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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJeffrey Wheeler
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    Jeffrey Wheeler — Billing Profile & Reimbursement Data

    NPI 1174562748 · Cross Lanes, WV · Podiatrist

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    Jeffrey Wheeler is a podiatrist provider located in Cross Lanes, West Virginia. This profile covers 13 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJeffrey Wheeler
    Address314 Goff Mountain Road Suite 15
    CityCross Lanes
    StateWV
    ZIP25313
    TaxonomyPodiatrist
    NPI EnumeratedJune 6, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$55.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established 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…210$60$13.7K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.410$30$11.5K
    99214The 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…60$90$5.2K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.100$50$5K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…60$70$4.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…100$30$3.4K
    99203The 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$70$3.3K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.140$20$3K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.50$50$2K
    99204The provider sees a new 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 provider…20$100$1.7K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992141,7522,740100$70$11.8K
    117211960240$30$9.6K
    992135762,86080$50$7.5K
    117202440190$20$6.3K
    11056143080$50$5.9K
    9934231030$60$5.6K
    97597122090$50$4.9K
    992048571,22030$100$4.1K
    9920328294030$60$2.8K
    11055133040$40$2.2K

    Showing 1–10 of 13

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pro Careers, IncWVHome Health Agency$0$41M
    Hope Drug Rehabilitation LLCWVCommunity/Behavioral Health Agency$0$9.1M
    First Care Services Inc.WVCase Management Agency$0$2.4M
    Southern Home Care Services, Inc.WVPersonal Care Attendant$0$1.8M
    Womencare IncWVFederally Qualified Health Center (FQHC)$0$1.6M
    Birth-babies & Beyond LLCWVPublic Health or Welfare Agency$0$1.3M
    Meditelecare Of West Virginia PLLCWVClinical Psychologist$0$962.6K
    Wv Primary Care IncWVInternal Medicine Physician$0$752.6K
    Ashish ShethWVInternal Medicine Physician$168K$0
    Arvind ViradiaWVInternal Medicine Physician$116.7K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. West Virginia Distribution
    Jeffrey Wheeler — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia