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    OpenPayerNPI Medicare & MedicaidWilliam Wiley
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    William Wiley — Billing Profile & Reimbursement Data

    NPI 1427014570 · Warner Robins, GA · Orthopaedic Surgery Physician

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    William Wiley is a orthopaedic surgery physician provider located in Warner Robins, Georgia. This profile covers 38 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
    OrganizationWilliam Wiley
    Address3051 Watson Blvd
    CityWarner Robins
    StateGA
    ZIP31093
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedApril 25, 2006

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

    Payer SourceTotal Paid
    Medicare$361.6K
    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.

    38 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,590$60$96.9K
    J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg53,090$1$53.1K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…710$50$37K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…40$890$34.7K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…30$960$26.9K
    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…200$90$17.5K
    27236In this procedure, the provider performs an open treatment of a femur neck fracture, or a fracture in the upper end of the femur. He uses internal fixation implants such as pins, wires, or screws to…20$840$15K
    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…190$70$13K
    27245In this procedure, the provider performs an open treatment of a femoral fracture between, around, or below the trochanters. He fixes the fracture using an intramedullary implant, or an implant the…10$930$10.2K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…10$810$8.9K

    Showing 1–10 of 38

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 38 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    38 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744710236030$1,500$61.5K
    271308621030$1,450$49.4K
    298279611020$1,100$22.1K
    29828213020$1,110$21.1K
    992144,64513,640120$80$17.8K
    27245475010$780$14.1K
    27236104020$770$13.1K
    992133413,36080$60$9.2K
    J732811010,090$1$8.4K
    29824335020$330$6.6K

    Showing 1–10 of 38

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tara AdamsGANurse Practitioner$2.9M$0
    Nicolas ChronosGACardiovascular Disease Physician$1.6M$0
    Northside Radiology Associates LLCGADiagnostic Radiology Physician$0$991.9K
    Patrick ParkerGAUrology Physician$783.5K$0
    Anshul PatelGAClinical Cardiac Electrophysiology Physician$365K$0
    Lawrence GyntherGAHematology & Oncology Physician$338K$0
    Noman MalikGADiagnostic Radiology Physician$326.1K$0
    Mina JacobALVascular Surgery Physician$325.9K$0
    Steven EisenbergGACardiovascular Disease Physician$303.2K$0
    John LloydGAEmergency Medicine Physician$293.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Houston County Emergency Group, LLCGAEmergency Medicine Physician$0$5.3M
    Houston Healthcare Ems IncGALand Ambulance$1.8M$0
    Mohammad Al ShroofGAInternal Medicine Physician$1M$0
    Rahil KaziGACardiovascular Disease Physician$813.6K$0
    Central Georgia Heart Institue, LLCGACardiovascular Disease Physician$0$544K
    Houston Asc, LLCGAAmbulatory Surgical Clinic/Center$378.4K$0
    Physicians For Women, PCGAObstetrics & Gynecology Physician$0$376.4K
    Anilkumar PillaiGAInternal Medicine Physician$334.5K$0
    Mueez AhmedGACardiovascular Disease Physician$323.2K$0
    Javed FazalGAInternal Medicine Physician$304K$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. Georgia Distribution
    William Wiley — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia