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

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

Courtney Pendergraft (NPI 1790064384)

Field	Value
Entity Type	Individual
Organization	Courtney Pendergraft
Address	130 W Ravine Rd
City	Kingsport
State	TN
ZIP	37660
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 12, 2011

Payer Source	Total Paid
Medicare	$2.8M
Medicaid	$0

Key Findings

This provider has $2.8M in total Medicare revenue and no Medicaid billing on file, making their Medicare business effectively single-payer in scope for the available data. The absence of any Medicaid claims on file means state-level Medicaid participation or reliance is not supported by the record.

Revenue is highly concentrated in a narrow set of product/service lines: the precomputed top 3 Medicare codes by revenue account for 99.9% of this provider's total Medicare revenue. Those top drivers are Q4253 ($2M revenue, 69.3% of Medicare revenue), Q4236 ($844.4K revenue, 29.8% of Medicare revenue), and 15271 ($22.5K revenue, 0.8% of Medicare revenue).

The code mix indicates a procedural, advanced-wound-care profile focused on skin substitutes and amniotic membrane products: Q4253 and Q4236 are add-on, per-square-centimeter supplies (amniotic membrane and Carepatch), and 15271 is a skin substitute used to cover wounds up to specified surface area. This pattern is consistent with a practice that bills primarily for expensive biologic graft materials and related wound-care supplies rather than routine evaluation-and-management services.

Although Q4253 is the largest single revenue source ($2M, 69.3%), the provider's national competitive standing on that code is modest: Q4253 ranks #20 of 73 providers nationally (74th percentile; typical, unremarkable volume for this code). That ranking suggests the provider is an active biller of that product but not a dominant national outlier.

For Q4236 ($844.4K, 29.8% of Medicare revenue) the national rank is lower—#54 of 79 providers (32th percentile; typical, unremarkable volume for this code)—indicating relatively limited comparative activity on that specific product set despite it representing a large portion of this provider's Medicare dollars. The mix of a high-dollar add-on and a lower-ranked peer position may reflect selective use of multiple biologic products rather than scale across all product lines.

Code 15271 accounts for only $22.5K (0.8% of Medicare revenue) but ranks #72 of 1157 providers nationally (94th percentile; typical, unremarkable volume for this code), indicating that while it contributes little to overall revenue, the provider bills this particular skin-substitute code at a higher-than-typical frequency relative to most peers. This suggests occasional use of area-limited grafting in addition to the larger add-on graft products.

Evaluation-and-management emergency department codes 99284 and 99285 appear only as very small revenue contributors (each roughly $2K) and have low national ranks (#50531 of 64306, 20th percentile for 99284; #57010 of 61347, 6th percentile for 99285), noted in the dataset as typical, unremarkable volume for these codes. Their presence at negligible revenue levels reinforces that the provider's Medicare footprint is driven overwhelmingly by billed wound-care supplies/procedures rather than by ED E/M activity.

Operational tenure is long enough to establish a sustained billing pattern: the NPI was enumerated on 2011-08-12 (~15 years ago) and the provider taxonomy is Family Nurse Practitioner, supporting the conclusion that this is an experienced clinician whose Medicare revenue profile centers on advanced wound-care product billing rather than broad mixed-payer service lines.

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4253	Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)	3,370	$580	$2M
Q4236	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	910	$930	$844.4K
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.	240	$90	$22.5K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	30	$70	$2K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	20	$120	$2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Courtney Pendergraft — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4253	1	10	3,370	$580	$2M
Q4236	1	10	910	$930	$844.6K
99285	1,227	1,320	100	$130	$17.9K
15271	1	20	70	$80	$6.7K
99284	1,091	1,350	70	$80	$6.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Virginia Regional Emergency Physicians, LLC	VA	Emergency Medicine Physician	$0	$15.9M
Alex Hamidi	VA	Emergency Medicine Physician	$131K	$0
Douglas Carroll	TN	Medical Physician Assistant	$103.8K	$0
Heath Tunnell	TN	Family Nurse Practitioner	$101.2K	$0
Nancy Marshall	VA	Family Nurse Practitioner	$99.2K	$0
Mary Duran	NC	Family Medicine Physician	$51.8K	$0
Michelle Davis	TN	Nurse Practitioner	$20.2K	$0
Gloria Shields	TN	Nurse Practitioner	$9.8K	$0
Dana Powers	KY	Family Nurse Practitioner	$2.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Holston Medical Group PC	TN	Family Medicine Physician	$0	$37M
Wellmont Medical Associates Inc	TN	Pulmonary Disease Physician	$0	$27.8M
Wellmont Health System	TN	General Acute Care Hospital	$0	$17.6M
Mountain States Health Alliance	TN	General Acute Care Hospital	$0	$15.5M
Watauga Dental Center, PLLC	TN	General Practice Dentistry	$0	$8M
Lovinginhomecareinc	TN	In Home Supportive Care Agency	$0	$5.3M
Harville Orthodontics PLLC	TN	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.7M
Sbh-kingsport	TN	Psychiatric Hospital	$0	$4M
Thompson Delivery Services LLC	TN	Non-emergency Medical Transport (VAN)	$0	$3.2M
Wellmont Cardiology Services	TN	Cardiovascular Disease Physician	$0	$3.1M

Courtney Pendergraft — Billing Profile & Reimbursement Data

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Courtney Pendergraft — 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