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

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

Kellie King (NPI 1316554264)

Field	Value
Entity Type	Individual
Organization	Kellie King
Address	5937 Donnelly Ave
City	Fort Worth
State	TX
ZIP	76107
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 24, 2020

Payer Source	Total Paid
Medicare	$5.3M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the dominant payer presence: lifetime Medicare revenue is $5.3M and there is no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in the dataset. The NPI was enumerated on 2020-09-24 (~6 years ago), so this revenue profile has been built over a relatively recent ~6‑year tenure.

Revenue is extremely concentrated in a single revenue stream: the precomputed top 3 Medicare codes by revenue account for 99.7% of this provider's total Medicare revenue, with Q4262 alone producing $5.2M (99.1% of Medicare revenue). That concentration means most of the provider’s Medicare receipts are driven by a single add‑on/product code rather than a broad mix of evaluation-and-management services.

The code mix points to a wound-care / skin substitute supply orientation: Q4262 (dual layer impax membrane, per square centimeter, add-on) is the clear revenue driver and is complemented by 15271 (skin substitute for trunk/arms/legs up to 25 cm2) and 11042 (surgical debridement to subcutaneous tissue). Together these codes indicate clinical activity focused on wound coverage and grafting procedures with substantial billing for product/materials, rather than primary-care office E/M volume.

Operationally, the provider bills some home-based E/M codes but these are a very small revenue component: 99348 (250 claims, $50 avg paid/claim, $12.5K revenue, 0.2% of Medicare revenue) and 99342 (36 claims, $50 avg paid/claim, $1.8K revenue) appear in the top list but account for only fractional shares of total receipts. This suggests occasional home visits or follow-ups supplementing a predominantly procedure/supply-driven practice.

Competitive standing for the dominant supply code is middling-to-solid nationally: Q4262 ranks #24 of 141 providers nationally (84th percentile; typical, unremarkable volume for this code), while 15271 ranks #220 of 1157 (81st percentile; typical) and 11042 ranks #2305 of 10712 (78th percentile; typical). Those percentiles indicate the provider is an active participant in these product/procedure lines but not an exceptional outlier or dominant national center.

From a payer-management perspective, the business is highly sensitive to utilization or coverage changes for the primary add-on: because one code (Q4262) represents $5.2M and 99.1% of Medicare revenue, policy edits, price adjustments, or audit focus on that code would materially affect this provider’s revenue profile. The lack of Medicaid billing on file further concentrates exposure to Medicare policy and reimbursement changes.

The broader pattern shows a narrow specialty footprint rather than a diversified ambulatory practice: nearly all revenue derives from wound‑related supplies and procedures with ancillary, low‑revenue E/M/home visit activity. For network planning or utilization management, this profile signals a targeted clinical relationship centered on wound care products and related procedural work rather than comprehensive primary-care services.

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
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	5,410	$970	$5.2M
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.	210	$90	$18.3K
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	$100	$13K
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…	250	$50	$12.5K
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…	40	$50	$1.8K
15272	At the same session that the provider uses a skin substitute, such as an allograft or xenograft, to cover the wounds on the patient’s trunk, arms, and/or legs up to an area of 100 scm2, the provider…	110	$20	$1.7K

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. Texas Distribution

Kellie King — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	4	30	1,580	$1,010	$2.5M
11042	181	790	90	$70	$13K
15271	24	120	70	$100	$9.9K
99348	89	780	60	$50	$6K
99342	70	160	30	$50	$3K
15272	4	10	90	$20	$1.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Richard Park	CA	Internal Medicine Physician	$31.7M	$0
Nyrie Austin	NJ	Family Nurse Practitioner	$15.9M	$8.8K
Patrick Black	CA	Physical Therapist	$14M	$0
Owen Ellington	TX	Hematology & Oncology Physician	$11.5M	$0
Joseph Palumbo	WV	Emergency Medicine Physician	$7.9M	$44.3K
Shelita Jones	TX	Family Nurse Practitioner	$6.7M	$0
Jamie Kate Adoc	CA	Family Nurse Practitioner	$4.7M	$0
Raymond Wawrowski	OH	Physician Assistant	$4.7M	$0
Siya Oloso	TX	Family Nurse Practitioner	$4.1M	$0
Nnaemeka Nnaji	CA	Physical Therapist	$3.6M	$9.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
My Health My Resources Of Tarrant County	TX	Developmental Disabilities Clinic/Center	$0	$50.8M
Covenant Kids Inc	TX	Professional Counselor	$0	$26.4M
Fort Worth Independent School District	TX	Local Education Agency (LEA)	$0	$18.8M
Radiology Associates Of North Texas PA	TX	Diagnostic Radiology Physician	$0	$15.7M
Park Hill Surgery Center, LLC	TX	Ambulatory Surgical Clinic/Center	$1.5M	$0
Monty Trimble	TX	Specialist	$475.6K	$0
Michael Carletti	TX	Dermatology Physician	$409.9K	$0
April Wiechmann	TX	Psychologist	$304K	$0
William Cothern	TX	Dermatology Physician	$242.1K	$0
Barry Oswalt	TX	Surgery Physician	$144.9K	$0

Kellie King — Billing Profile & Reimbursement Data

Sign up for Kellie King — Billing Profile & Reimbursement Data policy alerts

Kellie King — Billing Profile & Reimbursement Data

Sign up for Kellie King — Billing Profile & Reimbursement Data policy alerts

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