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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWesley Merritt
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    Wesley Merritt — Billing Profile & Reimbursement Data

    NPI 1396700571 · Allen, TX · Specialist

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    Wesley Merritt is a specialist provider located in Allen, Texas. This profile covers 14 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
    OrganizationWesley Merritt
    Address1111 Raintree Cir
    CityAllen
    StateTX
    ZIP75013
    TaxonomySpecialist
    NPI EnumeratedApril 19, 2006

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

    Payer SourceTotal Paid
    Medicare$90.3K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…420$90$36.8K
    00811The provider performs anesthesia services for a patient undergoing an unspecified lower intestinal endoscopic procedure where the surgical provider introduces an endoscope into the intestines up to…250$50$12.5K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…230$50$12.1K
    96136The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…310$30$9.5K
    00813The anesthesia provider performs anesthesia services for a patient undergoing both upper and lower intestinal endoscopy where the surgical provider introduces an endoscope into the intestines above…80$60$5K
    00812The provider performs anesthesia services for a patient undergoing a screening colonoscopy during which the surgical provider introduces an endoscope into the intestines below the duodenum, the part…60$50$2.9K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…20$100$2.2K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.20$150$2.2K
    00732The anesthesia provider performs anesthesia services for an endoscopic retrograde cholangiopancreatography (ERCP) during which another provider introduces the endoscope to the proximal (upper) part…20$80$1.5K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).10$100$1.4K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6463548954040$370$19.1K
    6448366969060$190$18.3K
    992144,60432,500110$80$17.6K
    6449355164050$180$12.3K
    9921327,34029,79070$60$8.4K
    6463635944040$140$6.7K
    6449443152040$70$3.9K
    961362019040$30$3.6K
    00811212,11020$80$3.2K
    003203211020$150$2.7K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Steven SloanTXAnesthesiology Physician$386.5K$0
    James FayTXPain Medicine (Anesthesiology) Physician$381.7K$0
    John DelhagenTXAnesthesiology Physician$92.5K$0
    Raymond DanchakTXAnesthesiology Physician$60.4K$0
    Rickey KinzeyTXAddiction Medicine (Family Medicine) Physician$56.7K$0
    Corey HaggardTXAnesthesiology Physician$49.4K$0
    Marla HadelerTXCertified Registered Nurse Anesthetist$47.7K$0
    Deneice BrannanARCertified Registered Nurse Anesthetist$36.6K$0
    Melissa RaschbaumTXCertified Registered Nurse Anesthetist$34.4K$0
    Jennifer LuceroTXCertified Registered Nurse Anesthetist$33.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Epic Pediatric Therapy, LPTXRehabilitation Clinic/Center$0$15.5M
    Mark JenningsTXInternal Medicine Physician$2.1M$0
    Texas Health Spine Surgery Center Allen, LLCTXAmbulatory Surgical Clinic/Center$1M$0
    Kevin MunsonTXOptometrist$780.6K$172.5K
    Douglas WikeTXOptometrist$248.2K$500
    Deepthi ThotakuraTXHematology & Oncology Physician$235.4K$0
    Ray NgTXPrimary Podiatric Medicine Podiatrist$210K$0
    Satish BagdureTXInternal Medicine Physician$205.6K$0
    Steven RemerTXPain Medicine (Anesthesiology) Physician$203.5K$0
    Brent BelvinTXPhysical Medicine & Rehabilitation Physician$200.4K$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.

    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. Texas Distribution
    Wesley Merritt — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas