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.

Molly Sullivan (NPI 1265983316)

Field	Value
Entity Type	Individual
Organization	Molly Sullivan
Address	350 W Woodrow Wilson Ave
City	Jackson
State	MS
ZIP	39213
Taxonomy	Family Nurse Practitioner
NPI Enumerated	October 24, 2016

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

This provider’s billed activity is concentrated almost entirely in Medicare: total Medicare revenue is $1.9M while Medicaid is listed as none (no Medicaid billing on file), making the provider effectively single-payer Medicare in the available dataset. That concentration should be treated as a core feature of the business profile when comparing to peers or evaluating network access for Medicaid populations.

Revenue concentration within Medicare is extreme: a single HCPCS code, Q4236, accounts for $1.9M in revenue and represents 97.7% of this provider’s total Medicare revenue, and the precomputed top-3 codes together account for 99.2% of Medicare revenue. This indicates the practice’s economics are driven almost entirely by a very small set of procedure/supply codes rather than a broad E/M or procedure mix.

The code mix and descriptions point to a wound-care and home-based service model: Q4236 (Carepatch, per square centimeter) is the primary revenue driver, and the presence of debridement codes 11042 and 11043 alongside home/residence E/M codes 99348, 99349, and 99342 suggests the provider bills both wound-supply products and associated in-home wound care or visit services. Together these codes are consistent with a practice that supplies and dresses wounds in home settings and performs procedural debridement rather than a clinic-based primary care panel.

Q4236 activity is large in absolute terms for this provider (1.8K claims, $1050 avg paid/claim, $1.9M revenue) but not an extreme national outlier: it ranks #37 of 79 providers nationally (54th percentile) and the dataset labels its volume for Q4236 as typical, unremarkable. In other words, the provider relies heavily on Q4236 for revenue, yet that code volume sits near the middle of the specialty’s national distribution rather than at a dominant top-end position.

Other Medicare codes associated with home visits and debridement appear as minor revenue contributors: 99348 (358 claims, $47 avg paid/claim, $16.8K revenue; 0.9% of Medicare revenue), 11042 (159 claims, $71 avg paid/claim, $11.3K revenue; 0.6%), 99349 (106 claims, $75 avg paid/claim, $8K revenue; 0.4%), and 11043 (52 claims, $132 avg paid/claim, $6.9K revenue; 0.4%). Each of these codes is described in the dataset as typical, unremarkable volume for the code and individually contributes only a small share of Medicare revenue relative to Q4236.

Competitive standing is modest and concentrated: although some codes show mid-to-high national rank positions (for example 99348 is listed at #1054 of 11547 providers, 91th percentile), no code is flagged as an extreme outlier and the dataset characterizes the volumes as typical across the top codes. As a result, this provider should be viewed as a specialized, high-revenue-from-supplies operator within Medicare rather than a broadly dominant national competitor across multiple service lines.

The provider’s NPI was enumerated on 2016-10-24 (~10 years ago), indicating roughly a decade of billing history under this identifier. Given that tenure and the concentrated Medicare-only billing pattern, the dataset suggests a stable, focused service model (wound care/home-based supplies and related visits) rather than a recently shifted or diversified payer mix.

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4236	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	1,790	$1,050	$1.9M
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…	360	$50	$16.8K
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.	160	$70	$11.3K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	110	$80	$8K
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…	50	$130	$6.9K
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	20	$40	$760

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Molly Sullivan — 0 of 6 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

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4236	5	20	850	$1,050	$1.2M
11043	35	50	70	$140	$19.3K
11042	61	140	120	$60	$13.5K
99349	41	110	60	$80	$10.8K
99348	5	80	60	$50	$4.7K
99342	10	20	20	$50	$990

Related Providers

Other providers that share a Tax Identification Number (TIN) with Molly Sullivan, 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
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
Amanda Fowler	MS	Rheumatology Physician	$3.4M	$0
Chelsea Cockrell	MS	Family Nurse Practitioner	$3M	$0
Anna Gordon	MS	Nurse Practitioner	$2.9M	$0
Convenient Care Clinic, LLC	MS	Family Nurse Practitioner	$0	$2.9M
Abbey Ross	MS	Nurse Practitioner	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mobile Medic Ambulance Service Inc	MS	Ambulance	$7.9M	$35.7M
Kulmoris Joiner	MS	Home Health Aide	$0	$41M
Willowood Developmental Center	MS	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$21.9M
Central Mississippi Civic Improvement Association, Inc	MS	Federally Qualified Health Center (FQHC)	$0	$10.7M
State Of Mississippi- University Of Mississippi Medical Center	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.8M
Central Mississippi Civic Improvement Association, Inc.	MS	Federally Qualified Health Center (FQHC)	$0	$8M
Srs 2 LLC	MS	Clinical Medical Laboratory	$5.2M	$1.8M
Sincere Home Care LLC.	MS	Community Health Registered Nurse	$0	$2.5M
Mississippi Smiles Dentistry LLC	MS	General Practice Dentistry	$0	$2.4M
Deborah Wright	MS	Assisted Living Facility	$0	$1.5M

Molly Sullivan — Billing Profile & Reimbursement Data

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Molly Sullivan — 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