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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDerek Culnan
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    Derek Culnan — Billing Profile & Reimbursement Data

    NPI 1396951620 · Jackson, MS · Plastic Surgery Physician

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    Derek Culnan is a plastic surgery physician provider located in Jackson, Mississippi. This profile covers 27 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDerek Culnan
    Address1225 N State St
    CityJackson
    StateMS
    ZIP39202
    TaxonomyPlastic Surgery Physician
    NPI EnumeratedMay 15, 2007

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

    Payer SourceTotal Paid
    Medicare$187.7K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    14302At the same session that the provider repairs lesions of 30.1 cm2 to 60.0 cm2, with the healthy tissues from an adjacent site, he extends the repair up to an additional 30.0 cm2. The repair may be in…140$160$21.7K
    15004The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,…100$190$18.7K
    15002The provider incises the skin of a body part with an open wound, burn eschar, or scar contracture to prepare the site to receive a skin graft. This procedure helps in repairing an area of the trunk,…100$160$15.6K
    13160This procedure is performed on sites of injury such as abdominal wounds and/or contaminated lacerations to avoid infection and re–epithelialize new tissue.30$480$14.5K
    15003At the same encounter that the provider prepares 100 cm2 of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft, he extends the site up to an additional 100 cm2.…400$30$13.3K
    15100This procedure is a split–thickness autograft from the trunk, arms, or legs.  This excision and placement is for the first 100 cm2 or less or one percent of the body area of an infant or child.30$440$12.3K
    14301The provider replaces the lesions in any area with the healthy tissues from an adjacent site. This code represents a defect of 30.1 cm2 to 60.0 cm2.20$520$11.4K
    15240This code is for a free full–thickness skin graft of the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet that is 20 cm2 or less in size.20$550$8.8K
    15101This procedure is a split–thickness autograft from the trunk, arms, or legs.  This excision and placement is for each additional 100 cm2 or less or each additional one percent of the body area of an…110$80$8.8K
    15274The provider uses a skin substitute such as an allograft or xenograft to cover a trunk, arms, and/or legs wound surface area of up to an additional 100 cm2 in a patient 10 years or older, or 1…230$30$7.7K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11043495070$140$19.3K
    1430211090$160$14.7K
    1500411070$210$14.6K
    1316011030$480$14.5K
    15003110400$30$13.2K
    1430151010$670$12.8K
    1500211040$180$9.3K
    1524011020$550$8.8K
    15101110110$80$8.8K
    1510011010$450$7.7K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joseph M Still Burn Centers, IncGASpecialist$0$2M
    Rachel RatliffMSNurse Practitioner$943.3K$0
    Martin HardyGASurgery Physician$206.2K$0
    Bounthavy HomsombathGASurgical Critical Care Physician$178.8K$0
    Samuel JonesIASurgery Physician$149.4K$0
    Michelle NyeGAPhysician Assistant$143.8K$0
    Shawn FaganGASurgery Physician$132.9K$0
    Jeffrey LittVASurgical Critical Care Physician$117.4K$0
    Ansley CoffeyGAPhysician Assistant$114.3K$0
    S.m. Abu Zaheed HassanGAPlastic and Reconstructive Surgery Physician$108.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Derek Culnan, 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
    Derek Culnan — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi