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    OpenPayerNPI Medicare & MedicaidBrandon Wilson
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    Brandon Wilson — Billing Profile & Reimbursement Data

    NPI 1003347576 · Glen Dale, WV · General Practice Physician

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    Brandon Wilson is a general practice physician provider located in Glen Dale, West Virginia. This profile covers 9 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBrandon Wilson
    Address800 Wheeling Ave
    CityGlen Dale
    StateWV
    ZIP26038
    TaxonomyGeneral Practice Physician
    NPI EnumeratedMarch 25, 2017

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

    Payer SourceTotal Paid
    Medicare$62.3K
    Medicaid$6.4K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99285The 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.170$140$23K
    99284The 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.250$90$22.9K
    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…60$160$9.1K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.420$10$2.5K
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.40$50$2K
    93308The provider performs a limited or follow–up transthoracic echocardiography to obtain a two dimensional (2D) image of the heart through the chest wall. It is a limited examination of a focused…60$20$1.1K
    36556The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.10$70$940
    76604The provider uses ultrasound to evaluate the pleural spaces for the presence of fluid or masses of the chest, upper back, chest wall, or mediastinum.20$20$480
    76705An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code…20$20$300

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992859942090$130$15.5K
    9929114142040$160$9.8K
    992841445080$90$8.2K
    9928311631030$50$1.9K
    9301061400110$10$1.5K
    7670511013060$20$1.3K
    36556275020$70$1.2K
    93308137030$20$1K
    7660451020$20$540

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99284The 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.90$70$6.3K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.10$10$100

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. West Virginia median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99284The 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.1431703,350$120$1.1M
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.147150810$10$45.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Virginia University Medical CorporationWVFamily Medicine Physician$0$162.1M
    West Virginia University Hospitals, IncWVGeneral Acute Care Hospital$0$124.1M
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Camden Clark Memorial Hospital CorporationWVGeneral Acute Care Hospital$0$56.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    St Josephs Hospital Of Buckhannon IncWVCritical Access Hospital$0$41.8M
    City Hospital, IncWVGeneral Acute Care Hospital$0$41.1M
    Princeton Community Hospital Assn., Inc.WVGeneral Acute Care Hospital$0$41M
    Jefferson Memorial HospitalWVCritical Access Hospital$0$21.6M
    Camden-clark Physician CorporationWVSurgery Physician$0$19.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reynolds Memorial Hospital, IncWVGeneral Acute Care Hospital$0$14.9M
    Reynolds Memorial Hospital, IncWVEmergency Medical Services (Emergency Medicine) Physician$0$11.4M
    Joseph PalumboWVEmergency Medicine Physician$7.9M$44.3K
    Michael WaytWVFamily Medicine Physician$350.9K$0
    Zaveen KureishyWVInternal Medicine Physician$295.1K$0
    Melvin SaludesWVPulmonary Disease Physician$155.3K$0
    David RomanoWVFoot Surgery Podiatrist$89.9K$0
    Cody LarsenWVEmergency Medicine Physician$80.9K$0
    Reima El NailiWVAnatomic Pathology & Clinical Pathology Physician$59.7K$0
    Dakota BrookerWVPhysician Assistant$53.9K$0

    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
    Brandon Wilson — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia
    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Brandon Wilson — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia