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NPI 1760897045 · Dallas, TX · Surgery Physician
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Valerie Allen is a surgery physician provider located in Dallas, Texas. This profile covers 23 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Valerie Allen |
| Address | 17218 Preston Rd Ste 2000 |
| City | Dallas |
| State | TX |
| ZIP | 75252 |
| Taxonomy | Surgery Physician |
| NPI Enumerated | June 25, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.6M |
| Medicaid | $4.3K |
VALERIE ALLEN’s billing profile is heavily concentrated in wound-care and debridement procedures combined with nursing-facility E/M services. The largest Medicare revenue sources are Q4262 ($2.5M, 54.5% of Medicare revenue), Q4281 ($656K, 14.1%), and 11043 ($296.3K, 6.4%), and the top Medicare codes include multiple debridement codes (11042, 11043, 11044) plus negative-pressure wound therapy (97607) and skin-substitute/add-on products (Q4262, Q4281, Q4236), which together indicate an operational focus on procedural wound management rather than general ambulatory surgery alone.
Medicare revenue concentration is very high: the precomputed top 3 Medicare codes by revenue account for 75.0% of this provider’s total Medicare revenue, with Q4262 alone comprising $2.5M (54.5%). On the Medicaid side the top 3 Medicaid codes account for 100.0% of Medicaid revenue, but that Medicaid pool is very small in absolute terms ($4.3K total Medicaid revenue) compared with Medicare ($4.6M).
The payer mix is effectively Medicare-dominant: total Medicare revenue is $4.6M versus total Medicaid revenue of $4.3K, so Medicaid represents a negligible share of billed revenue. This profile reflects a near single-payer reliance on Medicare for volume and revenue generation.
Several codes show extreme national concentration and mark this provider as a high-volume outlier in specific wound-care services. 11043 ranks #16 of 2062 (99th percentile; extreme outlier) and 97607 ranks #1 of 69 (100th percentile; extreme outlier), while 11042 ranks #17 of 10712 (100th percentile; extreme outlier), indicating unusually high national volumes for sharp debridement and negative-pressure wound therapy compared with peers.
By contrast, the single largest revenue code Q4262 ($2.5M, 54.5% of Medicare revenue) is only a typical-volume national participant (ranks #42 of 141, 71th percentile), suggesting the provider’s revenue concentration is driven by high utilization of a few products/add-ons rather than broad dominance across all related add-on codes. Q4281 ($656K, 14.1%) likewise shows typical/unremarkable volume relative to national peers (ranks #25 of 33, 25th percentile).
Nursing-facility E/M services are a meaningful recurring revenue stream within Medicare. 99308 generated $136.7K (2.9% of Medicare revenue) and ranks #705 of 25763 (97th percentile; notably above typical national volume), and 99309 generated $101.3K (2.2%) and ranks in the 91st percentile, consistent with regular longitudinal nursing-facility care activity in the Medicare population.
Medicaid activity is low both in scale and competitive standing in-state. Medicaid top codes are 11042 ($2.5K, 58.0% of Medicaid revenue) which ranks in the 31th percentile in-state, 99308 ($1.2K, 27.5%) at the 19th percentile, and 99309 ($615, 14.5%) at the 3th percentile, indicating the provider is not a major Medicaid participant in Texas.
The provider has an established NPI tenure (enumerated 2014-06-25, ~12 years ago), and the combination of long tenure with repeatedly high-volume debridement and wound therapy codes supports the interpretation of a focused, established wound-care practice or service line that concentrates Medicare revenue in a narrow set of procedural codes.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 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) | 2,320 | $1,090 | $2.5M |
| Q4281 | Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure) | 520 | $1,250 | $656K |
| 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… | 1,920 | $150 | $296.3K |
| Q4236 | Carepatch, per square centimeter (add-on, list separately in addition to primary procedure) | 280 | $1,020 | $281.5K |
| 97607 | The provider applies controlled subatmospheric pressure around a wound through a sealed dressing to remove fluids and infectious materials and to aid in healing of wounds that have a total surface… | 750 | $300 | $224.5K |
| 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. | 2,360 | $70 | $165.2K |
| 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… | 2,280 | $60 | $136.7K |
| 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… | 1,180 | $90 | $101.3K |
| 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… | 370 | $230 | $83.5K |
| 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,… | 440 | $80 | $36.1K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| Q4236 | 8 | 10 | 2,010 | $990 | $2.5M |
| Q4262 | 10 | 30 | 1,580 | $1,010 | $2.5M |
| Q4281 | 4 | 10 | 890 | $1,250 | $1.3M |
| 99309 | 204 | 1,840 | 240 | $70 | $35K |
| 11043 | 1 | 160 | 60 | $150 | $32.9K |
| 99308 | 59 | 1,600 | 170 | $50 | $23.8K |
| 99310 | 237 | 860 | 80 | $100 | $19K |
| 11044 | 2 | 70 | 50 | $220 | $18.4K |
| 97607 | 1 | 10 | 30 | $210 | $18.3K |
| 11047 | 11 | 10 | 120 | $90 | $14.5K |
Showing 1–10 of 23
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 90 | $30 | $2.5K |
| 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… | 80 | $20 | $1.2K |
| 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… | 20 | $40 | $620 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 78 | 110 | 340 | $30 | $69.1K |
| 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… | 649 | 680 | 480 | $10 | $29.7K |
| 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… | 610 | 760 | 460 | $10 | $24.8K |
Other providers in the same ZIP code as Valerie Allen, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pediatric Home Healthcare, LLC | TX | Home Health Agency | $0 | $14.3M |
| Reliance Medlabs | TX | Clinical Medical Laboratory | $4M | $202.7K |
| Texas Health Surgery Center Preston Plaza, LLC | TX | Ambulatory Surgical Clinic/Center | $554K | $0 |
| Mofei Liu | TX | Surgery Physician | $425.7K | $0 |
| Link Pharmacy Corp | TX | Community/Retail Pharmacy | $361.2K | $0 |
| Daisy Ryan | TX | General Practice Physician | $250.7K | $0 |
| Christopher Foote | TX | Surgery Physician | $243.8K | $0 |
| Weiyao Bei-dingman | TX | Family Nurse Practitioner | $216.4K | $0 |
| Kevin Murphy | TX | Plastic and Reconstructive Surgery Physician | $201.5K | $0 |
| Igor Rakovchik | TX | Physical Medicine & Rehabilitation Physician | $174.9K | $0 |
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