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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

David Wise (NPI 1154385185)

Field	Value
Entity Type	Individual
Organization	David Wise
Address	415 Morris St Ste 309
City	Charleston
State	WV
ZIP	25301
Taxonomy	Oral & Maxillofacial Surgery (D.M.D.)
NPI Enumerated	April 14, 2006

Payer Source	Total Paid
Medicare	$4.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99203	The 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…	50	$60	$3K
42975	After the patient receives sedation and is asleep, the provider uses an endoscope to assess the throat and check the palate and tongue areas. The goal is to determine where airway obstruction is…	20	$70	$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 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

David Wise — 1 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99203	282	940	30	$60	$2.8K
42975	1	10	10	$70	$1.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Navid Moradshahi	CA	Diagnostic Radiology Physician	$1.2M	$0
Walter Osias	CA	Diagnostic Radiology Physician	$759.8K	$0
Myles Mitsunaga	CA	Diagnostic Radiology Physician	$510.8K	$113.9K
Hugh Mcswain	CA	Neuroradiology Physician	$235.3K	$292.6K
Barry Vaught	WV	Neurology Physician	$459.4K	$0
Hei Shun Yu	AZ	Diagnostic Radiology Physician	$322.1K	$0
Thair Barghouthi	WV	Cardiovascular Disease Physician	$268.6K	$0
Philip Branson	WV	Orthopaedic Surgery Physician	$262.3K	$0
Joseph Skeens	KY	Diagnostic Radiology Physician	$40.2K	$222K
Crysela Smith	TX	Diagnostic Radiology Physician	$249.7K	$0

David Wise — Billing Profile & Reimbursement Data

Sign up for David Wise — Billing Profile & Reimbursement Data policy alerts

David Wise — Billing Profile & Reimbursement Data

Sign up for David Wise — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References