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.

Shanda Jackson (NPI 1578846598)

Field	Value
Entity Type	Individual
Organization	Shanda Jackson
Address	6569 Highway 84
City	Ferriday
State	LA
ZIP	71334
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 26, 2011

Payer Source	Total Paid
Medicare	$4M
Medicaid	$0

Key Findings

SHANDA JACKSON is effectively a Medicare-focused practitioner with total Medicare revenue of $4M and no Medicaid billing on file; this profile makes her an essentially single‑payer provider in the available data rather than a mixed Medicaid/Medicare practice. Her NPI was enumerated on 2011-09-26 (~15 years ago), indicating a sustained presence in the billing record over more than a decade.

Revenue concentration is extreme: the precomputed top-3 Medicare codes account for 96.9% of this provider's total Medicare revenue, with Q4262 generating $2.1M (53.1%) and Q4253 generating $1.7M (42.1%), and 99214 contributing $65.6K (1.6%). This makes the practice highly dependent on a very small set of codes for the large majority of its Medicare income.

The code mix — dominated by Q4262 and Q4253 (both add-on amniotic/impax membrane codes) alongside wound debridement codes such as 11042 and 11045 and skin substitute code 15275 — indicates a specialty operational focus on advanced wound care and biologic membrane applications rather than general primary care. The presence of both device/add-on product codes and procedural debridement codes, together with E/M visits, suggests a clinic workflow that combines procedure-driven revenue with follow-up office management.

Competitive standing for the two highest-revenue device codes is modest: Q4262 ranks #47 of 141 providers nationally (67th percentile; typical, unremarkable volume for this code) and Q4253 ranks #26 of 73 providers nationally (65th percentile; typical, unremarkable volume for this code). In contrast, the E/M code 99214 is a notable outlier in volume — it ranks #18980 of 479517 providers nationally (96th percentile; notably above typical national volume for this code) — indicating unusually high office-visit throughput relative to national peers.

Procedural wound-care codes further emphasize higher-than-typical procedural activity: 11042 ranks #405 of 10712 providers nationally (96th percentile; notably above typical volume) and 11045 ranks #89 of 1905 providers nationally (95th percentile; typical, unremarkable volume for this code). These rankings show that, aside from the membrane products, the provider performs debridement services at volumes that are high relative to many peers, reinforcing the wound-care service-line implication.

The revenue-per-claim pattern for the top codes shows a combination of higher-cost device/add-on payments and lower per-claim E/M and debridement payments: Q4262 averages $1068 paid/claim and Q4253 averages $687 paid/claim, while 99214 averages $81 paid/claim and 11042 averages $72 paid/claim. This mix explains why relatively fewer claims for the membrane codes produce the vast majority of Medicare revenue, consistent with the 96.9% concentration in the top three codes.

From a payer-strategy perspective, the absence of Medicaid billing on file means payers should treat this provider as a Medicare-centric revenue stream for network and utilization management; any attempts to engage or contract for Medicaid populations should verify enrollment and billing practice separately since no in-state Medicaid activity appears in the dataset. Review of referral pathways and supply-channel arrangements for amniotic/impax membranes would be a logical follow-up given how heavily revenue depends on Q4262 and Q4253.

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
Q4262	Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)	1,990	$1,070	$2.1M
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	2,450	$690	$1.7M
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…	810	$80	$65.6K
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.	670	$70	$48.3K
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…	630	$30	$16.3K
97610	The provider uses a low–frequency ultrasound device to try to improve wound healing.	50	$270	$13.6K
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…	230	$60	$13.1K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	110	$100	$10.8K
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	30	$150	$4.8K
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	$100	$3.9K

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. Louisiana Distribution

Shanda Jackson — 4 of 19 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

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	2	10	1,100	$1,000	$1.4M
Q4253	1	10	1,700	$690	$1.1M
99214	284	6,670	110	$80	$16.5K
97610	10	20	50	$270	$14.7K
11043	39	50	50	$130	$12.3K
G0439	947	1,060	60	$120	$11.7K
11042	6	200	80	$60	$10.2K
99215	1,116	1,650	40	$110	$8.4K
99213	1,079	6,060	70	$50	$8.1K
15275	3	20	70	$100	$7.2K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Olson	FL	Anatomic Pathology & Clinical Pathology Physician	$12.8M	$80
Blandon Sorrell	LA	Family Nurse Practitioner	$6.2M	$0
Wound Care Associates LLC	LA	Specialist	$0	$5.6M
James Russo	LA	Radiation Oncology Physician	$3.5M	$0
Stephen Price	LA	Physician Assistant	$3.4M	$0
Jyothi Mallepalli	LA	Rheumatology Physician	$3.2M	$0
Kirtan Koticha	LA	Hematology & Oncology Physician	$3.1M	$0
Jared Smith	LA	Family Nurse Practitioner	$2.6M	$0
Russell Fileccia	LA	Cardiovascular Disease Physician	$2.6M	$0
Ruben Grigorian	LA	Ophthalmology Physician	$2.4M	$57.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
All About You Healthcare Sitter Service Inc	LA	In Home Supportive Care Agency	$0	$10M
Concordia Parish Hospital Service District Number One	LA	Critical Access Hospital	$0	$9.2M
All About You Healthcare Sitter Service,inc	LA	In Home Supportive Care Agency	$0	$6.2M
Pafford Air Of Mississippi LLC	LA	Air Ambulance	$519.5K	$639.6K

Shanda Jackson — 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