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

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

Evan Wenger (NPI 1467411983)

Field	Value
Entity Type	Individual
Organization	Evan Wenger
Address	57 N Medical Park Dr Ste 109
City	Fishersville
State	VA
ZIP	22939
Taxonomy	Sleep Medicine (Psychiatry & Neurology) Physician
NPI Enumerated	March 22, 2006

Payer Source	Total Paid
Medicare	$61.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	450	$70	$29.2K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	170	$80	$13.9K
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	90	$80	$7.1K
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…	60	$80	$5.2K
99214	The 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	$3.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	20	$100	$1.8K
95806	A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.	40	$30	$1.3K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Evan Wenger — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	10,577	12,890	140	$80	$21K
95810	5	120	50	$290	$16.2K
95811	19	110	40	$300	$15.7K
99213	1,013	12,440	90	$60	$10K
99222	2,301	3,120	30	$100	$4.4K
99203	1,340	4,920	30	$70	$3.8K
95806	20	50	30	$50	$2.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Augusta Health Care, Inc	VA	General Acute Care Hospital	$0	$63.6M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Augusta Medical Group	VA	General Practice Physician	$0	$12.6M
Sainath Gaddam	TX	Interventional Cardiology Physician	$251.9K	$538.3K
Ashkan Karimi	VA	Interventional Cardiology Physician	$775.6K	$0
Sumit Duggal	MD	Cardiovascular Disease Physician	$648.3K	$0
David Wood	CA	Diagnostic Radiology Physician	$641.3K	$2.7K
Todd Blodgett	PA	Diagnostic Radiology Physician	$380.1K	$254K
Timothy Kane	VA	Psychiatry Physician	$429.4K	$103.4K
James Sluss	VA	Diagnostic Radiology Physician	$364K	$90K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shenandoah Emergency Medicine Specialists LLC	VA	Emergency Medicine Physician	$0	$7.5M
Shil Patel	VA	Ophthalmology Physician	$6.1M	$0
Ashley Blurton	VA	Nuclear Medicine Physician	$2.9M	$0
Yevgeniy Shildkrot	VA	Ophthalmology Physician	$1.5M	$0
Blue Ridge Pathologists PC	VA	Anatomic Pathology Physician	$224.6K	$1.2M
James Tiedeman	VA	Ophthalmology Physician	$782.7K	$0
William Jones	VA	Urology Physician	$468.4K	$0
David Barnes	VA	Specialist	$405.8K	$150
Rachna Patel	VA	Specialist	$377K	$0
Glenn Brammer	VA	Clinical Cardiac Electrophysiology Physician	$375.6K	$0

Evan Wenger — Billing Profile & Reimbursement Data

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Evan Wenger — 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