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    OpenPayerNPI Medicare & MedicaidJoe Wharton
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    Joe Wharton — Billing Profile & Reimbursement Data

    NPI 1225084577 · Warren, AR · Family Medicine Physician

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    Joe Wharton is a family medicine physician provider located in Warren, Arkansas. This profile covers 20 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
    OrganizationJoe Wharton
    Address1012 E Church St
    CityWarren
    StateAR
    ZIP71671
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMay 26, 2006

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

    Payer SourceTotal Paid
    Medicare$16.2K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    87636The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, and influenza B using a multiplex amplified nucleic…20$140$3.4K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…380$10$3.1K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…200$10$2K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…20$70$1.4K
    71046In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…90$10$1.3K
    G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and…40$20$890
    82274The lab analyst uses an immunoassay method to perform a test for hidden blood in a fecal specimen that the patient collects from three consecutive bowel movements or that the clinician acquires…40$20$580
    17000The 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.10$40$570
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.140$1$540
    G0008Administration of influenza virus vaccine20$30$530

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    17000206220160$30$10K
    9069435241060$70$6.5K
    17003178180780$1$5.1K
    87636256020$140$4.7K
    85025162740120$10$3K
    G00081,1241,34060$30$2.5K
    364156501,350130$10$2.5K
    7104620285040$10$1.3K
    8303611574060$10$1.2K
    G0179248030$30$1.1K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mainline Health Systems IncARFederally Qualified Health Center (FQHC)$0$4.8M
    Mainline Health Systems, IncARFederally Qualified Health Center (FQHC)$0$3.8M
    Mainline Health Systems IncARFederally Qualified Health Center (FQHC)$0$2.2M
    Mainline Health Systems IncARFederally Qualified Health Center (FQHC)$0$1.6M
    Paul WhippleARFamily Medicine Physician$16.9K$80.1K
    Kerry PenningtonARFamily Medicine Physician$77.8K$0
    Kimberly GoldenARFamily Medicine Physician$14.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Arkansas For Medical SciencesARDevelopmental - Behavioral Pediatrics Physician$0$3M
    Bradley County Medical CenterARCritical Access Hospital$0$2.3M
    Mallard Medical Supply LLCARDurable Medical Equipment & Medical Supplies$0$1.3M
    Ladonna GeorgeARFamily Medicine Physician$39.7K$410.1K
    Althea ConleyARPsychiatry Physician$54.3K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arkansas Distribution
    Joe Wharton — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas