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    OpenPayerNPI Medicare & MedicaidTaylor Wachs
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    Taylor Wachs — Billing Profile & Reimbursement Data

    NPI 1013470566 · Opelika, AL · Critical Care Medicine (Internal Medicine) Physician

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    Taylor Wachs is a critical care medicine (internal medicine) physician provider located in Opelika, Alabama. This profile covers 5 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
    OrganizationTaylor Wachs
    Address2000 Pepperell Pkwy
    CityOpelika
    StateAL
    ZIP36801
    TaxonomyCritical Care Medicine (Internal Medicine) Physician
    NPI EnumeratedApril 11, 2019

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

    Payer SourceTotal Paid
    Medicare$14.3K
    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.

    5 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.70$130$9.7K
    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.30$80$2.7K
    G0425Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth10$60$830
    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.20$40$630
    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…20$20$400

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9928534483090$130$16.9K
    9928445787060$80$6.2K
    G042541030$70$2.4K
    9928329340020$50$1.4K
    933087413020$30$840

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Independent Healthcare Management, Inc.MSCritical Access Hospital$0$12.4M
    The East Alabama Health Care AuthorityALGeneral Acute Care Hospital$0$6.2M
    Independent Healthcare Management, Inc.MSRural Health Clinic/Center$0$4.7M
    Independent Healthcare Management, Inc.MSRural Health Clinic/Center$0$3.2M
    Independent Healthcare Management, Inc.MSRural Health Clinic/Center$0$3.2M
    Eamc Er PhysiciansALEmergency Medical Services (Emergency Medicine) Physician$0$2.6M
    Independent Healthcare Management, Inc.MSRural Health Clinic/Center$0$1.7M
    Edward ParmaALRetina Specialist (Ophthalmology) Physician$1.2M$0
    Rachel KruspeALHematology & Oncology Physician$1M$0
    Song-chu KoGARadiation Oncology Physician$778.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Clinic LLCALPediatrics Physician$0$24.9M
    Pediatric Associates Of AuburnALPediatric Adolescent Medicine Physician$0$4.2M
    East Alabama Ems, LLCALAmbulance$1.1M$2.6M
    Gw Stone Capital LLCALOptometrist$0$2.2M
    Lee County Health Dept Fp ClinicALPublic Health or Welfare Agency$0$2M
    Premier Ob/gyn, LLCALObstetrics & Gynecology Physician$0$1.9M
    Eamc Physicians GroupALGeneral Practice Physician$0$1.1M
    East Alabama Ear, Nose, & Throat, PCALOtolaryngology Physician$0$869.3K
    Sunil SharmaALFamily Medicine Physician$370.6K$0
    Luke MasseyALPhysician Assistant$356.6K$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. Alabama Distribution
    Taylor Wachs — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama