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 Northern Mariana Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Northern Mariana Islands 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. Northern Mariana Islands (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.

Qiwei Wang (NPI 1215401377)

Field	Value
Entity Type	Individual
Organization	Qiwei Wang
Address	Beach Road Garapan
City	Saipan
State	MP
ZIP	96950
Taxonomy	Nurse Practitioner
NPI Enumerated	January 11, 2019

Payer Source	Total Paid
Medicare	$17.1K
Medicaid	$0

Key Findings

QIWEI WANG is a nurse practitioner based in SAIPAN, MP with an NPI enumerated on 2019-01-11 (~7 years ago). Lifetime Medicare revenue on file is $17.1K and there is no Medicaid billing on file (none below), indicating the available claims dataset is focused exclusively on Medicare activity for this provider.

The provider’s billed services are concentrated in hospital inpatient evaluation-and-management work: the top-revenue codes are 99232 (subsequent hospital inpatient/observation care), 99222 (initial hospital inpatient/observation care), and 99239 (hospital inpatient/observation discharge day management). This code mix suggests the practitioner primarily delivers inpatient E/M services including initial admits, follow-up inpatient care, and discharge management rather than ambulatory or office-based visit lines.

Revenue is highly concentrated in a very small set of inpatient E/M codes: the precomputed top three Medicare codes account for 93.5% of this provider’s total Medicare revenue. Specifically, 99232 generated $9.8K (57.4%), 99222 generated $3.8K (22.2%), and 99239 generated $2.4K (13.8%) of the Medicare revenue, showing dependency on a narrow set of hospital-related services.

This provider is effectively single-payer in the dataset: Medicare accounts for all reported public-payer revenue ($17.1K) and there is none for Medicaid (no Medicaid billing on file). Analysts and network planners should treat the billing profile as Medicare-dominated when evaluating payer mix or access for public programs in MP.

Competitive standing versus national Medicare peers is modest. For the largest code, 99232, the provider ranks #50774 of 177383 providers nationally (71th percentile; typical, unremarkable volume for this code), and for 99222 the provider ranks #32792 of 117621 providers nationally (71th percentile; typical, unremarkable volume for this code), indicating routine participation rather than market dominance. For discharge management 99239 the provider ranks #41816 of 62398 providers nationally (32th percentile; typical, unremarkable volume for this code), suggesting comparatively lower activity on that service relative to peers.

Claims counts and per-claim payment levels further characterize the practice footprint: 99232 shows 182 claims at $54 avg paid/claim, 99222 shows 47 claims at $81 avg paid/claim, and 99239 shows 32 claims at $74 avg paid/claim; an additional inpatient discharge code 99238 has 20 claims at $56 avg paid/claim. These counts reflect a modest overall Medicare caseload concentrated in inpatient encounters rather than high-volume ambulatory throughput.

For payers and provider network strategy, the small aggregate Medicare revenue ($17.1K) combined with the narrow inpatient E/M code mix signals a compact, hospital-focused practice presence in Saipan. Given no Medicaid billing on file, Medicaid network gaps should not be inferred from this profile alone, but payers should note the provider’s limited scale and concentrated scope when considering reimbursement, coverage coverage routing, or backup inpatient staffing in MP.

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	180	$50	$9.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	50	$80	$3.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	30	$70	$2.4K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	20	$60	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Northern Mariana Islands Distribution

Qiwei Wang — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Northern Mariana Islands

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	1	10	130	$60	$6.6K
99222	1	10	40	$90	$3.2K
99239	2	10	40	$80	$3.1K
99238	1	10	20	$60	$1.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeanolivia Grant	MP	Family Medicine Physician	$228.7K	$0
Northern Mariana Islands Government	MP	Land Ambulance	$180.9K	$0
Keri Allen	MP	Ophthalmology Physician	$96.8K	$0
Vicente Aldan	MP	Family Medicine Physician	$87.4K	$0
Ahmad Al-alou	MP	Internal Medicine Physician	$36.1K	$0
Norma Ada	MP	Internal Medicine Physician	$32.8K	$0
Mark Robertson	MP	Optometrist	$25.8K	$0
David Hardt	MP	Optometrist	$24.1K	$0
Donald Hardt	MP	Optometrist	$23.9K	$0
Pamela Carhill	MP	Physical Therapist	$22K	$0

Qiwei Wang — Billing Profile & Reimbursement Data

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Qiwei Wang — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References