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

Why is the Medicaid comparison limited to New York 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. New York (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.

Reason Wilken (NPI 1174814735)

Field	Value
Entity Type	Individual
Organization	Reason Wilken
Address	1991 Marcus Ave Ste 300
City	North New Hyde Park
State	NY
ZIP	11042
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	April 29, 2011

Payer Source	Total Paid
Medicare	$251.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	180	$610	$110.9K
17313	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	50	$610	$31.3K
12032	This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.	120	$230	$27.5K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	70	$400	$25.8K
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…	110	$110	$12.1K
15260	This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.	10	$960	$10.5K
12052	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.	50	$170	$8.7K
99213	The 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…	90	$80	$7.1K
12042	This CPT® code is used for the intermediate repair of superficial wounds to the neck, hands, feet, and/or external genitalia that are 2.6 to 7.5 cm in size.	30	$200	$6.1K
99212	The 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,…	110	$50	$5.5K

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

Claims Volume vs. New York Distribution

Reason Wilken — 1 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New York

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	80	150	200	$520	$136.2K
17312	95	140	140	$360	$65.3K
17313	82	120	80	$510	$50.8K
15260	54	60	20	$830	$23.2K
99214	13,785	30,450	90	$100	$19K
99213	14,774	31,440	80	$70	$12.1K
12032	7	210	30	$200	$7.4K
12052	12	50	30	$150	$5.9K
99212	1,381	7,850	30	$40	$3.6K
11603	39	90	20	$140	$3.6K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Freedom Care LLC	NY	Home Health Agency	$0	$3B
Northwell Health Laboratories	NY	Clinical Medical Laboratory	$48.5M	$198.2M
Optum Medical Care Of New Jersey PC	NY	Pediatrics Physician	$0	$219.4M
North Shore University Hospital	NY	Case Management Agency	$0	$166.6M
Prohealth Care Associates LLP	NY	Internal Medicine Physician	$0	$69.4M
Personal Touch Home Care Of New York, Inc.	NY	Early Intervention Provider Agency	$0	$19.3M
Nhpe, LLC	NY	Ambulatory Surgical Clinic/Center	$831.7K	$3M
Stuart Weinerman	NY	Endocrinology, Diabetes & Metabolism Physician	$2.3M	$2.3K
Jason Karp	NY	Pulmonary Disease Physician	$2.1M	$35.2K
Vishesh Agrawal	NY	Radiation Oncology Physician	$2.1M	$13K

Reason Wilken — Billing Profile & Reimbursement Data

Sign up for Reason Wilken — Billing Profile & Reimbursement Data policy alerts

Reason Wilken — Billing Profile & Reimbursement Data

Sign up for Reason Wilken — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References