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    OpenPayerNPI Medicare & MedicaidRafael Williams
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    Rafael Williams — Billing Profile & Reimbursement Data

    NPI 1225067606 · Wilson, WY · Orthopaedic Surgery Physician

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    Rafael Williams is a orthopaedic surgery physician provider located in Wilson, Wyoming. This profile covers 24 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
    OrganizationRafael Williams
    Address5235 Hhr Ranch Rd
    CityWilson
    StateWY
    ZIP83014
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 30, 2006

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

    Payer SourceTotal Paid
    Medicare$150.4K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…40$1,110$38.9K
    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…430$60$27.3K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…20$820$18.1K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…450$20$8.5K
    23120In a partial claviculectomy, or Mumford procedure, the provider incises the shoulder and removes part of the collarbone to relieve pain from chronic joint conditions, like arthritis and arthrosis.30$230$7.9K
    99214The 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…70$90$6.8K
    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…150$50$6.7K
    29824The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…20$210$4.9K
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…10$320$4.1K
    23430In this procedure, the provider surgically cleans the long tendon of the biceps from its damaged fragment and fixes the tendon to the upper end of the humerus to improve the stability of the joint.…10$290$4.1K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2982751020$970$19.4K
    2347242020$840$19.4K
    2343011010$1,230$17.2K
    97110235350690$20$17K
    99214457780100$80$14.8K
    64721202020$440$12.2K
    97140273340490$20$10.4K
    9921383850110$60$9.9K
    2312011030$230$7.9K
    2982421010$270$5K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William LighthartWYAdult Reconstructive Orthopaedic Surgery Physician$293.1K$0
    Christopher HillsWYOrthopaedic Surgery Physician$221.5K$0
    Geoffrey SkeneWYPain Medicine Physician$126.4K$0
    Heidi Michelsen JostWYOrthopaedic Surgery Physician$112.6K$0
    David KhouryWYOrthopaedic Surgery Physician$91.7K$0
    Andrew BullingtonWYOrthopaedic Surgery Physician$79.5K$0
    Calvin SchenkWYMedical Physician Assistant$26.2K$0
    Megan AveryWYMedical Physician Assistant$22.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael MenolascinoWYInternal Medicine Physician$146.4K$0
    Christine TurnerWYInternal Medicine Physician$102.4K$0
    Taylor FlockenWYPhysical Therapist$47.5K$0
    Robert WoodWYFamily Nurse Practitioner$37.7K$0
    Elaina OliverWYDevelopmentally Disabled Services Day Training Agency$0$34.5K

    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. Wyoming Distribution
    Rafael Williams — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming