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

Why is the Medicaid comparison limited to Idaho 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. Idaho (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.

Nathan Wheatley (NPI 1407307259)

Field	Value
Entity Type	Individual
Organization	Nathan Wheatley
Address	1090 W Park Pl
City	Coeur D Alene
State	ID
ZIP	83814
Taxonomy	Medical Physician Assistant
NPI Enumerated	October 17, 2016

Payer Source	Total Paid
Medicare	$111.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	1,220	$70	$87.8K
99348	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…	420	$50	$19K
99344	The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…	40	$90	$3.4K
99347	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at…	40	$20	$910
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	10	$70	$800
99497	The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…	10	$50	$620

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Nathan Wheatley — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	106	110	190	$70	$19.3K
99349	2	80	120	$80	$14.3K
99497	102	110	40	$60	$4.4K
99348	2	70	50	$40	$3.6K
99344	5	40	20	$80	$2K
99347	6	20	30	$20	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utah Regional Hospitalists LLC	UT	Hospitalist Physician	$0	$7M
Harry Lazarte	AR	Internal Medicine Physician	$621.4K	$0
Craig Robison	AZ	Interventional Cardiology Physician	$598.1K	$0
Meza Post Acute And Long Term Care, PLLC	ID	Geriatric Medicine (Family Medicine) Physician	$0	$507.4K
Garth Muir	UT	Internal Medicine Physician	$403.2K	$24.3K
John Hemmersmeier	UT	Family Medicine Physician	$382K	$0
Gregory Baird	UT	General Practice Physician	$350.3K	$13.4K
David Smith	UT	Internal Medicine Physician	$355.8K	$0
Abdul Fattah Saidi	WA	Interventional Cardiology Physician	$293.8K	$0
Cydney Mortensen	UT	Physician Assistant	$281K	$0

Nathan Wheatley — Billing Profile & Reimbursement Data

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Nathan Wheatley — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References