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

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

Crystal Birdsong (NPI 1457540189)

Field	Value
Entity Type	Individual
Organization	Crystal Birdsong
Address	11417 124th Ave Ne Ste 100
City	Kirkland
State	WA
ZIP	98033
Taxonomy	Nurse Practitioner
NPI Enumerated	October 18, 2007

Payer Source	Total Paid
Medicare	$2M
Medicaid	$0

Key Findings

This provider is effectively Medicare-only at scale: total Medicare revenue is $2M and there is no Medicaid billing on file, so commercial or Medicare Advantage mixes would determine non‑Medicaid exposure but only Medicare billing is present in the dataset. Analysts should treat this profile as driven almost entirely by Medicare reimbursement patterns rather than a dual-payer strategy.

Revenue concentration is extremely high: the precomputed top 3 Medicare codes by revenue account for 96.0% of this provider's total Medicare revenue. Those codes are Q4262 ($1.2M, 61.1%), Q4253 ($649.6K, 32.5%), and 97610 ($49.1K, 2.5%), indicating the bulk of dollars flow through a very narrow set of items.

The code mix points to an advanced wound care/surgical wound-management operation that relies on per‑square‑centimeter amniotic membrane products and adjunctive wound therapies. Q4262 (Dual layer impax membrane, per square centimeter) and Q4253 (Zenith amniotic membrane, per square centimeter) together drive more than 93% of Medicare revenue, and the presence of 97610 (low–frequency ultrasound to improve wound healing) plus debridement and grafting codes supports a clinical focus on complex wound care and biologic product placement.

Competitive standing on the top product codes is modest rather than dominant: Q4262 ranks #73 of 141 providers nationally (49th percentile; typical, unremarkable volume for this code) and Q4253 ranks #51 of 73 providers nationally (31th percentile; typical, unremarkable volume for this code). The provider is therefore a routine participant in national utilization for these amniotic membrane products, not a national leader.

Professional evaluation-and-management activity is present but represents a very small share of revenue and volume compared with product-driven codes. For example, 99214 is $20.2K (1.0%) with 241 claims and an avg paid/claim of $84 and 99215 is $7.9K (0.4%) with an avg paid/claim of $122, showing the practice generates far more revenue from biologic product codes than from office visit E/M services.

The practice also bills a mix of hands‑on wound procedures and skin-repair services that appear adjunctive to the biologic product use: 15002 is $19K (1.0%), 15271 is $18.4K (0.9%), 11042 is $2K (0.1%), and 11000 is $1.8K (0.1%). These procedure codes indicate periodic surgical preparation, grafting, and debridement consistent with active wound-care management rather than a purely consultative or office-based service line.

Payment intensity on the top biologic codes is high on a per‑claim basis, which helps explain their outsized revenue contribution despite limited claim counts. Q4262 shows an avg paid/claim of $918 and Q4253 an avg paid/claim of $745, compared with $84 avg paid/claim for 99214, highlighting that per‑unit pricing of the implants/biologics is the primary revenue driver rather than high visit volumes.

This provider has an established billing history: NPI enumerated 2007-10-18 (~19 years ago), suggesting a long tenure in the Medicare program which may imply stable referral or supplier relationships supporting the concentrated wound-care product and procedure mix.

Medicare: Complete Services Breakdown

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

13 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)	1,330	$920	$1.2M
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	870	$750	$649.6K
97610	The provider uses a low–frequency ultrasound device to try to improve wound healing.	160	$310	$49.1K
99214	The 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…	240	$80	$20.2K
15002	The 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,…	80	$240	$19K
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.	180	$110	$18.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	70	$120	$7.9K
99204	The 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…	50	$110	$5.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	20	$150	$2.2K
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.	30	$80	$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

Claims Volume vs. Washington Distribution

Crystal Birdsong — 3 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	1	10	910	$900	$818.7K
Q4253	2	10	920	$620	$572.9K
97610	2	10	140	$340	$68.8K
99214	2,208	10,860	100	$80	$13.6K
11042	163	170	90	$70	$10.4K
99215	1,260	4,320	40	$120	$8.4K
15002	1	10	30	$210	$7.6K
15271	2	10	80	$80	$7.5K
99213	8,174	9,690	60	$60	$6.5K
99205	1,420	1,820	30	$150	$5.4K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ty Shettron	CO	Family Nurse Practitioner	$3M	$0
Lizbet Rubio	CO	Family Nurse Practitioner	$1.9M	$0
Sarah Jane Zanone	CO	Nurse Practitioner	$1.2M	$0
Marcel Marcos	CO	Family Nurse Practitioner	$1M	$0
Alexandra Letsinger	CO	Nurse Practitioner	$83.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kestra Medical Technology Services, Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$3.8M
Evergreen Pediatrics PLLC	WA	Primary Care Clinic/Center	$0	$2.5M
City Of Kirkland	WA	Land Ambulance	$244.6K	$298.5K
Aesthetic Eye Associates, Ps	WA	Ambulatory Surgical Clinic/Center	$337.1K	$0
Susan Kim	WA	Dermatology Physician	$242.4K	$0
Frank Marinkovich	WA	Internal Medicine Physician	$235.4K	$0
Costco Wholesale Corporation	WA	Community/Retail Pharmacy	$224.7K	$0
Steven Laukaitis	WA	Ophthalmology Physician	$154K	$0
Sean Batson	WA	Ophthalmology Physician	$138.2K	$0
Keith Cummings	WA	Sports Medicine (Physical Medicine & Rehabilitation) Physician	$114.1K	$0

Crystal Birdsong — Billing Profile & Reimbursement Data

Sign up for Crystal Birdsong — Billing Profile & Reimbursement Data policy alerts

Crystal Birdsong — Billing Profile & Reimbursement Data

Sign up for Crystal Birdsong — 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