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

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

Michael Wilson (NPI 1093790032)

Field	Value
Entity Type	Individual
Organization	Michael Wilson
Address	5 Mobile Infirmary Cir
City	Mobile
State	AL
ZIP	36607
Taxonomy	Critical Care Medicine (Internal Medicine) Physician
NPI Enumerated	December 13, 2005

Payer Source	Total Paid
Medicare	$131.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	440	$160	$69.7K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	270	$90	$23.8K
99292	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…	230	$80	$18.2K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	200	$60	$11.6K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	40	$80	$2.9K
31500	The provider inserts a flexible tube into the trachea (windpipe) typically via the mouth in an emergency situation to maintain an open airway in a patient with a compromised airway.	20	$110	$2.5K
36556	The provider inserts a central venous access catheter in the neck, chest, or groin to draw blood or administer medication or nutrients to a patient 5 years of age or older.	30	$60	$1.9K
31624	In this procedure, the provider uses a rigid or flexible bronchoscope for bronchial alveolar lavage, a procedure using saline solution to wash the cells from alveoli, the air sacs at the end of the…	20	$90	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Michael Wilson — 3 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	285	1,860	80	$90	$13.4K
99232	800	2,530	100	$60	$13.3K
99291	10	910	40	$160	$10.6K
99239	482	780	60	$90	$6.3K
99292	4	90	40	$70	$5K
31500	2	30	10	$100	$1.6K
31624	22	30	20	$50	$1.4K
36556	7	70	20	$60	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Medical Center Management Corporation	LA	General Acute Care Hospital	$0	$87M
Singing River Health System	MS	General Acute Care Hospital	$0	$81.1M
Sanford Medical Center Fargo	ND	Family Medicine Physician	$0	$75.9M
Sanford Medical Center	SD	Family Medicine Physician	$0	$68.8M
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Baptist Memorial Medical Group Inc	TN	Internal Medicine Physician	$0	$35.6M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Singing River Gulfport	MS	General Acute Care Hospital	$0	$24.9M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Fletcher Hospital Inc.	NC	Rural Acute Care Hospital	$0	$12M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mercy Life Of Alabama	AL	PACE Provider Organization	$0	$11.5M
Mobile Infirmary Association	AL	General Acute Care Hospital	$0	$4.6M
Mobile Pediatric Clinic LLC	AL	Pediatrics Physician	$0	$3.5M
Advantage Diabetic And Medical	AL	Durable Medical Equipment & Medical Supplies	$0	$2.9M
Imc-hospitalists LLC	AL	Hospitalist Physician	$0	$2.6M
Pediatric Physical Therapy, LLC	AL	Pediatric Physical Therapist	$0	$1.5M
Emergency Services Of Mobile PC	AL	Emergency Medicine Physician	$0	$1M
Zachary Reardon	AL	Urology Physician	$505.7K	$0
Paul Scott	AL	Urology Physician	$334.8K	$0
Ankit Gulati	AL	Physical Medicine & Rehabilitation Physician	$271.3K	$0

Michael Wilson — Billing Profile & Reimbursement Data

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Michael Wilson — 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

Nearby Providers

Frequently Asked Questions

References