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

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

Jeffrey Winter (NPI 1477594547)

Field	Value
Entity Type	Individual
Organization	Jeffrey Winter
Address	61 Whitcher St Ne Ste 2100
City	Marietta
State	GA
ZIP	30060
Taxonomy	Vascular Surgery Physician
NPI Enumerated	June 9, 2006

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

This provider is effectively single‑payer: total Medicare revenue is $2.4M while Medicaid revenue is listed as none, indicating no Medicaid billing on file. That payer mix suggests the practice’s Medicare population and reimbursement streams drive clinical volume and financial performance rather than state‑sourced Medicaid business.

Revenue is highly concentrated in a handful of skin‑substitute/add‑on products: the precomputed top three Medicare codes account for 63.6% of this provider’s total Medicare revenue, led by A2001 at $791K (33.1% of Medicare revenue), Q4194 at $444.7K (18.6%), and Q4159 at $283.4K (11.9%). This concentration means most Medicare dollars flow through a small set of per‑cm skin substitute codes rather than broad office E/M or procedural mixes.

The CPT/HCPCS mix indicates a combined wound‑care and vascular diagnostic practice: high‑revenue add‑on skin substitute codes (A2001, Q4194, Q4159, Q4197, Q4196, Q4229) are paired with extensive use of duplex and noninvasive vascular studies (examples include 93925, 93880, 93978, 93922). Together with debridement codes such as 11042 and 11045 and wound‑care codes like 15271 and 15275, the profile is consistent with limb‑salvage, chronic wound management, and vascular diagnostic services as core lines.

On diagnostic imaging, this provider is a national outlier: 93880 ranks #194 of 21316 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code) and 93978 ranks #66 of 4075 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code). Additional arterial/venous codes such as 93922 (597 claims) and 93990 (284 claims) also appear at or near the 99th percentile, signaling materially above‑typical duplex ultrasound volume relative to peers.

Competitive standing differs by product type: for the leading skin substitute A2001 the provider ranks #15 of 37 providers nationally (61th percentile; typical, unremarkable volume for this code), and Q4194 ranks #29 of 69 providers nationally (59th percentile; typical, unremarkable volume for this code), whereas Q4159 ranks #6 of 43 providers nationally (88th percentile; typical, unremarkable volume for this code). In short, the practice is not broadly dominant on the largest skin‑substitute codes but does show stronger relative placement on specific products.

Clinical tenure and market presence are longstanding: NPI enumeration date is 2006-06-09 (~20 years ago), indicating an established provider likely with stable referral relationships and an entrenched service line for vascular and wound care over time. That duration supports interpreting observed high imaging and wound‑product volumes as sustained operational focus rather than a short‑term anomaly.

The heavy reliance on a small set of high‑cost add‑on codes creates both business risk and payer leverage opportunities: because 63.6% of Medicare revenue is concentrated in the top three add‑on skin substitute codes, changes in coverage, product availability, or utilization management for these specific codes could materially affect revenue. Payers reviewing this profile should consider targeted medical‑policy reviews and product‑level utilization controls given the concentration.

The absence of Medicaid billing (none) combined with above‑typical Medicare imaging volumes suggests a Medicare‑skewed referral base or contracting footprint; the provider appears focused on Medicare beneficiaries and may be less engaged with Medicaid networks or patient segments. For network planning or attribution, this pattern indicates limited exposure to Medicaid populations and stronger dependence on Medicare referrals and reimbursements.

Medicare: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A2001	Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)	980	$810	$791K
Q4194	Novachor, per square centimeter (add-on, list separately in addition to primary procedure)	550	$810	$444.7K
Q4159	Affinity, per square centimeter (add-on, list separately in addition to primary procedure)	850	$340	$283.4K
Q4197	Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)	2,110	$130	$283.1K
Q4229	Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	530	$180	$94K
93925	The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…	400	$190	$74.8K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	520	$130	$69.5K
Q4196	Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)	810	$90	$68.7K
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.	360	$120	$43.9K
93978	The provider performs a complete study of the aorta, the inferior vena cava or IVC, the iliac vasculature, or bypass grafts using duplex Doppler ultrasound scanning. He performs the study to assess…	310	$120	$37.2K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Jeffrey Winter — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A2001	2	10	760	$810	$606.4K
Q4194	1	10	320	$810	$245.2K
Q4159	1	10	580	$330	$195K
Q4229	6	10	880	$170	$169.6K
Q4197	1	10	990	$130	$148.4K
Q4196	2	10	910	$80	$76.2K
99214	11,854	13,640	120	$80	$17.8K
99213	8,350	13,360	80	$60	$9.2K
15271	1	40	50	$100	$9K
11042	33	240	70	$70	$8.3K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Wellstar North Fulton Hospital, Inc	GA	General Acute Care Hospital	$0	$7.8M
Antonia Kolokythas	TN	Oral and Maxillofacial Surgery (Dentist)	$0	$5.9M
Wouter Ceyssens	GA	Physician Assistant	$0	$5.3M
Kennestone Hospital, Inc.	GA	General Acute Care Hospital	$0	$1.9M
Oghenerukevwe Odiete	GA	Interventional Cardiology Physician	$1.2M	$0
Shah Numani	GA	Nuclear Medicine Physician	$1.1M	$0
Topeka Physician Group, LLC	KS	Internal Medicine Physician	$0	$963.7K
Vicky Bryan	GA	Nurse Practitioner	$834.6K	$0
Linda Armstrong	GA	Diagnostic Radiology Physician	$643.9K	$175.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quantum Radiology, PC	GA	Diagnostic Radiology Physician	$0	$4.3M
Robert Stoltz	GA	Specialist	$2.6M	$0
Weijian Zhu	GA	Anatomic Pathology & Clinical Pathology Physician	$2.6M	$4.7K
Marietta Eye Clinic, PA	GA	Ophthalmologic Surgery Clinic/Center	$2.5M	$0
Annal Meleth	GA	Ophthalmology Physician	$2.2M	$0
Lakshmana Kooragayala	GA	Ophthalmology Physician	$1.8M	$0
Kevin Thomas	GA	Dermatopathology (Pathology) Physician	$1.6M	$0
Mark Chastain	GA	Dermatology Physician	$1.6M	$0
Marietta Advanced Surgery Center	GA	Ambulatory Surgical Clinic/Center	$1.3M	$0
Mohammed Abubaker	GA	Rheumatology Physician	$1.2M	$0

Jeffrey Winter — Billing Profile & Reimbursement Data

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Jeffrey Winter — 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