Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJ Michael Wiater
    Ask Trek AI about this page

    J Michael Wiater — Billing Profile & Reimbursement Data

    NPI 1043292964 · Beverly Hills, MI · Orthopaedic Surgery Physician

    Customize your policy alerts

    Sign up for J Michael Wiater — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    J Michael Wiater is a orthopaedic surgery physician provider located in Beverly Hills, Michigan. This profile covers 20 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJ Michael Wiater
    Address17877 W 14 Mile Rd
    CityBeverly Hills
    StateMI
    ZIP48025
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedNovember 16, 2005

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

    Payer SourceTotal Paid
    Medicare$288.8K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…110$1,180$134.9K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$870$20.8K
    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…280$60$17.9K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.690$30$17.3K
    23474In this procedure, the provider performs a revision arthroplasty of the shoulder joint. He revises both the glenoid and humeral components. He may use an allograft to perform this procedure. The…10$1,410$16.9K
    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…160$80$13.4K
    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…140$100$12.8K
    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…130$80$10.5K
    24301In this procedure, the provider moves the tendons or muscles from the upper arm or elbow, allowing the patient to regain full function of the affected area without reducing the the function of the…30$310$9.6K
    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…80$110$8.7K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    29827238020$1,040$24.9K
    2347219020$820$21.4K
    2343081020$710$13.5K
    2347411010$1,000$12K
    992145,25715,47080$80$11.4K
    2090031020$450$8.2K
    206114931070$70$7.2K
    992131,41714,81060$60$6.6K
    29824204020$290$6.4K
    2430111030$210$5.2K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William Beaumont HospitalMIHospitalist Physician$0$167.9M
    Oakwood Healthcare, Inc.MIGeneral Acute Care Hospital$0$165.3M
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$162.4M
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$84.8M
    Oakwood Ambulatory LLCMIInternal Medicine Physician$0$66.9M
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$61.5M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Wellstreet Urgent Care Of MichiganMIUrgent Care Clinic/Center$0$37.5M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Sandeep RandhawaMIRetina Specialist (Ophthalmology) Physician$7M$0

    Nearby Providers

    Other providers in the same ZIP code as J Michael Wiater, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gateway Pediatric Therapy LLCMIBehavior Analyst$0$125M
    Heritage Labs, Inc.MIClinical Medical Laboratory$12M$2.3M
    Byram Healthcare Centers, Inc.MIDurable Medical Equipment & Medical Supplies$0$5.3M
    Catalyst Diagnostic LLCMIClinical Medical Laboratory$400.9K$1.7M
    Anu PatelMIOphthalmology Physician$1M$0
    Michigan Community Wellness Vna, LLCMINursing Care Agency$161.6K$582.7K
    Direct Path Services, P.C.MIClinical Medical Laboratory$444.8K$122.4K
    Justin TrivaxMICardiovascular Disease Physician$534.2K$0
    Mark KaradshehMIOrthopaedic Surgery Physician$383.3K$0
    Steven KorotkinMICardiovascular Disease Physician$375.4K$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. Michigan Distribution
    J Michael Wiater — 4 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan