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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Amani Hemphill (NPI 1679754212)

Field	Value
Entity Type	Individual
Organization	Amani Hemphill
Address	80 Maddex Dr
City	Shepherdstown
State	WV
ZIP	25443
Taxonomy	Family Medicine Physician
NPI Enumerated	November 26, 2007

Payer Source	Total Paid
Medicare	$666.3K
Medicaid	$0

Key Findings

This provider’s lifetime Medicare footprint is concentrated but modest in scale: Total Medicare revenue is $666.3K, and Total Medicaid revenue is none (no Medicaid billing on file), making this effectively a single-payer (Medicare) billing profile for analytic and contracting purposes. The absence of Medicaid activity should be flagged when comparing payer mix or assessing access to non-Medicare populations.

Revenue concentration is high: the top three Medicare codes 11043, 99309, and 11042 account for 60.0% of this provider's total Medicare revenue. Individually those codes generate $168.6K (11043, 25.3%), $140K (99309, 21.0%), and $92.2K (11042, 13.8%), indicating a reliance on a small set of procedures and visits for the majority of Medicare payments.

The service-line mix points to a combined wound-care and long-term care practice model: high-revenue surgical debridement codes (11043, 11042, 11044 and related CPTs) appear alongside frequent nursing-facility evaluation-and-management visits (99309, 99310, 99308, 99306). This pattern suggests regular in-facility and procedural wound management rather than a general primary-care office-only practice, with both operative debridement and facility visit throughput driving revenue.

Competitive standing by code shows national strength in the debridement niche: 11042 ranks #99 of 10712 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code) and 11043 ranks #63 of 2062 providers nationally (97th percentile; notably above typical national volume for this code). Those percentiles indicate the provider is a major national-volume performer for specific debridement procedures, even though overall Medicare revenue remains $666.3K.

Nursing-facility care is also a notable revenue driver and competitive area for this provider: 99309 (1.6K claims, $140K revenue) ranks #1460 of 28092 providers nationally (95th percentile; notably above typical national volume for this code) and 99310 (609 claims, $74.9K revenue) ranks #517 of 12486 providers nationally (96th percentile; notably above typical national volume for this code). High claim counts for these codes (1.6K claims for 99309 and 609 claims for 99310) point to frequent facility visits and sustained longitudinal engagement with post-acute or long-term care populations.

Operational volume is substantial for a small set of services: procedural counts include 1.1K claims for 11043 and 1.2K claims for 11042, while wound-care CPT 97597 and additional debridement/add-on codes (11044, 11046) also contribute. Those claim volumes, paired with the rank/percentile signals, imply a practice built around repeat procedural capacity and recurring facility-based encounters rather than primarily one-off office visits.

Concentration risk should be noted for payers and network planners: with 60.0% of Medicare revenue tied to three codes and no Medicaid billing on file, changes in reimbursement, utilization management, or coverage policy for wound debridement or SNF E/M services could materially affect the provider’s revenue. This profile suggests that contracting conversations should explicitly address debridement and nursing-facility service terms.

The provider is an established presence: NPI enumerated 2007-11-26 (~19 years ago), indicating long tenure in the Medicare program. That longevity, combined with extreme outlier and high-percentile rankings on certain procedural codes, supports the interpretation of a stable, niche clinical operation focused on wound management and nursing-facility care rather than a transient or new entrant practice.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,070	$160	$168.6K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	1,560	$90	$139.9K
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.	1,250	$70	$92.2K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	610	$120	$74.9K
11044	The provider uses surgical instruments to remove the dead, infected tissue in bone, also including the epidermis, dermis, subcutaneous tissue, muscle, and/or fascia as needed. This code covers the…	250	$240	$58.5K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	550	$60	$32.4K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	190	$140	$26.5K
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,…	200	$90	$18.2K
11046	The provider uses surgical instruments to remove the dead tissue from the muscle and/or fascia, as well as the subcutaneous tissue layer, epidermis, and dermis if needed. She performs this service at…	350	$50	$16.9K
99305	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	100	$110	$10.8K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Amani Hemphill — 8 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11043	1	10	50	$150	$28.8K
99309	7	160	160	$70	$26.3K
11044	1	10	40	$210	$18.7K
11042	2	60	90	$70	$13.6K
99310	1	50	80	$100	$12.8K
99349	18	50	50	$80	$11.7K
99308	17	150	110	$50	$10.7K
11046	1	10	230	$50	$10.5K
99306	4	60	50	$130	$10.3K
99305	17	70	30	$90	$6.1K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vohra Post Acute Care Physicians Of The East, PA	FL	Family Medicine Physician	$0	$10.6M
Steve Tran	FL	Internal Medicine Physician	$3.1M	$0
Kalpesh Purohit	SC	Family Medicine Physician	$2.1M	$0
Avinash Kasturi	MD	General Practice Physician	$936.7K	$0
Patrick Frost	FL	Family Medicine Physician	$846.9K	$0
Salvador Guerrero	MD	Family Medicine Physician	$729.6K	$0
Jean-paul Wuilleumier	GA	General Practice Physician	$725.8K	$0
John Vanaalst	KY	Plastic and Reconstructive Surgery Physician	$672K	$0
Edward Fore	TN	Family Medicine Physician	$637K	$0
Rizwan Kalwar	FL	Surgery Physician	$576.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wesley Taylor	WV	Physical Therapist	$107.6K	$0
Shph LLC	WV	Community/Retail Pharmacy	$76K	$0
Ruth Ann Burns	WV	Physical Therapist	$37.9K	$0

Amani Hemphill — 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