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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Hilger
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    Mark Hilger — Billing Profile & Reimbursement Data

    NPI 1033121041 · Wichita, KS · Family Medicine Physician

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    Mark Hilger is a family medicine physician provider located in Wichita, Kansas. This profile covers 45 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
    OrganizationMark Hilger
    Address8200 W Central Ave
    CityWichita
    StateKS
    ZIP67212
    TaxonomyFamily Medicine Physician
    NPI EnumeratedAugust 12, 2006

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

    Payer SourceTotal Paid
    Medicare$92.1K
    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.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…460$60$26K
    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…270$80$22.1K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…40$120$4.5K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.20$220$4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit30$120$3.6K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…10$320$3.5K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…290$10$2.4K
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.220$10$2.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.170$10$2.2K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…40$50$1.9K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    83970294030$40$45.5K
    823069516040$30$27.1K
    A95002320110$120$24.7K
    84443140270100$20$23.3K
    7845214916090$160$20.2K
    80053137350150$10$18.6K
    8006194290100$10$17.5K
    77067232310100$60$16.9K
    992141,1894,310120$70$16.4K
    74177176200140$80$13.2K

    Showing 1–10 of 45

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Wichita Family Physicians, P.A.KSAmbulatory Surgical Clinic/Center$352.6K$0
    Chau KovachKSInternal Medicine Physician$217.3K$0
    Yao-ying YangKSFamily Medicine Physician$169.6K$0
    John MayKSFamily Medicine Physician$164K$0
    Edward WeippertKSFamily Medicine Physician$162.8K$0
    David KardatzkeKSFamily Medicine Physician$162.5K$0
    Nathan PfeiferKSFamily Medicine Physician$162.2K$0
    David RoblKSFamily Medicine Physician$161.6K$0
    Jeffrey ReiswigKSFamily Medicine Physician$137.6K$0
    Sara FarmerKSFamily Nurse Practitioner$128K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    First Choice Children's Homecare, LPKSHome Health Agency$0$44.8M
    Keepsake Kottage, LLCKSAdult Care Home Facility$0$3.7M
    Cpf Senior Living - Waterfront LLCKSAssisted Living Facility$0$2.5M
    Dwell, LLCKSCommunity Health Worker$0$1.7M
    Child & Family Eyecare PAKSOptometrist$0$1.6M
    New Market Health Care LLCKSFamily Medicine Physician$0$1.6M
    Gracemed Health Clinic, IncKSFederally Qualified Health Center (FQHC)$0$1.3M
    Antoine E Wakim Dds PAKSDentist$0$588.3K
    Anita CampbellKSGlaucoma Specialist (Ophthalmology) Physician$332.4K$0
    Auburn Pharmacy, Inc.KSLong Term Care Pharmacy$291.9K$5.8K

    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. Kansas Distribution
    Mark Hilger — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas