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

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

Sherri Barton (NPI 1548904360)

Field	Value
Entity Type	Individual
Organization	Sherri Barton
Address	917 Mar Walt Dr
City	Fort Walton Beach
State	FL
ZIP	32547
Taxonomy	Family Nurse Practitioner
NPI Enumerated	April 27, 2022

Payer Source	Total Paid
Medicare	$4.8M
Medicaid	$0

Key Findings

SHERRI BARTON is a Family Nurse Practitioner in FORT WALTON BEACH, FL with an NPI enumerated 2022-04-27 (~4 years ago). Her lifetime Medicare revenue on file is $4.8M and there is no Medicaid billing on file, indicating this profile is effectively single‑payer (Medicare) in scale and reporting.

Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 97.9% of this provider’s total Medicare revenue. The single code Q4217 generates $4.5M revenue (93.5% of this provider's total Medicare revenue), with the next two revenue drivers being J2406 at $153.6K (3.2%) and 99214 at $56.3K (1.2%).

The code mix strongly points to a wound‑care and outpatient infusion practice model: Q4217 (Woundfix/biowound family) dominates revenue and is supported by wound debridement and skin substitute codes such as 11042, 15271, 15275, and 97597, while frequent administration and infusion codes (96365, 96367, 96368) and drug codes (J2406, J1335) indicate regular IV antimicrobial or infused therapy activity.

Despite Q4217 producing the majority of revenue, the provider ranks #7 of 65 providers nationally for that code (91th percentile; typical, unremarkable volume for this code), placing the practice in the upper tier among the limited national peer set for this specific wound‑care product while the underlying descriptor still characterizes volume as typical within that reference group.

Several service lines show comparatively high activity versus national peers: 99214 ranks #27259 of 479517 providers nationally (94th percentile; notably above typical national volume for this code), 96365 ranks #146 of 8873 (98th percentile; notably above typical national volume), and 96368 ranks #36 of 1175 (97th percentile; notably above typical national volume). These rank/percentile signals indicate elevated outpatient evaluation‑and‑management and infusion administration throughput relative to broad national peer sets.

There are notable billing entries with high claim counts but reported $0 revenue that merit attention in downstream review: J0696 shows 914 claims with $0 avg paid/claim and $0 revenue (ranks #227 of 9330; 98th percentile), and J0878 shows 374.8K claims with $0 avg paid/claim and $0 revenue (ranks #18 of 207; 92th percentile). These patterns can reflect reimbursement carve‑outs, billing under alternative payment mechanisms, or data reporting artifacts and should be checked before drawing contractual conclusions.

The effective single‑payer profile (Medicare $4.8M vs. no Medicaid revenue) has commercial and network implications: contracting, utilization management, and volume forecasts should be anchored on Medicare reimbursement and referral pathways since Medicaid does not appear to contribute to billed volume on file.

Given the NPI tenure (~4 years) combined with extreme revenue concentration in one wound‑care product (Q4217 at $4.5M, 93.5%), the practice appears specialized and scale‑efficient for that service line but also exposed to demand or coverage changes affecting that specific code. Analysts evaluating competitive risk or growth opportunities should prioritize monitoring utilization trends and payer coverage for Q4217 and adjacent infusion services.

Medicare: Complete Services Breakdown

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

19 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)	4,590	$980	$4.5M
J2406	Injection, oritavancin (kimyrsa), 10 mg	4,800	$30	$153.6K
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…	690	$80	$56.3K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	820	$40	$33.5K
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.	180	$80	$14K
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.	100	$100	$9.5K
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…	130	$60	$7.1K
J1335	Injection, ertapenem sodium, 500 mg	610	$10	$6.7K
96367	The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…	240	$20	$4.5K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	70	$70	$4.4K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Sherri Barton — 2 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4217	4	20	600	$1,020	$2.2M
J2406	4	10	4,800	$30	$295.1K
99214	3,704	32,760	140	$90	$25K
11042	361	1,000	100	$70	$17.4K
J0878	9	50	123,750	$1	$12.1K
99213	11,483	30,010	80	$60	$12K
96365	41	840	120	$50	$11.7K
15271	46	160	70	$100	$9K
97597	295	630	60	$60	$7.3K
15275	67	110	50	$100	$7.3K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patrick Anastasio	FL	Infectious Disease Physician	$10.3M	$0
Jeffrey Lin	FL	Infectious Disease Physician	$2.2M	$0
Michael Vincent Tablang	FL	Infectious Disease Physician	$2M	$0
Scott Rojas	FL	Infectious Disease Physician	$806K	$0
Luke Simon Yuhico	FL	Pulmonary Disease Physician	$226.7K	$0
Peter Shih	FL	Critical Care Medicine (Internal Medicine) Physician	$221.7K	$3.3K
Christopher Abrasley	FL	Gastroenterology Physician	$202.4K	$0
Francia Squatrito	FL	Foot & Ankle Surgery Podiatrist	$175.5K	$0
Thomas Fusco	FL	Foot & Ankle Surgery Podiatrist	$148.5K	$0
Twan Phanijphand	FL	Gastroenterology Physician	$132.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Horizons Of Okaloosa County, Inc.	FL	Developmentally Disabled Services Day Training Agency	$0	$15.2M
White-wilson Medical Center PA	FL	Clinic/Center	$0	$12.7M
Dynamic Pain & Wellness LLC	FL	Anesthesiology Physician	$0	$10.8M
Fort Walton Beach Medical Center, Inc.	FL	General Acute Care Hospital	$0	$10.3M
Renal Care Group Of The Southeast, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.4M
Yunhui Hsiang	FL	Medical Oncology Physician	$3.6M	$1.3K
Leo Chen	FL	Orthopaedic Surgery Physician	$2.6M	$0
James Stevens	FL	Radiation Oncology Physician	$1.4M	$0
Warren Amos	FL	Radiation Oncology Physician	$1.3M	$0
Melissa King	FL	Hematology & Oncology Physician	$1.1M	$0

Sherri Barton — 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