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    OpenPayerNPI Medicare & MedicaidBlandon Sorrell
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    Blandon Sorrell — Billing Profile & Reimbursement Data

    NPI 1598398703 · Hammond, LA · Family Nurse Practitioner

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    Blandon Sorrell is a family nurse practitioner provider located in Hammond, Louisiana. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBlandon Sorrell
    Address16065 Lamonte Dr
    CityHammond
    StateLA
    ZIP70403
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedFebruary 16, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$6.2M
    Medicaid$0

    Key Findings

    Medicare revenue is highly concentrated: the provider reports Total Medicare revenue of $6.2M and the precomputed top-3 Medicare codes account for 98.2% of that total. Two codes dominate the book of business—Q4262 ($4.9M, 79.5% of Medicare revenue) and Q4253 ($1.1M, 18.4% of Medicare revenue)—with the remainder of the top three contributing only a small share, consistent with a very concentrated revenue mix.

    The procedure mix indicates a wound-care and skin-substitute specialty focus rather than general primary care. The two largest revenue drivers are Q4262 (Dual layer impax membrane) and Q4253 (Zenith amniotic membrane), and the presence of skin-substitute codes such as 15275 and 15271 alongside debridement codes (11042, 11045) supports an operational emphasis on advanced biologic grafting and procedural wound management.

    Payer mix is effectively single-payer Medicare: the profile shows Total Medicare revenue of $6.2M and no Medicaid billing on file (none (no Medicaid billing on file)), so the provider’s public-payer exposure is concentrated entirely in Medicare. This concentration implies revenue vulnerability to Medicare policy or coverage changes for biologic grafts/add-on products.

    Competitive standing for the top device/add-on code is modestly above median nationally: Q4262 shows 5K claims with $983 avg paid/claim and $4.9M revenue, and it ranks #26 of 141 providers nationally (82th percentile; typical, unremarkable volume for this code). That placement means the provider is among the higher-volume national billers for Q4262 but the activity is still characterized as "typical, unremarkable" in the supplied labels.

    The second-largest code, Q4253, is a mid-pack national performer: 1.6K claims, $696 avg paid/claim, $1.1M revenue and a national rank of #36 of 73 providers (51th percentile; typical, unremarkable volume for this code). Other skin-substitute and grafting codes show pockets of relatively high percentile activity—for example, 15275 ranks #97 of 888 providers (89th percentile)—indicating focused strength in specific wound-care products/procedures.

    Although the top two codes monopolize revenue, the provider also bills for home-based and E/M visits, indicating mixed care settings. Home-visit codes 99349 (260 claims, $78 avg paid/claim, $20.3K revenue; ranks #3623 of 14284, 75th percentile) and 99350 (155 claims, $116 avg paid/claim, $18K revenue; ranks #1737 of 7304, 76th percentile) show meaningful but much smaller revenue contributions and confirm the delivery of some care in patient residences.

    Operational intensity is visible in claim volumes and unit pricing: Q4262 has 5K claims at $983 avg paid/claim and Q4253 has 1.6K claims at $696 avg paid/claim, reflecting routine use of costly add-on biologic membranes. Those high-utilization, high-unit-price items explain why two codes can represent the vast majority of Medicare revenue.

    Provider tenure is relatively recent in federal enrollment records: NPI enumerated (registered) 2020-02-16 (~6 years ago), indicating this billing profile and the heavy reliance on a narrow set of skin-substitute codes developed within a comparatively short enrollment period. Analysts should weigh the concentrated revenue mix and specialty procedural footprint when assessing competitive risk and reimbursement sensitivity.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4262Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)5,000$980$4.9M
    Q4253Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)1,640$700$1.1M
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…260$80$20.3K
    11042The 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 cm2.280$70$19.8K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…160$120$18K
    99214The 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…180$80$14.6K
    15275The 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…140$100$13.9K
    15271The 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 cm2.120$90$11.1K
    11045The 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…400$30$10.4K
    11043The 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…50$140$7K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42621101,100$1,000$1.4M
    Q42533101,700$690$1.1M
    992142,3536,670110$80$16.5K
    99350135060$120$14.8K
    11043285050$130$12.3K
    110422920080$60$10.2K
    993491010060$80$8.9K
    992157791,65040$110$8.4K
    992133,8876,06070$50$8.1K
    1527522070$100$7.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wound Care Associates LLCLASpecialist$0$5.6M
    Shanda JacksonLAFamily Nurse Practitioner$4M$0
    Stephen PriceLAPhysician Assistant$3.4M$0
    Jared SmithLAFamily Nurse Practitioner$2.6M$0
    Lakisher MorganLAFamily Nurse Practitioner$2M$0
    Tara SykesMSFamily Nurse Practitioner$1.6M$0
    Gavin MayoMSFamily Nurse Practitioner$1.5M$0
    Stefanie CorleyLAFamily Nurse Practitioner$1.2M$0
    Amie WilsonLAFamily Nurse Practitioner$1.1M$0
    Jose SilvaLAInterventional Cardiology Physician$982.6K$120

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Care IncLADevelopmentally Disabled Services Day Training Agency$0$46.6M
    North Oaks Medical Center, LLCLARural Acute Care Hospital$0$37.5M
    Always Tlc, LLCLAIn Home Supportive Care Agency$0$18.8M
    North Oaks Medical Center, LLCLAGeneral Acute Care Hospital$0$18.3M
    North Oaks Pediatric Clinic, L.L.P.LAPediatrics Physician$0$14.2M
    Choices Coordinated Care Solutions, Inc.LACase Management Agency$0$13.9M
    Gloss EnterpriseLAIn Home Supportive Care Agency$0$13.6M
    Wilkinson Care Giving, LLCLAIn Home Supportive Care Agency$0$11.7M
    North Oaks Obstetrics & GynecologyLAGynecology Physician$0$8.5M
    Egan Healthcare Of Northshore, IncLAHome Health Agency$0$8.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Louisiana Distribution
    Blandon Sorrell — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana