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

Why is the Medicaid comparison limited to Ohio 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. Ohio (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 Wagner (NPI 1184753782)

Field	Value
Entity Type	Individual
Organization	James Wagner
Address	6900 Pearl Road
City	Middleburg Heights
State	OH
ZIP	44130
Taxonomy	Clinical Pathology/Laboratory Medicine Physician
NPI Enumerated	March 2, 2007

Payer Source	Total Paid
Medicare	$14.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	290	$30	$8.2K
88121	The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for computer assisted morphometric analysis, looking at the…	70	$30	$2.2K
88112	Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…	100	$20	$1.9K
88120	The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for manual morphometric analysis, looking at the number and…	30	$40	$1.2K
88344	The lab analyst applies a single multiplex antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…	40	$30	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

James Wagner — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88121	3	10	120	$280	$62.7K
88305	355	560	470	$40	$39.2K
88120	6	10	30	$100	$3.4K
88112	99	250	80	$20	$2.4K
88344	36	70	40	$40	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adir Ludin	OH	Radiation Oncology Physician	$1.6M	$0
Adam Cole	AR	Anatomic Pathology & Clinical Pathology Physician	$472.3K	$0
Jon Prescott	OH	Radiation Oncology Physician	$458.7K	$0
Todd Randolph	AR	Anatomic Pathology & Clinical Pathology Physician	$405.5K	$0
Nicole Massoll	AR	Anatomic Pathology & Clinical Pathology Physician	$347.3K	$0
Lawrence Gervasi	OH	Urology Physician	$318.2K	$90
Michael Scolieri	OH	Urology Physician	$210.7K	$0
Christopher Reese	OH	Urology Physician	$190K	$0
David Turk	IN	Urology Physician	$173.8K	$0
Tim Sidor	OH	Urology Physician	$165.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Professional Dental Alliance, LLC	OH	Dentist	$0	$54.1M
Southwest General Health Center	OH	General Acute Care Hospital	$0	$22.9M
Continuum Care Hospice LLC	OH	Community Based Hospice Care Agency	$0	$22M
Lorraine Surgical Supply Inc	OH	Durable Medical Equipment & Medical Supplies	$0	$16.4M
Nationwide Health Management LLC	OH	Home Health Agency	$0	$13.1M
Kci Usa, Inc.	OH	Durable Medical Equipment & Medical Supplies	$0	$12.1M
Donald Martens & Sons Ambulance Service Inc.	OH	Land Ambulance	$2.6M	$9.1M
Dental Professionals Cleveland-nouneh, Inc	OH	General Practice Dentistry	$0	$9.9M
Priority Home Health Care, Inc	OH	Home Health Agency	$0	$9.1M
Dr Kmiecks Dental Health Service	OH	General Practice Dentistry	$0	$7.6M

James Wagner — Billing Profile & Reimbursement Data

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James Wagner — 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