generated $49.9M in total Medicare revenue and has no Medicaid billing on file, making its public payer footprint effectively single-payer Medicare. The Medicare revenue base is highly concentrated: the precomputed top 3 codes account for 99.9% of the provider's Medicare receipts, signaling extreme reliance on a narrow set of services.

Revenue is overwhelmingly driven by three add-on membrane/graft products: Q4262 accounts for 84.8% of Medicare revenue, Q4253 accounts for 12.3%, and Q4205 accounts for 2.9%. Those three codes together explain nearly the entirety of reported Medicare billing and indicate a specialized, product-focused revenue model rather than a diversified outpatient visit mix.

The code mix (Q4262, Q4253, Q4205 and related skin substitute CPTs) indicates an operation oriented to advanced wound care and membrane/skin-substitute implantation; these are billed as add-on biologic/membrane products rather than standard evaluation-and-management or diagnostic services. Average paid amounts for the top codes — $1058/claim for Q4262, $744/claim for Q4253, and $1149/claim for Q4205 — are consistent with high-cost biologic products and support the interpretation of a graft/biologics procedural focus.

Competitive standing is strongest on Q4262 where the provider ranks #5 of 141 nationally (97th percentile) and is described as notably above typical national volume for this code; this positions the provider as a major national-level participant for that specific membrane product. By contrast, Q4253 ranks #6 of 73 (93th percentile) and is labeled as typical/unremarkable volume, and Q4205 ranks #24 of 63 (63th percentile) and is also described as typical, indicating the provider’s dominance is concentrated almost entirely in Q4262 rather than across multiple product lines.

Other skin substitute codes (for example, 15274 at $16.3K and 15273 at $15.6K in lifetime Medicare revenue) contribute only immaterial amounts relative to the top three codes, reinforcing that the business is centered on a small set of high-reimbursement membrane add-ons rather than broader grafting or wound-care procedural volume. National rank percentiles for those peripheral codes are generally in the mid-range, characterized as typical and unremarkable.

The provider’s NPI was enumerated on 2017-07-19 (~9 years ago); achieving $49.9M in Medicare revenue over that tenure, with almost all revenue from a narrow product mix, suggests rapid scaling within this niche service line and concentrated operational expertise in membrane/biologic implantation.

For payers and network analysts, this profile implies concentrated Medicare exposure and limited payer diversification: the absence of Medicaid billing on file means negotiations or clinical oversight will largely hinge on Medicare reimbursement patterns for Q4262, Q4253, and Q4205. The concentration in costly add-on products creates both leverage in contracting around these specific HCPCS codes and a single-payer revenue risk if utilization or coverage policies change.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	39,990	$1,060	$42.3M
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	8,230	$740	$6.1M
Q4205	Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)	1,250	$1,150	$1.4M
15274	The provider uses a skin substitute such as an allograft or xenograft to cover a trunk, arms, and/or legs wound surface area of up to an additional 100 cm2 in a patient 10 years or older, or 1…	310	$50	$16.3K
15273	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs that are greater than or equal to 100 cm2. This code covers the first…	110	$140	$15.6K
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.	70	$100	$6.7K
15272	At the same session that the provider uses a skin substitute, such as an allograft or xenograft, to cover the wounds on the patient’s trunk, arms, and/or legs up to an area of 100 scm2, the provider…	90	$20	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Bethany Jameson — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	5	10	31,870	$890	$43.9M
Q4253	1	10	3,040	$740	$2.8M
Q4205	3	10	970	$1,160	$1.4M
15274	5	10	310	$60	$22.8K
15273	5	10	130	$150	$22.4K
15271	27	40	90	$100	$10.8K
15272	5	10	110	$20	$1.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heard Health Care LLC.	AZ	Community/Behavioral Health Agency	$0	$35.3M
Tec Emergency Physicians Of Arizona, LLC	AZ	Emergency Care Clinic/Center	$0	$35.2M
Dignity Health	AZ	General Acute Care Hospital	$0	$28.5M
Building Resilience Az	AZ	Community/Behavioral Health Agency	$0	$10.9M
Gilbert Public Schools	AZ	Local Education Agency (LEA)	$0	$6.4M
Haggai Healthcare Corp	AZ	Home Health Agency	$0	$6.4M
Sunildat Maheshwari	AZ	Family Medicine Physician	$618.5K	$0
Shaun Simmons	AZ	Foot & Ankle Surgery Podiatrist	$455.5K	$0
Ryan Gibb	AZ	Pain Medicine Physician	$262.7K	$0
Dustin Mullens	AZ	Dermatology Physician	$262.5K	$0

Bethany Jameson — Billing Profile & Reimbursement Data

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Bethany Jameson — 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

Nearby Providers

Frequently Asked Questions

References