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.

Scott Martin (NPI 1437388055)

Field	Value
Entity Type	Individual
Organization	Scott Martin
Address	732 Clinton Pkwy
City	Clinton
State	MS
ZIP	39056
Taxonomy	Family Medicine Physician
NPI Enumerated	July 2, 2009

Payer Source	Total Paid
Medicare	$9M
Medicaid	$0

Key Findings

This profile is effectively single-payer: the provider reports Total Medicare revenue of $9M and has no Medicaid billing on file (none below). The practice’s Medicare activity therefore constitutes the full observable public-payer footprint and the precomputed top-3 Medicare codes account for 98.1% of that Medicare revenue, indicating a highly concentrated revenue stream.

Revenue is overwhelmingly driven by three wound-care product codes: Q4217 ($5.4M, 60.4%), Q4236 ($2.7M, 29.9%), and Q4205 ($703.5K, 7.8%). Together these three codes make up the vast majority of Medicare dollars (98.1%), which implies that reimbursements are concentrated in per-square-centimeter skin-substitute and membrane graft add-on products rather than a broad mix of E/M or procedure codes.

The top codes’ descriptions point to a focused advanced wound-care operation: Q4217 (Woundfix/biowound family), Q4236 (Carepatch), and Q4205 (membrane graft/wrap) are per-square-centimeter add-on supplies used in wound coverage and grafting. That code mix suggests the provider’s business model centers on supplying and billing for skin substitute/biologic materials as a primary revenue driver, likely delivered alongside debridement or wound management procedures.

For Q4217 the provider is a national outlier: Q4217 ranks #6 of 65 providers nationally and is labeled as notably above typical national volume (92th percentile). This indicates a strong competitive standing and unusually high utilization of that specific wound product relative to other billing providers nationally.

By contrast, the provider’s position on Q4236 and Q4205 is more modest: Q4236 ranks #26 of 79 (68th percentile) and is characterized as typical/unremarkable volume, while Q4205 ranks #46 of 63 (27th percentile) and is also typical/unremarkable. These ranks show that outside the Q4217 code the provider’s national competitive presence is moderate to limited for similar product lines.

Clinical and ancillary service codes reflect hands-on wound management and post-acute care engagement: 11042 appears with 473 claims and $39.7K revenue (0.4%) and ranks #776 of 10712 providers nationally (93th percentile), while nursing-facility E/M codes such as 99308 (538 claims, $29.1K, 0.3%, rank #5610 of 25763, 78th percentile) and 99307 (528 claims, $14.8K, 0.2%, rank #595 of 8370, 93th percentile) are also present. These lower-dollar but relatively high-percentile procedural and facility-visit codes suggest the practice performs debridement and onsite/facility follow-up consistent with active wound-care management rather than only supplying products.

The provider’s NPI was enumerated on 2009-07-02 (~17 years ago), indicating long tenure in the Medicare program; combined with the concentrated, high-volume billing on specialty wound-product codes (especially Q4217), this tenure supports the interpretation of an established, niche wound-care practice rather than a recent or incidental entrant into these procedures.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	5,090	$1,060	$5.4M
Q4236	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	2,560	$1,050	$2.7M
Q4205	Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)	620	$1,130	$703.5K
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.	470	$80	$39.7K
99308	The 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…	540	$50	$29.1K
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.	200	$100	$19.9K
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…	120	$160	$19.4K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	140	$120	$16.5K
99307	The 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…	530	$30	$14.8K
99304	The 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…	130	$60	$7.9K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Scott Martin — 2 of 14 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

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4217	1	10	1,130	$980	$1.6M
Q4236	2	20	850	$1,050	$1.2M
Q4205	9	10	750	$1,130	$853.6K
11044	12	20	30	$220	$40.3K
99309	123	210	100	$70	$20.9K
11043	15	50	70	$140	$19.3K
11046	14	20	160	$50	$13.8K
11042	23	140	120	$60	$13.5K
99308	34	260	110	$50	$13K
15271	2	40	70	$80	$6.5K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Strategic Solutions-panola Medical Center LLC	MS	Rural Acute Care Hospital	$0	$17.6M
Strategic Solutions-panola Medical Center LLC	MS	Rural Health Clinic/Center	$0	$6.7M
Shannon Weathers	MS	Family Nurse Practitioner	$4.6M	$0
Lori Case	MS	Family Nurse Practitioner	$4.2M	$0
Scott Cook	PA	Family Medicine Physician	$130.6K	$3.9M
Strategic Solutions-panola Medical Center LLC	MS	Rural Health Clinic/Center	$0	$4M
Amy Shuptrine	TX	Nurse Practitioner	$3.7M	$0
Chelsea Cockrell	MS	Family Nurse Practitioner	$3M	$0
Anna Gordon	MS	Nurse Practitioner	$2.9M	$0
Abbey Ross	MS	Nurse Practitioner	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grace And Mercy Personal Care And Respite Service, LLC	MS	Homemaker	$0	$92.9M
Quality Healthcare And Hospice	MS	Nursing Care Agency	$0	$17.5M
Knit Together Healthcare	MS	Nursing Care Agency	$0	$6.2M
One Hope, LLC	MS	Intellectual & Developmental Disabilities Psychologist	$0	$2.5M
Sta-home Health Agency Of Jackson, Inc.	MS	Home Health Agency	$0	$2.4M
Lhc Seniors Association	MS	Homemaker	$0	$2.2M
Lakeland Home Program, LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Stephanie Dungey	MS	Pediatric Dentistry	$0	$1.6M
Anna Jennings Nix, Dmd, PLLC	MS	Pediatric Dentistry	$0	$1.2M
Ashton Davis	MS	Dermatology Physician	$697.4K	$0

Scott Martin — 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