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

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

Shannon Weathers (NPI 1871927343)

Field	Value
Entity Type	Individual
Organization	Shannon Weathers
Address	30 Circle J Dr
City	Laurel
State	MS
ZIP	39440
Taxonomy	Family Nurse Practitioner
NPI Enumerated	September 2, 2013

Payer Source	Total Paid
Medicare	$4.6M
Medicaid	$0

Key Findings

This profile is effectively a Medicare-focused practice: lifetime Medicare revenue is $4.6M and there is no Medicaid billing on file, so the provider operates as a single-payer Medicare biller at scale. The NPI was enumerated 2013-09-02 (~13 years ago), indicating more than a decade of Medicare participation and claims history.

Revenue is highly concentrated in three HCPCS Q-codes: Q4236 ($2.2M, 48.5%), Q4217 ($1.2M, 25.8%), and Q4205 ($1M, 22.1%), which together account for 96.4% of this provider’s total Medicare revenue. This concentration means the vast majority of Medicare dollars reported for this provider derive from a small set of skin substitute/membrane product codes rather than diversified E/M or longitudinal care services.

The top codes and their descriptions (Carepatch, Woundfix/biowound products, and membrane grafts billed per square centimeter as add-ons) point to an advanced wound care and skin-substitute business model. The billing pattern suggests the provider delivers product-based wound treatments where reimbursement is driven by per-square-centimeter add-on codes rather than by high-volume evaluation-and-management visits.

Despite the dominance of Q-codes in revenue, the provider’s national standing on those product codes is modest: Q4236 ranks #33 of 79 providers nationally (59th percentile), Q4217 ranks #33 of 65 (50th percentile), and Q4205 ranks #35 of 63 (45th percentile). These rank/percentile positions are described as typical or unremarkable volume, so the provider is a meaningful but not dominant national participant for its top revenue-driving products.

Procedure-level debridement activity is present and comparatively strong on some measures: 11043 ranks #236 of 2062 providers nationally (89th percentile) and 11042 ranks #542 of 10712 providers nationally (95th percentile), both described as typical but high-percentile volumes. Although these codes contribute a small share of total Medicare revenue in dollar terms, the relatively high national percentiles indicate a substantive procedural footprint in debridement compared with peers.

Evaluation-and-management and site-of-service codes for nursing facility and home/house calls appear across the profile but represent minor revenue streams (examples include 99307 $4.3K, 99348 $3.5K, 99305 $3.2K). Rank percentiles for these E/M codes are mixed—99307 at the 77th percentile and 99348 at the 57th percentile—which suggests ongoing SNF/home-visit activity exists but is not the primary revenue driver.

Because $4.6M of lifetime revenue is concentrated almost entirely in Medicare product codes and there is no Medicaid billing, the provider’s financial exposure is concentrated to Medicare reimbursement policy and product coverage for skin substitutes. This concentration represents an operational risk and a potential negotiating lever for payers and suppliers since changes to Q-code reimbursement or product utilization could materially affect the provider’s revenue base.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4236	Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)	2,110	$1,050	$2.2M
Q4217	Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)	1,380	$850	$1.2M
Q4205	Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)	890	$1,130	$1M
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…	460	$140	$64.2K
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.	580	$60	$35.8K
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…	340	$50	$15.5K
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.	180	$80	$15.1K
15275	The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…	110	$90	$10.1K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	210	$20	$5K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	190	$20	$4.3K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Shannon Weathers — 1 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4217	2	10	1,130	$980	$1.6M
Q4236	3	20	850	$1,050	$1.2M
Q4205	4	10	750	$1,130	$853.6K
99309	174	210	100	$70	$20.9K
11043	2	50	70	$140	$19.3K
11046	6	20	160	$50	$13.8K
11042	14	140	120	$60	$13.5K
99308	241	260	110	$50	$13K
99284	588	620	80	$90	$8.3K
99306	37	70	30	$120	$6.9K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rush Medical Foundation	MS	General Acute Care Hospital	$0	$29.4M
Strategic Solutions-panola Medical Center LLC	MS	Rural Acute Care Hospital	$0	$17.6M
Jones Family Medicine Clinic PLLC	MS	Primary Care Clinic/Center	$0	$9.4M
Scott Martin	MS	Family Medicine Physician	$9M	$0
Strategic Solutions-panola Medical Center LLC	MS	Rural Health Clinic/Center	$0	$6.7M
Medical Foundation, Inc.	MS	Clinical Medical Laboratory	$1M	$4.2M
Lori Case	MS	Family Nurse Practitioner	$4.2M	$0
Strategic Solutions-panola Medical Center LLC	MS	Rural Health Clinic/Center	$0	$4M
Amy Shuptrine	TX	Nurse Practitioner	$3.7M	$0
Ochsner Mississippi, LLC	MS	Internal Medicine Physician	$0	$3.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Central Regional Medical Center	MS	General Acute Care Hospital	$0	$48.1M
Chateau Adult Day Center, LLC	MS	In Home Supportive Care Agency	$0	$14.8M
Asap Ems Corporation	MS	Land Ambulance	$850.3K	$5.4M
Magnolia Gardens Assisted Living	MS	Assisted Living Facility (Behavioral Disturbances)	$0	$5.4M
South Central Clinics, Inc	MS	Emergency Medicine Physician	$0	$4.5M
South Central Clinics, Inc	MS	Rural Health Clinic/Center	$0	$4.4M
Tender Loving Care Homecare LLC	MS	In Home Supportive Care Agency	$0	$4.1M
Laurel Surgery & Endoscopy Center, LLC	MS	Ambulatory Surgical Clinic/Center	$520.6K	$3.4M
South Central Clinics, Inc	MS	Rural Health Clinic/Center	$0	$3.3M
South Central Regional Medical Center	MS	Ambulance	$0	$3.1M

Shannon Weathers — 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