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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMisti Wilson
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    Misti Wilson — Billing Profile & Reimbursement Data

    NPI 1407035629 · Midlothian, VA · Surgery Physician

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    Misti Wilson is a surgery physician provider located in Midlothian, Virginia. This profile covers 10 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
    OrganizationMisti Wilson
    Address601 Watkins Centre Pkwy
    CityMidlothian
    StateVA
    ZIP23114
    TaxonomySurgery Physician
    NPI EnumeratedOctober 25, 2007

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

    Payer SourceTotal Paid
    Medicare$70K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    19301The provider removes a lesion, including surrounding margins, or a significant portion (a segment or quadrant) of the breast without removing the entire breast or lymph nodes.50$520$24.6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…60$170$10.1K
    19303The provider removes the entire breast, nipples, and skin surrounding the nipple–areolar complex but leaves the pectoralis major and minor muscles and axillary nodes in place.10$720$7.9K
    38525The provider surgically removes the lymph nodes in the deep axilla through an open incision. He may send them to the laboratory for analysis. The provider performs the procedure as an investigation…40$180$7.6K
    76642In this procedure, the provider performs a focused ultrasound of one breast on a limited area. The procedure includes documentation of the images.90$70$6.5K
    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…70$60$4.1K
    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…40$100$3.6K
    99203The 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…30$80$2.2K
    76998The provider uses ultrasound guidance during a surgical procedure to examine organs and other tissues for abnormalities.40$50$1.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…10$140$1.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921410,50712,890140$80$21K
    19301127030$530$18.5K
    19303172010$910$12.7K
    992137,31212,44090$60$10K
    992153,8524,03040$120$9.5K
    3852556020$240$6K
    992052631,62030$150$5.7K
    992032,7244,92030$70$3.8K
    766428527070$40$3K
    7699862020$50$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bon Secours St Francis Medical Center LLCVAGeneral Acute Care Hospital$0$44.9M
    Bon Secours Medical Group Richmond Primary Care LLCVAFamily Medicine Physician$0$15.1M
    Bon Secours Medical Group Richmond Specialty Care LLCVACardiovascular Disease Physician$0$12.9M
    Bon Secours Medical Group Hampton Roads Specialty Care LLCVACardiovascular Disease Physician$0$9.8M
    Saquib SameeVACardiovascular Disease Physician$1.1M$0
    Mitesh AminVACardiovascular Disease Physician$921.2K$2K
    Shaival KapadiaVACardiovascular Disease Physician$781.5K$0
    Jed VanichkachornVAOrthopaedic Surgery of the Spine Physician$557.2K$0
    Ramesh KundurVACardiovascular Disease Physician$522.7K$90
    Jaspreet SinghVACardiovascular Disease Physician$521.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeremy KennedyVADermatology Physician$483.5K$0
    Omar ShamsVACardiovascular Disease Physician$338.9K$0
    Stephen YoungVAEndocrinology, Diabetes & Metabolism Physician$320.8K$0
    David HolstVAOrthopaedic Surgery Physician$284.7K$0
    Mark HadfieldVAOrthopaedic Surgery Physician$271.5K$0
    Donald YeattsVAFamily Medicine Physician$271K$0
    Rishika KaundalVAFamily Medicine Physician$265.2K$0
    Amber SykesVAPhysician Assistant$214.8K$0
    Paul KiritsisVAOrthopaedic Surgery Physician$206.7K$0
    Timothy WittenauerVAPhysical Therapist$177.9K$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. Virginia Distribution
    Misti Wilson — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia