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    OpenPayerNPI Medicare & MedicaidMarty Wilson
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    Marty Wilson — Billing Profile & Reimbursement Data

    NPI 1184045338 · Springfield, IL · Surgical Physician Assistant

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    Marty Wilson is a surgical physician assistant provider located in Springfield, Illinois. This profile covers 10 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
    OrganizationMarty Wilson
    Address1301 S Koke Mill Rd
    CitySpringfield
    StateIL
    ZIP62711
    TaxonomySurgical Physician Assistant
    NPI EnumeratedDecember 13, 2013

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

    Payer SourceTotal Paid
    Medicare$33K
    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.

    10 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…250$50$11.9K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…130$40$5.7K
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.250$20$5.5K
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…160$30$4.3K
    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…30$60$1.6K
    73551In this diagnostic procedure, the provider takes an X–ray image from a single projection (direction or angle) of the femur (thigh bone) to check for fracture, swelling, or other reason for pain in…80$20$1.5K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,010$1$1K
    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…10$80$880
    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,…20$40$560
    73522In this diagnostic procedure, the provider takes three to four X–ray images of both hips, left and right, from different projections (directions or angles) to check for fracture, swelling, or other…10$30$420

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992132,82917,39070$60$8.8K
    206104491,55060$50$7.6K
    992048,2288,58030$110$5.6K
    992033,5466,15030$70$3.8K
    992123,2493,95030$40$2.4K
    73562911,11050$20$1.6K
    735021521,39050$20$1.5K
    7352210414020$30$680
    7355122020$10$460
    J33011871,460180$1$400

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Zhenqiang GaoILAnatomic Pathology & Clinical Pathology Physician$67.5K$19.5M
    Ankur ShahINRetina Specialist (Ophthalmology) Physician$1.6M$1.4M
    James WadeILMedical Oncology Physician$2.6M$35.2K
    Sebastien KairouzILHematology & Oncology Physician$2.1M$425.9K
    Hanna SabaILHematology & Oncology Physician$2.2M$334K
    Venkata DamarlaILHematology & Oncology Physician$1.7M$106.4K
    Mhd Yahia ZeinoILObstetrics & Gynecology Physician$9.2K$1.3M
    Casey DuncanILRadiation Oncology Physician$1.2M$4.2K
    Maurice SchuetzILAnatomic Pathology & Clinical Pathology Physician$85.7K$1.1M
    Elena SamoilovaKYAnatomic Pathology & Clinical Pathology Physician$110.7K$974.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christopher GravesILOrthopaedic Surgery of the Spine Physician$533.3K$83K
    Dane ChurchILAdult Reconstructive Orthopaedic Surgery Physician$312.4K$9.8K
    Timothy VanfleetILOrthopaedic Surgery of the Spine Physician$280.2K$990
    D AllanILAdult Reconstructive Orthopaedic Surgery Physician$228.3K$3.9K
    Patrick ButlerILOphthalmology Physician$206.2K$0
    Karolyn SenicaILOrthopaedic Surgery Physician$199.6K$4.1K
    Donald HendersonILOptometrist$157.6K$0
    Christopher MaenderILOrthopaedic Hand Surgery Physician$148K$2.5K
    John WatsonILPain Medicine (Physical Medicine & Rehabilitation) Physician$141.7K$390
    Rodney HerrinILOrthopaedic Surgery Physician$95.5K$390

    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. Illinois Distribution
    Marty Wilson — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois