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    OpenPayerNPI Medicare & MedicaidDaniel Wilen
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    Daniel Wilen — Billing Profile & Reimbursement Data

    NPI 1033287628 · Brooklyn, NY · Orthopaedic Surgery Physician

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    Daniel Wilen is a orthopaedic surgery physician provider located in Brooklyn, New York. This profile covers 22 Medicare and 4 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
    OrganizationDaniel Wilen
    Address9202 Fort Hamilton Parkway
    CityBrooklyn
    StateNY
    ZIP11209
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedDecember 1, 2006

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

    Payer SourceTotal Paid
    Medicare$206.3K
    Medicaid$30.6K

    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.

    22 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…1,310$80$101.9K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…270$90$24.5K
    99203The provider sees a new 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 provider…180$100$17.4K
    64445The provider injects one or more anesthetic agents and/or a steroid into the area of the sciatic nerve, which supplies the skin and muscles of the leg. Report this code for one or more injections…100$140$13.7K
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…190$40$6.9K
    73560In this procedure, the provider takes one or two X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.220$30$6.9K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.150$30$4.6K
    72040The patient has a 2– or 3–view X–ray of the neck vertebrae.110$40$3.9K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…80$40$3.3K
    20606In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa, typically the temporomandibular, acromioclavicular, wrist, elbow, ankle, or…40$90$3.1K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2061113874080$90$15.9K
    9921333331,44080$70$12.1K
    6444595020$150$9.1K
    9920344711,36030$90$4.7K
    2055211726030$40$2.7K
    20606226030$70$2.7K
    20604146030$60$2K
    735024471,55040$20$1.8K
    730302261,63040$20$1.5K
    72084314020$40$1.5K

    Showing 1–10 of 22

    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.

    4 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…1,860$20$29.8K
    J1030Injection, methylprednisolone acetate, 40 mg100$1$200
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…20$10$110
    J2930Injection, methylprednisolone sodium succinate, up to 125 mg40$1$80

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…5,01619,110360$70$321K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…156190120$60$51.6K
    J1030Injection, methylprednisolone acetate, 40 mg121230130$10$3.2K
    J2930Injection, methylprednisolone sodium succinate, up to 125 mg99140130$10$2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Angel's Touch Home CareNYHome Health Agency$0$54.3M
    Changping JiaNYNuclear Imaging & Therapy Physician$2.2M$58.7K
    Jeffrey FrielingNYOphthalmology Physician$352K$1.6M
    Anthony SalehNYPulmonary Disease Physician$674.9K$626.8K
    Thao NgoNYCardiovascular Disease Physician$651.2K$585.1K
    Amer RafiaaNYHematology & Oncology Physician$403.5K$829.3K
    Vladimir KrichevskyNYUrology Physician$858.7K$230.9K
    Mehrdad HedayatniaNYPain Medicine (Anesthesiology) Physician$237.5K$807.1K
    David SchreiberNYRadiation Oncology Physician$1M$0
    Stella DourosNYOphthalmology Physician$965.9K$43.8K

    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. New York Distribution
    Daniel Wilen — 2 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Daniel Wilen — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York