Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJacqueline Thompson
    Ask Trek AI about this page

    Jacqueline Thompson — Billing Profile & Reimbursement Data

    NPI 1255328753 · Kinston, XX · Surgery Physician

    Customize your policy alerts

    Sign up for Jacqueline Thompson — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jacqueline Thompson is a surgery physician provider located in Kinston, Unspecified Location. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "XX" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJacqueline Thompson
    AddressIntegrated Wound Specialist Of North Carolina, PLLC
    CityKinston
    StateXX (Unspecified Location)
    ZIP28501
    TaxonomySurgery Physician
    NPI EnumeratedSeptember 30, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$128.5K
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is small in absolute scale: Total Medicare revenue is $128.5K and there is no Medicaid billing on file, so the provider functions effectively as a single-payer (Medicare) biller in the available data. That limited revenue base suggests modest overall Medicare exposure for payers evaluating financial impact or network capacity from this NPI.

    Revenue is highly concentrated in three codes: the top 3 Medicare codes (99308, 99309, 11042) account for 73.9% of the provider’s total Medicare revenue. Those individual contributions are visible in the file — $40.7K (31.8%) from 99308, $35.7K (27.8%) from 99309, and $18.4K (14.4%) from 11042 — indicating most dollars flow from a narrow set of services.

    The mix of leading codes points to a practice oriented toward nursing-facility E/M and wound debridement: 99308 and 99309 are subsequent nursing facility care E/M visits, while 11042 (and related codes 11043, 11045, 97597) are debridement/wound-care procedures. This combination is consistent with a clinician who sees patients in long-term care settings and performs procedural wound care at the same practice or visit locations, rather than a high-volume outpatient surgical specialty.

    Competitive standing by code is mixed: 99308 ranks #4232 of 25763 providers nationally (84th percentile; typical, unremarkable volume for this code) and 11042 ranks #2094 of 10712 providers nationally (80th percentile; typical, unremarkable volume for this code), which indicates above-average national activity on those two codes. By contrast 99309 (rank #8562 of 28092; 69th percentile; typical, unremarkable volume for this code) is more middle-tier and several procedure add-ons such as 11045 (rank #1772 of 1905; 7th percentile; typical, unremarkable volume for this code) sit at the low end; collectively this pattern signals pockets of relative strength but not national dominance.

    Several codes are described in the file as having only typical or unremarkable volumes despite their percentiles, and a few codes sit at very low percentiles — for example 99310 ranks #10907 of 12486 (11th percentile; typical, unremarkable volume for this code) and 11045 ranks at the 7th percentile. In plain terms, the provider under-indexes on the highest-complexity subsequent nursing-facility visits (99310) and certain debridement add-on activity relative to national peers, so payers should not expect unusually frequent high-complexity billing from this NPI.

    Average payments per claim are modest and consistent with E/M and debridement services: 99308 averages $57 paid/claim, 99309 averages $82 paid/claim, and 11042 averages $79 paid/claim. For utilization-management or payment integrity reviews, that combination of moderate per-claim values with concentrated volume in a few codes suggests limited dollar risk in aggregate but with focused claim types to monitor (nursing-facility E/M and wound debridement).

    The provider has long tenure in the NPI registry, enumerated 2005-09-30 (~21 years ago), which supports an interpretation of an established practice pattern rather than a newly-emerging or transient billing profile. Given the long tenure paired with modest total Medicare revenue and no Medicaid billing on file, analysts should treat this as a small, stable practice with concentrated service lines rather than a rapidly growing revenue source or a major regional competitor.

    The absence of Medicaid billing on file is notable for network and coverage planning: this NPI reports no Medicaid revenue, so state Medicaid payers have effectively zero exposure to this provider under the recorded NPI. That gap could reflect true non-participation in Medicaid, credentialing under another NPI for Medicaid work, or straightforwardly limited scope of services towards Medicare beneficiaries in nursing facilities; in any case, payers seeking statewide Medicaid capacity should not count this NPI.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…710$60$40.7K
    99309The 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…440$80$35.7K
    11042The 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 cm2.230$80$18.4K
    11043The 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…60$160$10K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…80$100$8.7K
    17250The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.80$60$4.4K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…100$30$3K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…30$80$2.3K
    99310The 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…20$120$2.3K
    99304The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider…30$60$1.7K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309210810$70$60.8K
    99308210780$50$41.9K
    11042110230$80$18.4K
    99310210160$110$17.2K
    1104311060$160$9.9K
    9930511070$100$7K
    9759721080$80$6.8K
    1725011080$60$4.4K
    99307110100$30$3K
    9930411030$60$1.7K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bamdad FarhadFLFamily Medicine Physician$2M$0
    Linda LarochelPAFamily Medicine Physician$1.2M$112.6K
    Didier AlipuiPASurgery Physician$901.5K$161.9K
    Yoni SamochaTXVascular Surgery Physician$780.1K$15.3K
    Alleyne FraserNYNeurological Surgery Physician$379.8K$10.4K
    Brendan MichelNCFamily Medicine Physician$263.6K$0
    James HollemanNCFamily Medicine Physician$254K$0
    Erin MckayNYInternal Medicine Physician$235.3K$15K
    Marni MishlerNYSurgery Physician$233.8K$13.9K
    Michael TynerNCSurgery Physician$215.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dixon Social Interactive Services, Inc.NCCommunity/Behavioral Health Agency$0$27.4M
    In Us You Trust Home Care IncNCIn Home Supportive Care Agency$0$19.4M
    Kinston Physicians Group, PLLCNCEmergency Medicine Physician$0$8.1M
    County Of Lenoir Finance OfficeNCLand Ambulance$906.9K$3.6M
    Teigha RandolphNCInternal Medicine Physician$560.6K$0
    Pradeep ArumughamNCCardiovascular Disease Physician$381.6K$0
    Kenneth JohnsonNCInternal Medicine Physician$318.4K$0
    Mohammad IqbalNCInternal Medicine Physician$296.1K$0
    Abhishek MishraNCCardiovascular Disease Physician$287.6K$0
    Peter WatsonNCMedical Oncology Physician$239.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Unspecified Location Distribution
    Jacqueline Thompson — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Unspecified Location