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    OpenPayerNPI Medicare & MedicaidWilliam Wade
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    William Wade — Billing Profile & Reimbursement Data

    NPI 1003029075 · South Charleston, WV · Critical Care Medicine (Internal Medicine) Physician

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    William Wade is a critical care medicine (internal medicine) physician provider located in South Charleston, West Virginia. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilliam Wade
    Address4619 Kanawha Ave., Sw
    CitySouth Charleston
    StateWV
    ZIP25309
    TaxonomyCritical Care Medicine (Internal Medicine) Physician
    NPI EnumeratedMay 7, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$200.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…790$60$47.3K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…260$170$43.4K
    99214The 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…570$80$42.4K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…130$130$17.7K
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…30$250$7.6K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.130$50$6.5K
    95811During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.20$240$5.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…100$50$5.2K
    99204The provider sees a new 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 provider…50$90$4.5K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.210$20$4.4K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99232411,34090$60$11.9K
    992141312,740100$70$11.8K
    9923362366060$90$11.4K
    992911042040$160$9.8K
    95811203040$190$8.2K
    992238278030$130$7.9K
    992131,2242,86080$50$7.5K
    95810143030$180$6.5K
    7125047130100$40$4.7K
    992043361,22030$100$4.1K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charleston Area Medical Center IncWVGeneral Acute Care Hospital$0$200.1M
    Charleston Area Medical Center, Inc.WVGeneral Acute Care Hospital$0$50.9M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Hospital Development CoWVCritical Access Hospital$0$14.6M
    Rainelle Medical Center IncWVFederally Qualified Health Center (FQHC)$0$14.3M
    Mark LeFLDiagnostic Radiology Physician$10.7M$0
    Hospital Development CoWVRural Health Clinic/Center$0$10.1M
    Ths Physician Partners IncWVInternal Medicine Physician$0$9.2M
    Hospital Development CoWVRural Health Clinic/Center$0$7.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Urgent Care, Inc.- West VirginiaWVUrgent Care Clinic/Center$0$66.9M
    Herbert J. Thomas Memorial Hospital AssociationWVGeneral Acute Care Hospital$0$26.1M
    Mountaineer Family Medicine, Inc.WVFamily Medicine Physician$0$19.5M
    Appalachian Medical LLCWVDurable Medical Equipment & Medical Supplies$0$8M
    Pulmonary Associates Of Char LLCWVPulmonary Disease Physician$0$5.5M
    Maccorkle Emergency Physicians PLLCWVEmergency Medicine Physician$0$4.4M
    Patel & Patel Md IncWVObstetrics & Gynecology Physician$0$4M
    Wecare Medical LLCWVOxygen Equipment & Supplies (DME)$0$3.7M
    Woman Care Clinic IncWVObstetrics & Gynecology Physician$0$3.5M
    Lincoln County Primary Care Center, Inc.WVFederally Qualified Health Center (FQHC)$0$2.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. West Virginia Distribution
    William Wade — 5 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia