Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidKelly Wirsing
    Ask Trek AI about this page

    Kelly Wirsing — Billing Profile & Reimbursement Data

    NPI 1427268010 · Midland, MI · Surgery Physician

    Customize your policy alerts

    Sign up for Kelly Wirsing — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Kelly Wirsing is a surgery physician provider located in Midland, Michigan. This profile covers 9 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKelly Wirsing
    Address4320 Campus Ridge Drive
    CityMidland
    StateMI
    ZIP48640
    TaxonomySurgery Physician
    NPI EnumeratedMay 23, 2007

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

    Payer SourceTotal Paid
    Medicare$34K
    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.

    9 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.40$510$19.5K
    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…50$140$6.4K
    38900The provider injects a nonradioactive dye into the tissues surrounding the lymph nodes. The provider examines the lymph nodes during the procedure to detect the presence of disease and identify the…20$110$2.1K
    38500The provider performs an open excision or biopsy of the  lymph nodes lying near the surface of the body using a scalpel. The provider commonly performs this procedure to identify and diagnose the…10$100$1.3K
    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$100$1.2K
    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…30$40$1.1K
    99204The provider sees a new 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 provider…10$100$1.1K
    G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…40$20$870
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…10$30$380

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1930155030$510$12.2K
    9921311,59214,81060$60$6.6K
    992154,1434,42030$110$6K
    992052351,68020$150$4.3K
    992045,9536,28030$110$4.2K
    38900114020$120$2.1K
    992122,3892,75030$40$2K
    3850011010$100$1.3K
    G22124714030$20$1.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mymichigan Medical Center MidlandMIGeneral Acute Care Hospital$0$50M
    Mymichigan Medical Center MidlandMIMulti-Specialty Clinic/Center$0$24.3M
    Mymichigan Medical Center MidlandMIGeneral Acute Care Hospital$0$9.9M
    Mymichigan Medical Center MidlandMIEmergency Medicine Physician$0$7.2M
    Kathleen Settle-ladonnaMDRadiation Oncology Physician$858.9K$0
    Eyad Abu-isaMIRadiation Oncology Physician$409K$0
    Fadi RzouqNEGastroenterology Physician$370.1K$0
    Mouhammed JoumaaMIInterventional Cardiology Physician$360K$0
    Alain Fondjo DomkamMSVascular Surgery Physician$251.1K$0
    Beeravolu ReddyMIInterventional Cardiology Physician$248.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stuart T.wilson C.p.a.,p.c.MISupports Brokerage Agency$0$229.4M
    Central State Community Services, Inc.MIHome Health Agency$0$77.3M
    Personal Assistance Options, IncMIIn Home Supportive Care Agency$0$14.3M
    Arnold Center, Inc.MICommunity/Behavioral Health Agency$0$12.4M
    Ten Sixteen Recovery NetworkMIAddiction (Substance Use Disorder) Psychologist$0$7.8M
    Vail House-midland Inc.MIHome Health Agency$0$6.2M
    Nps Associates, LLCMIAmbulatory Surgical Clinic/Center$652.1K$215.2K
    Adeel KhanMINephrology Physician$310.9K$0
    Jennifer NashMIDermatology Physician$237.3K$0
    Opesanmi EsanMIClinical Cardiac Electrophysiology Physician$182.2K$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. Michigan Distribution
    Kelly Wirsing — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan