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 Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida 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. Florida (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.

Wesley Allen (NPI 1063700706)

Wesley Allen is a anesthesiology physician provider located in Jacksonville, Florida. This profile covers 19 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Wesley Allen
Address	4500 San Pablo Rd S
City	Jacksonville
State	FL
ZIP	32224
Taxonomy	Anesthesiology Physician
NPI Enumerated	July 15, 2011

Payer Source	Total Paid
Medicare	$29.9K
Medicaid	$0

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
00537	The provider performs anesthesia services for a patient undergoing cardiac electrophysiologic procedures, such as mapping, pacing, recording, arrhythmia induction, lead testing, and similar services,…	10	$240	$3.4K
00541	The provider performs anesthesia services for a patient undergoing a procedure involving opening the chest wall and using one lung ventilation.	10	$260	$3.1K
00520	The provider performs anesthesia services for a patient undergoing closed chest procedures including bronchoscopy, which means viewing the windpipe for investigation. This code includes procedures…	30	$90	$2.8K
01922	The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.	30	$100	$2.8K
00560	The provider performs anesthesia services for a patient undergoing a procedure involving the heart, the sac around the heart, and the great vessels of the chest, such as the aorta, its major…	10	$210	$2.8K
01926	The provider performs anesthesia services for a patient undergoing therapeutic interventional radiological procedures involving the arteries that are intracranial, or situated within the skull;…	10	$190	$2.1K
00530	The provider performs anesthesia services for a patient undergoing the procedure of permanent transvenous pacemaker insertion in which another provider inserts a device via a blood vessel in the neck…	20	$130	$2K
00790	The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.	10	$160	$1.9K
93312	In this procedure, the provider performs transesophageal echocardiography, or TEE, with multiple transducers, or probes, or a rotating transducer to obtain a two–dimensional (2D) image of the heart.…	20	$90	$1.6K
99214	The 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…	10	$100	$1.1K

Showing 1–10 of 19

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	32,542	32,760	140	$90	$25K
00142	882	1,130	40	$80	$8.3K
00560	102	160	20	$310	$6.2K
00537	183	310	20	$240	$5.3K
00541	7	10	10	$330	$5.3K
01926	155	180	20	$180	$3.4K
93312	482	740	30	$80	$3.1K
00790	356	530	10	$180	$2.8K
00731	2,209	2,890	20	$90	$2.8K
01922	105	780	20	$120	$2.4K

Wesley Allen — Billing Profile & Reimbursement Data

Sign up for Wesley Allen — Billing Profile & Reimbursement Data policy alerts

Wesley Allen — Billing Profile & Reimbursement Data

Sign up for Wesley Allen — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References