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

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

David Jenson (NPI 1629046669)

Field	Value
Entity Type	Individual
Organization	David Jenson
Address	134 Vision Park Blvd Ste 120
City	Shenandoah
State	TX
ZIP	77384
Taxonomy	Foot & Ankle Surgery Podiatrist
NPI Enumerated	March 8, 2006

Payer Source	Total Paid
Medicare	$13.1M
Medicaid	$0

Key Findings

This provider’s Medicare revenue is highly concentrated: top 3 Medicare codes account for 99.0% of reported Medicare revenue, with Q4173 alone generating $12.8M (97.9% of this provider's total Medicare revenue) across 38K claims at $338 avg paid/claim. The remaining two of the top three—15271 ($81.1K, 693 claims, $117 avg paid/claim) and 99214 ($63.8K, 679 claims, $94 avg paid/claim)—contribute only small shares in comparison.

The code mix and descriptions are consistent with a podiatric practice focused on wound care and skin-substitute use: Q4173 (palingen per square centimeter) is the dominant line item and 15271 (skin substitute up to 100 cm2) is also present, alongside wound-preparation and debridement codes such as 15004 and 11042. This pattern suggests clinical operations centered on treating chronic or complex lower-extremity wounds where per-square-centimeter skin-substitute billing drives volume and revenue.

Q4173 is an extreme statistical outlier for this provider: it ranks #1 of 19 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), and 15271 ranks #11 of 1157 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). By contrast, the E/M code 99214 ranks #27853 of 479517 providers nationally (94th percentile; notably above typical national volume), indicating that while the practice sees outpatient visits at higher-than-typical volume, its national dominance is most pronounced for skin-substitute product billing.

This profile is effectively single-payer at the encounter level: the provider reports $13.1M in total Medicare revenue and has none (no Medicaid billing on file). With no Medicaid billing on file, the practice’s revenue base and payer negotiations will be driven almost entirely by Medicare reimbursement policy and coverage decisions.

The provider has an established billing history: NPI enumerated 2006-03-08 (~20 years ago), indicating long-tenure in the Medicare program. That longevity combined with concentrated product billing suggests an operational model that has been stable and focused over an extended period.

Outside the top skin-substitute codes, the rest of the billed services are modest revenue contributors and generally sit at typical or unremarkable volumes for their codes—for example, 15004 ($36.1K; ranks #29 of 495 providers nationally, 94th percentile; typical, unremarkable volume) and several routine podiatric procedure codes and injections (e.g., 11755, 64450) that collectively make up the small remainder of Medicare revenue. This indicates the practice performs routine podiatry services in addition to a dominant wound-care/product line but relies economically on the latter.

From a competitive/market perspective, the provider is a dominant national outlier for per-square-centimeter skin-substitute billing (Q4173) and an unusually high user of skin-substitute grafting codes relative to peers (15271 at the 99th percentile). However, the comparator set for Q4173 is small (19 providers), so the provider’s national top ranking reflects both extreme volume and a niche code set with relatively few high-volume billers.

The revenue concentration around an add-on, per-area product code (Q4173) implies operational sensitivity to changes in product pricing, Medicare coverage, or per-unit payment for skin substitutes: because $12.8M of the $13.1M reported Medicare revenue derives from Q4173, any reimbursement policy change for that code or product category would materially affect the provider’s Medicare revenue profile.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4173	Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure)	37,970	$340	$12.8M
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.	690	$120	$81.1K
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…	680	$90	$63.8K
15004	The provider prepares the skin of a body part with an open wound, burn eschar, or scar contracture to receive a skin graft. This procedure helps in repairing areas of the face, scalp, eyelids, mouth,…	120	$300	$36.1K
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…	150	$120	$17K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	150	$80	$12.5K
11755	This procedural code is used when the physician biopsies the nail plate, bed, hyponychium, proximal nail folds, or lateral nail folds. Each one is a separate procedure.	130	$90	$11.3K
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	$70	$9K
64450	The provider injects an anesthetic agent, steroid, or both close to a peripheral nerve or branch not represented by another code. Report this code for one or more injections during a single procedure.	120	$60	$6.8K
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.	70	$100	$6.7K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

David Jenson — 5 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4173	1	10	380	$340	$4.3M
99214	1,967	32,500	110	$80	$17.6K
11042	467	790	90	$70	$13K
17110	464	1,250	110	$70	$12.1K
11102	752	1,260	120	$60	$10.7K
15271	1	120	70	$100	$9.9K
11721	301	630	140	$30	$9K
15004	4	40	20	$260	$8.7K
99213	9,521	29,790	70	$60	$8.4K
99204	751	16,380	30	$110	$5.6K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunil Jeganathan	TX	Foot Surgery Podiatrist	$81.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ngozi Ladokun	TX	Family Nurse Practitioner	$2.9M	$0
Gwendoline Menga	TX	Rheumatology Physician	$1.8M	$0
Carmen Perez-masuelli	TX	Rheumatology Physician	$1.8M	$0
Christopher Nguyen	TX	Interventional Cardiology Physician	$1.7M	$0
Tonya Cockrill	TX	Rheumatology Physician	$1.6M	$0
Frank Ruda	TX	Ophthalmology Physician	$1.2M	$0
Elham Abbasi-hafshejani	TX	Hematology & Oncology Physician	$1.2M	$0
Travis Hird	TX	Physical Medicine & Rehabilitation Physician	$1.2M	$0
Robert Cook-norris	TX	MOHS-Micrographic Surgery Physician	$918.4K	$0
Christopher Lavergne	TX	Cardiovascular Disease Physician	$907K	$0

David Jenson — 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