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

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

Amie Wilson (NPI 1558989046)

Field	Value
Entity Type	Individual
Organization	Amie Wilson
Address	16065 Lamonte Dr
City	Hammond
State	LA
ZIP	70403
Taxonomy	Family Nurse Practitioner
NPI Enumerated	July 10, 2020

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is modest in scale: total Medicare revenue is $1.1M and there is no Medicaid billing on file, so the practice operates effectively as a single-payer (Medicare) billing entity. The absence of Medicaid activity means payer-mix diversification is minimal and payer risk is concentrated in the Medicare program.

Revenue is extremely concentrated in a single procedure family: the precomputed top 3 Medicare codes account for 93.6% of the provider’s Medicare revenue, and Q4262 alone represents $920.3K (87.5%) of that total. That concentration implies that the provider’s financial performance is heavily dependent on continued use and reimbursement of Q4262.

The code mix and descriptions point to a wound-care–focused service line that also bills for office evaluation and management. High-value supply/add-on billing (Q4262 – dual layer impax membrane) is paired with wound therapies and procedures such as 97610 (low-frequency ultrasound for wound healing, $26.3K, 2.5%), 11042 (debridement, $25.7K, 2.4%) and 15271 (skin substitute, $7K, 0.7%), while E/M codes such as 99214 ($37.8K, 3.6%) and 99213 ($12.8K, 1.2%) appear at much smaller revenue shares, indicating a procedure- and supply-centered operation supported by some office visits.

Despite generating the majority of revenue from Q4262, the provider is not a national leader for that code: Q4262 ranks #91 of 141 providers nationally (36th percentile) and is characterized as "typical, unremarkable volume" for that code. In other words, the provider’s reliance on Q4262 is notable for its financial impact locally but does not correspond to unusually high national market share for delivering that specific code.

Competitive standing across the rest of the code set is mixed but generally unremarkable: 99214 ranks #54616 of 479517 providers (89th percentile, noted as "typical, unremarkable volume"), 97610 ranks #216 of 320 (33th percentile, "typical, unremarkable volume"), and 11042 ranks #1274 of 10712 (88th percentile, "typical, unremarkable volume"). These rank and percentile signals indicate some codes sit in higher percentiles while others are modest; overall the provider appears to be a modest-to-typical participant nationally across its billed services rather than a dominant national outlier.

The provider’s NPI was enumerated on 2020-07-10 (~6 years ago), indicating a relatively recent tenure; the combination of recent enrollment and high revenue concentration in a single add-on/supply code suggests the practice may have focused quickly on a specific wound-care niche since enrollment. That timeline may be relevant for contracting or referral decisions, as the practice appears to have established a concentrated service pattern within a few years.

Operational and payment risk are elevated by the narrow revenue base: with $920.3K (87.5%) of Medicare revenue coming from Q4262 and no Medicaid billing to offset changes in Medicare coverage or utilization, any shifts in reimbursement policy, coding guidance, or clinical use for Q4262 could materially affect the provider’s topline. Payors and contracting teams should note the asymmetric exposure when evaluating network inclusion or rate negotiations.

The provider’s billing mix shows a combination of supply/add-on and hands-on procedural activity rather than predominantly office-based primary care. Examples include Q4262 (supply/add-on), 15271 (skin substitute), 97610 (therapeutic low-frequency ultrasound), and 11042 (surgical debridement), with ancillary items like 36415 (venipuncture, $602, 0.1%) and preventive counseling codes present at very small revenue shares; this pattern supports interpreting the practice as wound-care–oriented with supporting E/M and minor ancillary services.

Medicare: Complete Services Breakdown

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

15 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)	1,030	$890	$920.3K
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…	470	$80	$37.8K
97610	The provider uses a low–frequency ultrasound device to try to improve wound healing.	100	$270	$26.3K
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.	340	$80	$25.7K
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…	220	$60	$12.8K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	440	$30	$11.4K
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.	70	$100	$7K
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…	40	$110	$4.4K
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…	20	$110	$2.2K
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	20	$70	$1.3K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Amie Wilson — 0 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	7	10	1,100	$1,000	$1.4M
99214	812	6,670	110	$80	$16.5K
97610	3	20	50	$270	$14.7K
11042	22	200	80	$60	$10.2K
99215	1,175	1,650	40	$110	$8.4K
99213	1,156	6,060	70	$50	$8.1K
11045	8	50	160	$20	$5.1K
99204	1,171	3,190	30	$110	$4.8K
99497	257	330	50	$60	$4.7K
99231	477	670	50	$40	$4.3K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Martin	MS	Family Medicine Physician	$9M	$0
Blandon Sorrell	LA	Family Nurse Practitioner	$6.2M	$0
Wound Care Associates LLC	LA	Specialist	$0	$5.6M
Shannon Weathers	MS	Family Nurse Practitioner	$4.6M	$0
Lori Case	MS	Family Nurse Practitioner	$4.2M	$0
Shanda Jackson	LA	Family Nurse Practitioner	$4M	$0
Amy Shuptrine	TX	Nurse Practitioner	$3.7M	$0
Stephen Price	LA	Physician Assistant	$3.4M	$0
Chelsea Cockrell	MS	Family Nurse Practitioner	$3M	$0
Anna Gordon	MS	Nurse Practitioner	$2.9M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Inc	LA	Developmentally Disabled Services Day Training Agency	$0	$46.6M
North Oaks Medical Center, LLC	LA	Rural Acute Care Hospital	$0	$37.5M
Always Tlc, LLC	LA	In Home Supportive Care Agency	$0	$18.8M
North Oaks Medical Center, LLC	LA	General Acute Care Hospital	$0	$18.3M
North Oaks Pediatric Clinic, L.L.P.	LA	Pediatrics Physician	$0	$14.2M
Choices Coordinated Care Solutions, Inc.	LA	Case Management Agency	$0	$13.9M
Gloss Enterprise	LA	In Home Supportive Care Agency	$0	$13.6M
Wilkinson Care Giving, LLC	LA	In Home Supportive Care Agency	$0	$11.7M
North Oaks Obstetrics & Gynecology	LA	Gynecology Physician	$0	$8.5M
Egan Healthcare Of Northshore, Inc	LA	Home Health Agency	$0	$8.5M

Amie Wilson — 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