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

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

James Wilson (NPI 1114389285)

Field	Value
Entity Type	Individual
Organization	James Wilson
Address	802 Kenyon Rd
City	Fort Dodge
State	IA
ZIP	50501
Taxonomy	Critical Care Medicine (Internal Medicine) Physician
NPI Enumerated	March 28, 2016

Payer Source	Total Paid
Medicare	$57K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 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…	260	$160	$40.6K
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…	130	$60	$7.7K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$100	$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	$2.1K
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…	20	$80	$1.9K
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	$100	$1.8K
36620	In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…	20	$30	$500

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

James Wilson — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	738	910	60	$90	$10.5K
99291	15	460	40	$160	$10.1K
99232	615	1,740	80	$60	$9.3K
99222	618	1,270	30	$90	$3.8K
31500	2	20	10	$100	$1.4K
36556	3	30	20	$60	$1.2K
36620	110	170	20	$30	$770

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinity Regional Medical Center	IA	General Acute Care Hospital	$0	$12.3M
Northwest Iowa Hospital Corporation	IA	Emergency Medical Services (Emergency Medicine) Physician	$0	$7.9M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$5.7M
Trinity Regional Medical Center	IA	Emergency Medicine Physician	$0	$4.6M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$2.5M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$2.2M
Timothy Hansen	IA	MOHS-Micrographic Surgery Physician	$517K	$0
Jon Grudem	SD	Neurology Physician	$402.6K	$0
Saad Ashraf	GA	Pulmonary Disease Physician	$380.7K	$0
Samir Elian	MI	Interventional Cardiology Physician	$374.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iowa Central Industries	IA	Community/Behavioral Health Agency	$0	$29.5M
Community Health Center Of Fort Dodge Inc.	IA	Federally Qualified Health Center (FQHC)	$0	$23.6M
Community And Family Resources	IA	Substance Abuse Rehabilitation Facility	$0	$21M
North Central Iowa Mental Health Center Inc	IA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.3M
Community School District	IA	Local Education Agency (LEA)	$0	$15.1M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$6.4M
Unitypoint At Home	IA	Durable Medical Equipment & Medical Supplies	$0	$6.4M
Trinity Regional Medical Center	IA	Rural Health Clinic/Center	$0	$5.7M
Fort Dodge Ywca Women's Halfway House	IA	Substance Abuse Rehabilitation Facility	$0	$5.7M
Iowa Central Industries	IA	Community/Behavioral Health Agency	$0	$4.6M

James Wilson — Billing Profile & Reimbursement Data

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James 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