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.

Angela Bookout (NPI 1891028957)

Field	Value
Entity Type	Individual
Organization	Angela Bookout
Address	1587 Mallory Ln Ste 175
City	Brentwood
State	TN
ZIP	37027
Taxonomy	Dermatology Physician
NPI Enumerated	September 8, 2009

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

ANGELA BOOKOUT is a dermatology physician in BRENTWOOD, TN with an NPI enumerated on 2009-09-08 (~17 years ago), indicating a long-tenured presence in the Medicare billing data. The tenure supports continuity of a procedure-heavy practice profile rather than a recent entrant or transient billing pattern.

Lifetime Medicare revenue for this provider is $1.9M while Medicaid revenue is listed as none, so the practice is effectively single-payer from the claims on file and relies on Medicare as its primary commercial footprint. The absence of Medicaid billing suggests limited participation in that program or a patient panel skewed toward Medicare beneficiaries.

Revenue concentration is extreme: the precomputed top-3 Medicare codes account for 93.0% of the provider's Medicare revenue, driven primarily by Q4194 (67.4%), Q4197 (16.1%), and 17311 (9.6%). This concentration indicates a narrow set of services produces the vast majority of billed Medicare dollars.

The code mix — dominated by Q4194 and Q4197 (per square centimeter skin substitute add-ons) alongside Mohs surgery code 17311 — signals a surgical dermatology operation that pairs excisional/Mohs procedures with frequent use of advanced skin-substitute products and reconstructive wound coverage. The presence of 15275 (skin substitute for face/scalp, etc.) further supports a practice oriented toward complex defect reconstruction and biologic grafting rather than primarily medical dermatology.

Competitive standing is mixed by code: the provider ranks highly on certain supply codes, with Q4194 at #4 of 69 nationally (96th percentile) and Q4197 at #17 of 82 (80th percentile), meaning this provider is a notable national-volume user of those per-square-centimeter products. In contrast, the procedural Mohs code 17311 ranks more modestly at #915 of 2969 (69th percentile), indicating typical national participation for Mohs surgery volumes rather than dominance.

Several individual codes are flagged as statistical outliers in plain-English terms: 15275 is an "extreme outlier" (rank #18 of 888, 98th percentile), indicating unusually high use of skin substitute grafting for high-value anatomical sites, while 99212 is described as "notably above typical" (rank #3451 of 99011, 96th percentile), suggesting frequent low-complexity established visits in addition to procedural work. These outlier labels highlight where this provider's utilization departs meaningfully from national patterns.

Operationally, the heavy reliance on per-square-centimeter, add-on products (Q4194 and Q4197) means revenue is sensitive to the quantity of product used per case and to payer coverage/policy for those products; reimbursement fluctuations or supply-cost changes for these items could materially affect income. The practice model appears to bundle device/product use with surgical procedures rather than generating broad E/M-driven revenue.

From a market and contracting perspective, ANGELA BOOKOUT appears positioned as a Medicare-focused surgical dermatologist with national-level volume for specific skin-substitute codes and concentrated revenue streams. The lack of Medicaid billing on file reduces comparable in-state payer data and suggests different contracting or referral strategies may be needed when approaching managed Medicaid plans or safety-net networks.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q4194	Novachor, per square centimeter (add-on, list separately in addition to primary procedure)	1,600	$810	$1.3M
Q4197	Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)	2,250	$140	$308.3K
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	370	$490	$182.8K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	130	$300	$40K
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…	360	$80	$28.7K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	120	$180	$21.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	270	$40	$10.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	130	$60	$8.1K
17313	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	10	$460	$6.4K
13121	This is for a complex repair of a wound to the scalp, arms, and/or legs. This wound should be 2.6 to 7.5 cm in size.	20	$250	$5K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Angela Bookout — 3 of 15 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

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
Q4197	1	10	1,680	$130	$203.8K
17311	18	70	350	$410	$145.4K
17312	21	60	190	$290	$54.1K
17313	38	60	70	$410	$34.1K
13132	16	70	70	$180	$16.6K
99214	3,458	11,370	120	$80	$16.6K
11102	215	400	160	$50	$11K
13121	40	80	30	$210	$10.2K
17110	173	440	110	$70	$9.8K
99213	4,856	11,030	80	$50	$8K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Senior Solutions At Home, Inc.	TN	In Home Supportive Care Agency	$0	$58.4M
Sitters Etc., Inc.	TN	In Home Supportive Care Agency	$0	$29.6M
App Of Indiana Ed, PLLC	TN	Emergency Medicine Physician	$0	$26.1M
Maxim Healthcare Services, Inc.	TN	Home Health Agency	$0	$22.2M
Easter Seals Tennessee	TN	Community/Behavioral Health Agency	$0	$12.3M
Accupath Diagnostic Laboratories Inc	TN	Clinical Medical Laboratory	$4.4M	$5.4M
Carr PLLC	TN	Emergency Medicine Physician	$0	$9M
Tn Specialty Dental Services, PLLC	TN	Pediatric Dentistry	$0	$8.7M
Verus Healthcare, LLC	TN	Durable Medical Equipment & Medical Supplies	$0	$7.6M
National Addiction Specialists LLC	TN	Addiction Medicine (Internal Medicine) Physician	$0	$6.3M

Angela Bookout — Billing Profile & Reimbursement Data

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Angela Bookout — 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

Nearby Providers

Frequently Asked Questions

References