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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWayne Brearley
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    Wayne Brearley — Billing Profile & Reimbursement Data

    NPI 1043208952 · Wausau, WI · Orthopaedic Hand Surgery Physician

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    Wayne Brearley is a orthopaedic hand surgery physician provider located in Wausau, Wisconsin. This profile covers 10 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
    OrganizationWayne Brearley
    Address3901 Stewart Ave
    CityWausau
    StateWI
    ZIP54401
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedOctober 13, 2005

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

    Payer SourceTotal Paid
    Medicare$23.7K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…10$610$7.9K
    26480In this procedure, the provider transfers or transplants a tendon in the carpometacarpal area or the back of the hand. The carpometacarpal area is the articulation of the wrist’s carpal bones with…10$300$3.9K
    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…30$90$3.1K
    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…40$60$2.5K
    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…20$110$2.3K
    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…20$80$1.2K
    73140In this diagnostic procedure, the provider performs a radiological study of one or more fingers. He performs two or more views.40$30$1K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.40$30$1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$40$740
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg20$10$110

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2648081020$510$10.6K
    992147,4799,80080$70$9.2K
    2544771010$550$8.7K
    992135,7559,38060$50$4.7K
    992042,0873,39030$100$3.7K
    992032,1412,82030$60$2.4K
    992121,2882,00030$30$1.3K
    7303034962050$10$820
    J0702778070$1$500
    731401914020$20$380

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    First Impressions ScWIPediatric Dentistry$0$17.3M
    Aspirus Wausau Hospital, Inc.WIGeneral Acute Care Hospital$0$16.3M
    Healthfirst Network Inc. F/k/a Family Planning Health Services Inc.WINon-Surgical Family Planning Clinic/Center$0$10.2M
    Aspirus Wausau Hospital, Inc.WILand Ambulance$4M$6.1M
    Aspirus Wausau Hospital, Inc.WIClinical Medical Laboratory$0$6.9M
    Aspirus Vna Home Health IncWIInpatient Hospice$0$3.2M
    Northwest Counseling & Guidance ClinicWIAdolescent and Children Mental Health Clinic/Center$0$3M
    Aspirus Wausau Hospital, IncWIEmergency Medicine Physician$0$2.7M
    Aspirus Vna Home Health Inc.WIDurable Medical Equipment & Medical Supplies$0$2.4M
    Total Renal Care IncWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.4M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Wayne Brearley — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin