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

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

Jami Gorton (NPI 1225633753)

Field	Value
Entity Type	Individual
Organization	Jami Gorton
Address	125 Rock Bridge Dr
City	Windsor
State	CO
ZIP	80550
Taxonomy	Gerontology Nurse Practitioner
NPI Enumerated	December 2, 2020

Payer Source	Total Paid
Medicare	$10.3M
Medicaid	$0

Key Findings

This provider’s Medicare billing is highly concentrated: Total Medicare revenue is $10.3M and the precomputed top 3 Medicare codes account for 99.5% of that revenue. The single largest code, Q4262, alone represents $10.2M (99.0% of Medicare revenue), showing the provider’s business is overwhelmingly driven by one HCPCS code rather than a broad mix of office or procedural services.

Q4262 (dual layer impax membrane) dominates the clinical profile and revenue stream, with 13K claims at $785 average paid/claim generating $10.2M. The prominence of Q4262 suggests the provider’s operations are centered on supplying or furnishing this device/procedure at scale rather than providing a wide range of evaluation-and-management services.

Despite the steep concentration in Q4262, the provider also reports volume in several E/M and prolonged/advanced care planning codes: 99350, 99497, 99310, and 99498 appear among top billers. These supplemental codes (including 99497 and 99498 for advance care planning and 99310/99350 for complex nursing facility or prolonged home visits) indicate some clinical time-based E/M activity, but their combined revenue is a very small share compared with the Q4262-dominated Medicare total.

Competitive standing for Q4262 is modestly notable: the provider ranks #11 of 141 nationally for Q4262 (93th percentile), which the source labels as typical/unremarkable volume for this code at the national level. In contrast, 99497 is an extreme outlier (ranks #306 of 27157, 99th percentile), indicating this provider delivers far more advance care planning services than typical peers nationwide, even though those services represent a small portion of overall Medicare revenue.

The provider has no Medicaid billing on file, so payer mix is effectively single-payer Medicare: Total Medicaid revenue is none. This lack of Medicaid activity means the entity’s commercial and state-program exposure cannot be assessed from these data, and operational dependence on Medicare revenue is near-total.

Tenure in the NPI registry is established but relatively recent: the NPI was enumerated on 2020-12-02 (~6 years ago). That tenure is consistent with an operation that has rapidly scaled a concentrated Medicare revenue stream (particularly for Q4262) within a few years of enrollment.

Several codes show divergent statistical characterizations that inform operational emphasis: 99497 and 99498 are described as extreme outliers (99th percentile) indicating unusually high use of advance care planning services compared with national peers, while common E/M home and facility visit codes such as 99350 and 99310 are characterized as typical/unremarkable. This pattern suggests a mix of high-volume device/procedure billing with unusually intensive advance care planning activity relative to peers.

Smaller ancillary codes (e.g., G0318, G0317, 11042) contribute negligible revenue individually (each listed with $798, $320, and $1.8K respectively) and rank low-to-mid among peers, reinforcing that revenue and operational focus are concentrated on Q4262 and a few high-volume counseling/time-based E/M codes rather than on a broad surgical or procedure portfolio.

Medicare: Complete Services Breakdown

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

10 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)	13,000	$790	$10.2M
99350	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…	260	$120	$31.7K
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…	520	$50	$26.6K
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…	270	$100	$26K
99498	The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient…	300	$50	$13.9K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	20	$110	$2.3K
99345	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…	20	$130	$2.1K
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.	20	$90	$1.8K
G0318	Prolonged home or residence 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…	40	$20	$800
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…	20	$20	$320

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Jami Gorton — 2 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	2	10	1,500	$970	$4.8M
99310	65	260	90	$110	$21.6K
99306	107	130	70	$140	$18.2K
99350	16	160	60	$120	$13.6K
11042	123	130	80	$70	$8.3K
99497	3	410	40	$50	$3.8K
99498	1	20	40	$50	$3.1K
99345	51	80	20	$130	$2.9K
G0317	29	30	50	$20	$2.1K
G0318	8	10	40	$20	$1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kirk Mitchell	CO	Geriatric Medicine (Internal Medicine) Physician	$27.1M	$1M
Shahid Javery	CO	Internal Medicine Physician	$11.4M	$0
Ryan Wolf	CO	Physician Assistant	$4.6M	$0
Leslee Adams	UT	Family Nurse Practitioner	$513.4K	$0
Kindra Leduc	CO	Adult Health Nurse Practitioner	$197.2K	$0
Brianna Hart	CO	Acute Care Nurse Practitioner	$50.9K	$0
Kara Bresson	CO	Physician Assistant	$44.8K	$0
Jennifer Abbott	CO	Physician Assistant	$40.3K	$0
Reeve Geiger	AK	Family Nurse Practitioner	$38.5K	$0
Rochelle Elijah	CO	Family Medicine Physician	$38.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tender Hearts Home Healthcare, LLC	CO	Home Health Agency	$0	$24.1M
The Otero Corporation	CO	Adult Care Home Facility	$0	$22.9M
Carmel Community Living Corporation	CO	Developmentally Disabled Services Day Training Agency	$0	$12.2M
Poudre Valley Health Care Inc	CO	General Acute Care Hospital	$0	$11.8M
United Seating And Mobility, LLC	CO	Durable Medical Equipment & Medical Supplies	$0	$5.5M
Walgreen Co	CO	Community/Retail Pharmacy	$133.6K	$10.2K
Michael Carey	CO	Family Medicine Physician	$111.2K	$0
Scott Johnson	CO	Physical Therapist	$84.9K	$0
David Squicquero	CO	Diagnostic Radiology Physician	$40.6K	$0
Agnes Carsen Bahn	CO	Family Medicine Physician	$23.9K	$0

Jami Gorton — 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