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 & MedicaidEmily Skelton
    Ask Trek AI about this page

    Emily Skelton — Billing Profile & Reimbursement Data

    NPI 1265818033 · Jackson, MS · Nurse Practitioner

    Customize your policy alerts

    Sign up for Emily Skelton — 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.

    Emily Skelton is a nurse practitioner provider located in Jackson, Mississippi. This profile covers 13 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.

    Table of contents

    Progress1 / 8

    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
    OrganizationEmily Skelton
    Address1325 E Fortification St
    CityJackson
    StateMS
    ZIP39202
    TaxonomyNurse Practitioner
    NPI EnumeratedAugust 4, 2015

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

    Payer SourceTotal Paid
    Medicare$93.8K
    Medicaid$0

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99233The 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…510$70$37.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…120$110$12.5K
    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 cm2.360$30$11.8K
    99214The 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…120$60$6.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…160$40$6.4K
    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$90$5.6K
    99183In this procedure, the provider attends and supervises the administration of hyperbaric oxygen therapy to a patient to treat specific conditions, such as decompression sickness in deep sea divers,…60$60$3.7K
    99204The provider sees a new 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 provider…30$80$2.3K
    11046The 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$30$2.2K
    15271The 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 cm2.40$50$2K

    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

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,3404,110170$70$21.9K
    99233132970110$90$21.7K
    11043325070$140$19.3K
    110461720160$50$13.8K
    1104229140120$60$13.5K
    992321,3581,490100$60$12.9K
    99183910140$70$11.6K
    992232421,22050$120$10.4K
    992131,4254,000100$50$10.3K
    15271254070$80$6.5K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Sunflower Medical CenterMSCritical Access Hospital$0$15.9M
    North Sunflower Medical CenterMSRural Health Clinic/Center$0$15.3M
    Independent Healthcare Management, Inc.MSCritical Access Hospital$0$12.4M
    Scott MartinMSFamily Medicine Physician$9M$0
    Independent Healthcare Management, Inc.MSRural Health Clinic/Center$0$4.7M
    Shannon WeathersMSFamily Nurse Practitioner$4.6M$0
    Lori CaseMSFamily Nurse Practitioner$4.2M$0
    Amy ShuptrineTXNurse Practitioner$3.7M$0
    Independent Healthcare Management, Inc.MSRural Health Clinic/Center$0$3.2M
    Independent Healthcare Management, Inc.MSRural Health Clinic/Center$0$3.2M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mississippi Behavioral Health Services, LLCMSCommunity/Behavioral Health Agency$0$72.8M
    Mississippi Baptist Medical Center, Inc.MSGeneral Acute Care Hospital$0$42M
    Mississippi Children's Home Society - MypacMSMental Illness Community Based Residential Treatment Facility$0$26.5M
    Medical Foundation Of Central Mississippi, Inc.MSInternal Medicine Physician$0$7.5M
    James BrownMSRetina Specialist (Ophthalmology) Physician$5.4M$8.9K
    Tammy YoungMSMedical Oncology Physician$5.1M$0
    Michael BorneMSRetina Specialist (Ophthalmology) Physician$4.5M$1.8K
    Mississippi Physicians, LLPMSEmergency Medicine Physician$0$4.2M
    Justin BakerMSHematology & Oncology Physician$4.1M$0
    Mae Physicians Surgery Center, LLCMSAmbulatory Surgical Clinic/Center$3.4M$114.8K

    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. Mississippi Distribution
    Emily Skelton — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi