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    OpenPayerNPI Medicare & MedicaidJames Wilde
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    James Wilde — Billing Profile & Reimbursement Data

    NPI 1467424291 · Sioux Falls, SD · Family Medicine Physician

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    James Wilde is a family medicine physician provider located in Sioux Falls, South Dakota. This profile covers 8 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
    OrganizationJames Wilde
    Address1115 E 20th St
    CitySioux Falls
    StateSD
    ZIP57105
    TaxonomyFamily Medicine Physician
    NPI EnumeratedFebruary 6, 2006

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

    Payer SourceTotal Paid
    Medicare$11.1K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…80$80$6.6K
    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…50$60$2.9K
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…40$10$530
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.60$10$470
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.20$10$200
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…20$10$180
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…10$10$140
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…10$10$100

    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

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148821,66090$70$11.4K
    992131,1351,71080$50$6.4K
    36415180270110$10$2.3K
    8005318621070$10$2.2K
    8502524125070$10$1.4K
    8303615416070$10$1.4K
    8004811213050$10$1.3K
    8030572040$10$530

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Of Sioux FallsSDFederally Qualified Health Center (FQHC)$0$8.6M
    Center For Family MedicineSDFamily Medicine Physician$0$2.4M
    City Of Sioux FallsSDFederally Qualified Health Center (FQHC)$0$210.4K
    City Of Sioux FallsSDFederally Qualified Health Center (FQHC)$0$126K
    City Of Sioux FallsSDFederally Qualified Health Center (FQHC)$0$121K
    Garth AasenSDAnatomic Pathology & Clinical Pathology Physician$103.3K$0
    Suzanne TarverOKPhysician Assistant$38.7K$0
    Shaina RiggsSDFamily Medicine Physician$31.2K$0
    Jennifer TinguelySDFamily Medicine Physician$2.1K$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. South Dakota Distribution
    James Wilde — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota