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

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

Juanita Golden-allen (NPI 1831686633)

Field	Value
Entity Type	Individual
Organization	Juanita Golden-allen
Address	3801 S National Ave
City	Springfield
State	MO
ZIP	65807
Taxonomy	Acute Care Nurse Practitioner
NPI Enumerated	April 17, 2018

Payer Source	Total Paid
Medicare	$2.9M
Medicaid	$0

Key Findings

This provider’s Medicare revenue is highly concentrated: Total Medicare revenue is $2.9M and the precomputed top 3 Medicare codes by revenue account for 99.6% of this provider's total Medicare revenue. In particular, Q4262 alone represents $2.9M (98.1% of this provider's total Medicare revenue), indicating near-total dependence on a single HCPCS add-on line for Medicare receipts.

The code mix points to a wound-care and procedure-oriented operation supplemented by home-based E/M visits. The dominant code Q4262 (dual layer impax membrane) together with procedure codes like 11042 (debridement) and skin-substitute code 15271 suggests the provider's services center on high-cost wound products and associated procedural care, while 99348/99342 indicate supplementary home/residence E/M activity.

Although revenue is concentrated in Q4262, the provider is not a national outlier by utilization for that code: Q4262 ranks #35 of 141 nationally (76th percentile; typical, unremarkable volume for this code). This suggests the large dollar share stems from the per-unit value of the billed item rather than an unusually high procedural volume relative to peers.

Other contributing Medicare codes show modest revenue shares but relatively high percentile ranks for visit and debridement services. For example, 11042 accounts for $27.8K (0.9% of Medicare revenue) and ranks #1383 of 10712 providers nationally (87th percentile; typical, unremarkable volume), while 99348 accounts for $15.6K (0.5%) and ranks #1320 of 11547 (89th percentile; typical, unremarkable volume).

The provider appears effectively single-payer from a claims perspective: there is no Medicaid billing on file. Absence of Medicaid activity means the practice’s reimbursement exposure and contracting leverage are concentrated solely in the Medicare market, limiting diversification across public payers.

From a competitive and contracting standpoint, dependence on a single high-dollar code creates sensitivity to reimbursement or coding-policy changes affecting that HCPCS item. Because Q4262 supplies 98.1% of Medicare revenue, any pricing, coverage, or utilization edits to that code could materially affect practice revenue and should be a focus for payers evaluating risk or negotiating payment terms.

Tenure is moderate: this NPI was enumerated on 2018-04-17 (~8 years ago), indicating several years of activity but not a long legacy billing history. The combination of a short-to-mid tenure and high concentration in one billed product may be relevant when assessing historical stability of claims patterns.

Operational implications for network or utilization management teams include verifying supply-chain and medical necessity documentation related to high-cost add-on supplies and monitoring home-visit E/M utilization. The mix of device/product billing (Q4262) with procedural debridement and home visits suggests bundled-care or wound-clinic workflows that payers may want to review for appropriate coding and episode-level oversight.

Medicare: Complete Services Breakdown

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

6 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)	3,300	$870	$2.9M
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.	320	$90	$27.8K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	310	$50	$15.6K
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.	100	$90	$9.1K
99342	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30…	50	$50	$2.4K
11000	The provider uses surgical instruments to debride the dead tissue in skin for up to 10 percent of the body surface.	40	$30	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Juanita Golden-allen — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4262	1	10	3,300	$870	$2.9M
11042	33	210	90	$60	$10.4K
15271	5	20	70	$90	$8.8K
99348	11	170	50	$50	$4.5K
99342	5	30	30	$50	$1.8K
11000	1	10	40	$30	$1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Juanita Golden-allen, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lester E Cox Medical Centers	MO	General Acute Care Hospital	$0	$112.3M
Samuel Jurca	ID	Family Medicine Physician	$24M	$0
Skaggs Community Hospital Association	MO	General Acute Care Hospital	$0	$18.8M
Lester E Cox Medical Centers	MO	Family Medicine Physician	$0	$17M
Lester E Cox Medical Centers	MO	General Practice Physician	$0	$9.2M
Shelita Jones	TX	Family Nurse Practitioner	$6.7M	$0
Levent Akduman	MO	Ophthalmology Physician	$3.1M	$1.4M
Ana Cerean	TX	Family Nurse Practitioner	$2M	$0
Michael Mcgee	IN	Emergency Medicine Physician	$585.3K	$0
Ibrahim Abdalla	MO	Radiation Oncology Physician	$352.8K	$0

Nearby Providers

Other providers in the same ZIP code as Juanita Golden-allen, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Supported Living And Employment Services, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$276.6M
Easy Living Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$183.2M
Healthcare Services Of The Ozarks, Inc	MO	Home Health Agency	$0	$60.3M
Mercy Clinic Springfield Communities	MO	Family Medicine Physician	$0	$51.5M
Abilities First	MO	Case Management Agency	$0	$45.8M
Southwest Center For Independent Living	MO	In Home Supportive Care Agency	$0	$45.3M
Lester E Cox Medical Centers	MO	Land Ambulance	$0	$25.8M
Seniorage Area Agency On Aging	MO	Case Management Agency	$0	$19.2M
Maxim Healthcare Services, Inc.	MO	Home Health Agency	$0	$17.7M
Phoenix Home Care, LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.5M

Juanita Golden-allen — Billing Profile & Reimbursement Data

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Juanita Golden-allen — 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