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

Why is the Medicaid comparison limited to Washington 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. Washington (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.

Wirt Hines (NPI 1194762898)

Field	Value
Entity Type	Individual
Organization	Wirt Hines
Address	1801 Commercial Ave
City	Anacortes
State	WA
ZIP	98221
Taxonomy	MOHS-Micrographic Surgery Physician
NPI Enumerated	June 1, 2006

Payer Source	Total Paid
Medicare	$417K
Medicaid	$0

Medicare: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,090	$60	$68.7K
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…	120	$520	$62.2K
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…	420	$80	$35.5K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	780	$40	$31.8K
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…	370	$70	$27.7K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	360	$70	$25K
99204	The 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…	230	$110	$25K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	50	$360	$18.7K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	210	$80	$16.6K
J7308	Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)	50	$310	$15.6K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Wirt Hines — 5 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
17311	51	70	240	$440	$131.7K
17312	55	60	110	$320	$47.2K
17313	46	60	40	$450	$22.3K
13132	39	70	70	$200	$18.1K
J7308	10	30	40	$300	$14.5K
99214	906	10,860	100	$80	$13.6K
13121	49	80	40	$220	$10.6K
17110	94	420	100	$70	$9.8K
11102	23	410	110	$60	$8.9K
96574	7	20	40	$210	$8.8K

Showing 1–10 of 23

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Swinomish Health Services	WA	Substance Use Disorder Rehabilitation Clinic/Center	$184.9K	$195.9M
Public Hospital District No 2 Skagit County Washington	WA	General Acute Care Hospital	$0	$8.4M
Public Hospital District No 2 Skagit County Washington	WA	Rural Health Clinic/Center	$0	$5.8M
Public Hospital District No 2 Skagit County Washington	WA	Rural Health Clinic/Center	$0	$4.8M
Hill And Stout, PLLC	WA	Pediatric Dentistry	$0	$3.6M
Swinomish Health Services	WA	Substance Abuse Rehabilitation Facility	$0	$3.4M
City Of Anacortes	WA	Land Ambulance	$338.2K	$2.6M
Linda Brown	WA	Ophthalmology Physician	$1M	$0
Kenneth Ellis	WA	Ophthalmology Physician	$957.3K	$0
Walgreen Co	WA	Pharmacy	$328.2K	$0

Wirt Hines — Billing Profile & Reimbursement Data

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Wirt Hines — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References