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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Andrew Wilder (NPI 1275607509)

Field	Value
Entity Type	Individual
Organization	Andrew Wilder
Address	401 N 9th St
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Diagnostic Radiology Physician
NPI Enumerated	November 20, 2006

Payer Source	Total Paid
Medicare	$431.4K
Medicaid	$0

Key Findings

This provider’s lifetime billing footprint is concentrated in Medicare with total Medicare revenue of $431.4K and no Medicaid billing on file (none below), making the practice effectively single‑payer from a claims perspective. Analysts should treat this as a Medicare-centric profile when evaluating payer contracting or population coverage implications.

Revenue concentration is high in a few imaging services: the precomputed top‑3 Medicare codes account for 46.6% of total Medicare revenue, led by 77067 (77067 – $102.8K revenue, 28.0% of this provider's total Medicare revenue), then 77063 ($41.8K, 11.4%), and 74177 ($26.5K, 7.2%). That mix signals that a small set of procedures — particularly breast imaging and abdominal/pelvic CT — drive nearly half of billed Medicare dollars.

Service‑line mix points to a general diagnostic radiology operation with a notable breast imaging emphasis: 77067 and 77063 each show 803 claims and together provide a large share of revenue (28.0% and 11.4% respectively), while the remainder of the top codes include CT (74177), MRI (70553), ultrasound (76536), vascular duplex (93880), and echocardiography (93306). This combination implies multi‑modality capability (mammography/tomosynthesis, CT, MRI, ultrasound, vascular exams and routine radiography) consistent with a full‑service outpatient imaging practice or radiology group.

Competitive standing on mammography is solid but not dominant: 77067 ranks #2240 of 15198 providers nationally (85th percentile; typical, unremarkable volume for this code) and 77063 ranks #2065 of 14277 (86th percentile; typical, unremarkable volume for this code). Those percentiles indicate above‑median national throughput for breast imaging among peers, yet the explicit label remains “typical, unremarkable,” so the provider is a meaningful regional contributor rather than a national outlier.

For basic radiography and some point‑of‑care imaging this provider shows unusually high throughput: 71046 (chest X‑ray) reports 986 claims with $16.8K revenue and ranks #543 of 47284 providers (99th percentile; typical, unremarkable volume for this code), and 72100 (lumbosacral spine X‑rays) ranks #628 of 26330 (98th percentile; typical, unremarkable volume for this code). At the same time 76536 (head/neck ultrasound) is flagged as notably above typical national volume (208 claims, $15K revenue, rank #540 of 15007, 96th percentile; notably above typical national volume for this code), suggesting high local demand for basic ultrasound and radiography services.

Advanced cross‑sectional imaging (CT and MRI) is present but not unusually concentrated: 74177 (CT abdomen/pelvis with contrast) reports 122 claims and $26.5K revenue (7.2% of Medicare revenue) and ranks in the mid‑range nationally, while 70553 (brain MRI with and without contrast) contributes $23.5K (6.4%) with similar mid‑percentile placement — both are described as typical, unremarkable volume for these codes. This pattern indicates the provider offers advanced imaging but does not appear to operate at the high end of CT/MRI volume compared with national peers.

The heavy reliance on mammography revenue (77067 at 28.0% and 77063 at 11.4%) combined with the top‑3 concentration of 46.6% means changes in screening volume, reimbursement, or referral patterns for breast imaging would have an outsized impact on overall Medicare revenue. From a business perspective, payers or partners assessing contracting levers should prioritize breast imaging economics and referral stability when negotiating or forecasting revenue.

Tenure and scale: the NPI was enumerated on 2006-11-20 (~20 years ago), indicating long‑standing enrollment in Medicare, but the lifetime Medicare revenue of $431.4K is modest for a diagnostic radiology physician over that interval. That combination is consistent with an individual practitioner or part‑time contributor to imaging services rather than a high‑volume independent imaging center or large hospital radiology department.

Medicare: Complete Services Breakdown

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

66 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
77067	The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…	800	$130	$102.8K
77063	The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…	800	$50	$41.8K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	120	$220	$26.5K
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	110	$210	$23.5K
71046	In 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…	990	$20	$16.8K
76536	The provider performs real–time ultrasound examination of the soft tissues of the head and neck and records and saves the images for later review.	210	$70	$15K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	150	$100	$14.4K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	100	$130	$13.3K
72148	In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.	100	$120	$11.8K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	100	$110	$11.6K

Showing 1–10 of 66

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 66 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Andrew Wilder — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

66 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
77067	14	70	360	$50	$23.5K
93306	31	60	180	$50	$19K
77063	14	60	340	$30	$13.1K
74177	31	70	110	$70	$9.7K
70553	9	40	50	$90	$8.7K
70450	40	60	160	$30	$4.9K
72148	11	50	60	$60	$4.9K
74176	12	60	60	$60	$4.3K
71250	35	60	90	$40	$3.9K
70551	37	40	40	$60	$3.8K

Showing 1–10 of 66

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
St. Marys Regional Health Center	MN	Rural Acute Care Hospital	$0	$18.7M
Trinity Health	ND	Multi-Specialty Clinic/Center	$0	$18.7M
Essentia Health Virginia, LLC	MN	General Acute Care Hospital	$0	$12.9M
Innovis Health LLC	ND	Family Medicine Physician	$0	$5.1M
Avera St Marys	SD	Multi-Specialty Clinic/Center	$0	$4.6M
Deer River Healthcare Center, Inc.	MN	Critical Access Hospital	$0	$4.6M
Innovis Health LLC	ND	Family Medicine Physician	$0	$4.5M
David Jacobs	VA	Ophthalmology Physician	$4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M

Andrew Wilder — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References