Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. District of Columbia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Kristen Wilkes (NPI 1043553738)

Field	Value
Entity Type	Individual
Organization	Kristen Wilkes
Address	110 Irving St Nw Ste 2a38m
City	Washington
State	DC
ZIP	20010
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 1, 2013

Payer Source	Total Paid
Medicare	$25.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The 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.	110	$150	$16.3K
99284	The 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.	40	$100	$4.4K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	$190	$4.3K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	50	$10	$310

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Kristen Wilkes — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	94	250	80	$150	$15.9K
99291	308	410	50	$180	$14.8K
99284	158	260	50	$90	$6.4K
93042	10	20	50	$10	$320

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rwjbh Emergency Medicine Associates, LLC	NJ	Emergency Medicine Physician	$0	$117.8M
University Physician Associates Of New Jersey Inc	NJ	Surgery Physician	$0	$41.8M
University Physician Associates Of New Jersey Inc	NJ	Internal Medicine Physician	$0	$36.6M
University Physician Associates Of New Jersey Inc	NJ	Pediatrics Physician	$0	$34.1M
Hackensack Meridian Health Medical Group - Primary Care PC	NJ	Family Medicine Physician	$0	$21.9M
University Physician Associates Of New Jersey Inc	NJ	Diagnostic Radiology Physician	$0	$14.3M
University Physician Associates Of New Jersey Inc	NJ	Obstetrics & Gynecology Physician	$0	$10.2M
Jasminka Balderacchi	NY	Anatomic Pathology & Clinical Pathology Physician	$1.9M	$0
Joel Wolf	PA	Vascular & Interventional Radiology Physician	$1.3M	$4.7K
Boqing Chen	NJ	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$600K	$0

Kristen Wilkes — Billing Profile & Reimbursement Data

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Kristen Wilkes — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References