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

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

Michael Wilkinson (NPI 1427097773)

Field	Value
Entity Type	Individual
Organization	Michael Wilkinson
Address	500 University Drive Hu19
City	Hershey
State	PA
ZIP	17033
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicare	$32.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
67904	The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…	20	$640	$10.9K
99213	The 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…	170	$50	$8.1K
67917	During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…	20	$430	$7.7K
99203	The 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…	50	$60	$2.8K
68815	The provider probes the nasolacrimal duct to identify a possible obstruction or stricture; he may or may not irrigate the duct. He inserts a tube or stent to keep the nasolacrimal duct open.	10	$160	$2.2K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	10	$40	$550
92081	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for a limited…	30	$10	$350
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	50	$1	$90

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Michael Wilkinson — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
67904	52	60	30	$580	$22.7K
92012	870	930	80	$60	$14K
67917	14	20	20	$440	$9.7K
99213	5,020	22,370	70	$60	$7.7K
68815	6	10	20	$270	$6.5K
99203	2,365	7,330	30	$70	$3.5K
92081	22	30	50	$20	$1.7K
92285	54	110	50	$20	$1.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Milton S. Hershey Medical Center Physicians Group	PA	Sports Medicine (Neuromusculoskeletal Medicine) Physician	$0	$26.6M
Mohammed Razvi	MD	Vascular & Interventional Radiology Physician	$3.4M	$0
Samir Hadi	NV	Vascular & Interventional Radiology Physician	$642.2K	$0
Ghulam Mustafa	PA	Nuclear Medicine Physician	$628.8K	$140
Kristen Foering	PA	Dermatology Physician	$298.5K	$0
Amit Agarwal	PA	Diagnostic Radiology Physician	$229.9K	$0
Rami Khayat	PA	Pulmonary Disease Physician	$197.4K	$0
Jesse Bible	PA	Orthopaedic Surgery Physician	$176K	$0
Francis Lee	MA	Physical Medicine & Rehabilitation Physician	$119.1K	$55K
Frank Bowen	PA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$159.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Milton S Hershey Medical Center	PA	General Acute Care Hospital	$0	$78.9M
The Vista Foundation	PA	Public Health or Welfare Agency	$0	$19.4M
Prelude Corporation	PA	Clinical Medical Laboratory	$4.9M	$0
Hershey Outpatient Surgery Center LLC	PA	Ambulatory Surgical Clinic/Center	$802.7K	$186.3K
Rebecca Roller	PA	Internal Medicine Physician	$608.8K	$0
Ivan Zucker	PA	Nuclear Medicine Physician	$359.6K	$0
Shane Lince	PA	Surgery Physician	$266.4K	$1.1K
Hersheycare Inc	PA	Long Term Care Pharmacy	$202.5K	$0
John Tiedeken	PA	Surgery Physician	$190.2K	$0
Stuart Ort	NJ	Otolaryngology Physician	$162K	$0

Michael Wilkinson — 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

Nearby Providers

Frequently Asked Questions

References