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.

Jessica Prather (NPI 1538624580)

Field	Value
Entity Type	Individual
Organization	Jessica Prather
Address	28301 Highway 15
City	Walnut
State	MS
ZIP	38683
Taxonomy	Nurse Practitioner
NPI Enumerated	February 4, 2019

Payer Source	Total Paid
Medicare	$237.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,420	$80	$186.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,080	$40	$39.9K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	710	$10	$8.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	170	$10	$1.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$30	$400
J1100	Injection, dexamethasone sodium phosphate, 1 mg	230	$0	$0
J1885	Injection, ketorolac tromethamine, per 15 mg	330	$0	$0

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Jessica Prather — 3 of 5 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

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	15	4,110	170	$70	$21.9K
99213	89	4,000	100	$50	$10.3K
99212	910	960	30	$30	$2.4K
80305	4	420	60	$10	$1.3K
96372	381	1,480	80	$10	$1.1K
J1885	36	520	80	$1	$50
J1100	366	870	190	$1	$40

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fast Pace Medical Clinic PLLC	TN	Family Medicine Physician	$0	$179.1M
Fc Indiana, LLC	IN	Nurse Practitioner	$0	$7.2M
Fast Pace Medical Clinic PLLC	TN	Rural Health Clinic/Center	$0	$3.5M
Fast Pace Medical Clinic PLLC	IN	Family Medicine Physician	$0	$3.4M
Michael Bagwell	MS	Family Medicine Physician	$1.1M	$37.9K
Anthony Armstrong	MS	Anesthesiology Physician	$453.8K	$0
Michael Scarbrough	MS	Pain Medicine (Anesthesiology) Physician	$357K	$0
Melissa Burgess	TN	Nurse Practitioner	$58.2K	$177.3K
Kelly Pickett	TN	Family Nurse Practitioner	$206.3K	$0
Candace Barker	AL	Family Nurse Practitioner	$185.7K	$0

Jessica Prather — Billing Profile & Reimbursement Data

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Jessica Prather — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References