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.

Casey Baine (NPI 1245835263)

Field	Value
Entity Type	Individual
Organization	Casey Baine
Address	969 Lakeland Dr
City	Jackson
State	MS
ZIP	39216
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	November 30, 2020

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is concentrated and device/product-driven: two add-on Q-codes — Q4205 (membrane graft or membrane wrap) and Q4236 (Carepatch) — together account for the overwhelming share of Medicare revenue, with Q4205 generating $920.6K (49.2% of Medicare revenue) and Q4236 generating $888.3K (47.4% of Medicare revenue). The platform’s precomputed metric confirms the top three Medicare codes account for 97.6% of total Medicare revenue, indicating operations are tightly focused on wound-covering membrane products and associated procedures.

Business and service-line implication: the dominant codes (Q4205 and Q4236) and supplemental entries for skin substitute 15271 and debridement codes 11042/11043 show a clear wound-care and skin-substitute practice profile, with revenue derived primarily from application/supply of membrane grafts and patch materials plus occasional surgical debridement. The presence of home visit codes (99348, 99342, 99349) and inpatient follow-up codes (99231–99233) at low volumes suggests some ancillary home- and facility-based E/M work but not as a core revenue stream.

Revenue scale and payer mix: lifetime Medicare revenue is $1.9M while there is none for Medicaid — this provider effectively operates as Medicare-only in the datasets available, with no Medicaid billing on file. That single-payer concentration increases exposure to Medicare policy and reimbursement changes affecting Q-code reimbursements and wound-care product coverage.

Revenue concentration risk/opportunity: with 97.6% of Medicare revenue coming from the top three codes, business performance is highly sensitive to utilization and reimbursement of those specific codes. Any payer edits, product-price shifts, or changes in local contracting around membrane grafts or Carepatch could materially affect overall revenue given the narrow code base driving nearly all Medicare receipts.

Competitive standing for the two highest-revenue codes is modest rather than dominant: Q4205 ranks #38 of 63 providers nationally (39th percentile) and Q4236 ranks #56 of 79 providers nationally (29th percentile), which indicates typical, unremarkable national volume for both leading products. By contrast, the debridement code 11042 shows stronger relative placement — it ranks #1637 of 10712 providers nationally (85th percentile) — implying a relatively higher standing on that specific procedural service despite it contributing only $19K (1.0% of Medicare revenue).

Tenure and enumeration: the provider’s NPI was enumerated on 2020-11-30 (~6 years ago), so this billing profile reflects roughly a multi-year presence in Medicare; the concentrated code mix appears to have been sustained long enough to generate $1.9M in lifetime Medicare revenue. This tenure suggests established billing patterns around wound-product application rather than a single short-term surge.

Statistical/outlier note: across the listed Medicare codes the dataset labels volumes as typical or unremarkable for their national comparisons, and no code in the provided list is flagged as an extreme outlier. That consistent labeling across high- and low-revenue codes suggests this provider’s practice pattern aligns with common national usage patterns for wound graft/patch products and routine debridement.

Operational inference for payers and network planners: given the heavy reliance on Q4205 and Q4236 and absence of Medicaid billing, this provider is most relevant to Medicare-focused product-management, DUR, and coverage discussions for membrane grafts and Carepatch; conversely, they are not a candidate for Medicaid network capacity based on current billing on file. Small volumes of home visit and inpatient E/M codes indicate limited but present capacity for post-procedure or follow-up care outside the clinic setting.

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)	810	$1,130	$920.6K
Q4236	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	850	$1,050	$888.3K
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.	280	$70	$19K
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…	110	$130	$15K
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.	130	$90	$12.1K
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…	110	$50	$5K
11046	The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…	60	$40	$2.8K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	70	$30	$2.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$80	$2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$50	$1.7K

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

Casey Baine — 0 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
Q4236	9	20	850	$1,050	$1.2M
Q4205	5	10	750	$1,130	$853.6K
99233	814	970	110	$90	$21.7K
11043	17	50	70	$140	$19.3K
11046	17	20	160	$50	$13.8K
11042	39	140	120	$60	$13.5K
99232	1,201	1,490	100	$60	$12.9K
99349	101	110	60	$80	$10.8K
15271	6	40	70	$80	$6.5K
99348	19	80	60	$50	$4.7K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Martin	MS	Family Medicine Physician	$9M	$0
Shannon Weathers	MS	Family Nurse Practitioner	$4.6M	$0
Lori Case	MS	Family Nurse Practitioner	$4.2M	$0
Amy Shuptrine	TX	Nurse Practitioner	$3.7M	$0
Chelsea Cockrell	MS	Family Nurse Practitioner	$3M	$0
Anna Gordon	MS	Nurse Practitioner	$2.9M	$0
Abbey Ross	MS	Nurse Practitioner	$2.6M	$0
Sarah Sanchez	FL	Family Nurse Practitioner	$2.5M	$0
Nikolaus King	TN	Acute Care Nurse Practitioner	$2.4M	$0
Angela Sutherland	TX	Nurse Practitioner	$2.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Mississippi - University Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$507.2M
Central Ms. Planning & Dev. District, Inc.	MS	Case Management Agency	$0	$47.2M
St Dominic-jackson Memorial Hospital	MS	General Acute Care Hospital	$0	$37.1M
Afnb Home Care LLC	MS	In Home Supportive Care Agency	$0	$25.6M
Ms Children's Home Society	MS	Community/Behavioral Health Agency	$0	$19.4M
Mississippi State Department Of Health	MS	Community/Behavioral Health Agency	$0	$14.9M
Ms State Department Of Health	MS	Community/Behavioral Health Agency	$0	$14.5M
Guangzhi Qu	MS	Hematology & Oncology Physician	$9.1M	$0
Mississippi Asthma & Allergy Clinic PA	MS	Allergy & Immunology Physician	$0	$8.2M
Mississippi Methodist Hospital & Rehabilitation Center, Inc.	MS	General Acute Care Hospital	$0	$5.7M

Casey Baine — 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