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

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

Mark Wells (NPI 1215926597)

Field	Value
Entity Type	Individual
Organization	Mark Wells
Address	675 Baltimore Dr
City	Wilkes Barre
State	PA
ZIP	18702
Taxonomy	Plastic and Reconstructive Surgery Physician
NPI Enumerated	October 19, 2005

Payer Source	Total Paid
Medicare	$5.9K
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
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$70	$2K
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…	20	$70	$1.7K
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…	20	$60	$1.4K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	10	$30	$420
15852	The provider changes the dressing on a wound, unrelated to a burn, in a patient who requires general anesthesia due to the painful nature of the dressing change or in a patient unable to cooperate…	10	$40	$390

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. Pennsylvania Distribution

Mark Wells — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
11042	534	430	70	$70	$7.8K
99213	16,710	22,370	70	$60	$7.7K
99203	3,731	7,330	30	$70	$3.5K
99221	324	1,500	20	$60	$1.7K
15852	1	0	N/A	$N/A	$N/A

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Health Services Hospitals, Inc.	NY	General Acute Care Hospital	$0	$163M
Marietta Memorial Hospital	OH	General Acute Care Hospital	$0	$102.2M
Zhiming Yang	PA	Anatomic Pathology Physician	$4.5M	$0
Marietta Memorial Hospital Of Tyler County Inc	WV	Critical Access Hospital	$0	$2.7M
Aqeel Haidar	NC	Anatomic Pathology & Clinical Pathology Physician	$1.6M	$0
Shilpa Sambidi	NY	Hematology & Oncology Physician	$847.8K	$39.4K
Srini Vasan	OH	Radiation Oncology Physician	$807K	$0
Jody Neer	IN	Neurology Physician	$741.1K	$0
James Lim	NY	Diagnostic Radiology Physician	$670.7K	$3.5K
Christopher Kolibash	WV	Clinical Cardiac Electrophysiology Physician	$425.8K	$48K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$47.6M
Step By Step Inc.	PA	Voluntary or Charitable Agency	$0	$35.3M
Children's Service Center Of Wyoming Valley Inc	PA	Community/Behavioral Health Agency	$0	$26M
Children's Service Center Of Wyoming Valley Inc	PA	Adolescent and Children Mental Health Clinic/Center	$0	$18.7M
Cleanslate Medical Group Of Pennsylvania LLC	PA	Multi-Specialty Clinic/Center	$0	$18.6M
Children's Service Center Of Wyoming Valley, Inc	PA	Counselor	$0	$17.8M
Caring Community Health Center	PA	Federally Qualified Health Center (FQHC)	$0	$17.4M
Golden Care Of Northeast PA, Inc.	PA	Home Health Agency	$0	$7.7M
Wilkes Barre Hospital Company LLC	PA	General Acute Care Hospital	$0	$7.4M
Geisinger Wyoming Valley Medical Center	PA	General Acute Care Hospital	$0	$7M

Mark Wells — Billing Profile & Reimbursement Data

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Mark Wells — 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