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    OpenPayerNPI Medicare & MedicaidEric Wise
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    Eric Wise — Billing Profile & Reimbursement Data

    NPI 1487917704 · Bangor, ME · Interventional Pain Medicine Physician

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    Eric Wise is a interventional pain medicine physician provider located in Bangor, Maine. This profile covers 25 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
    OrganizationEric Wise
    Address1365 Broadway
    CityBangor
    StateME
    ZIP04401
    TaxonomyInterventional Pain Medicine Physician
    NPI EnumeratedJune 21, 2012

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

    Payer SourceTotal Paid
    Medicare$256K
    Medicaid$0

    Key Findings

    Clinical/service-line profile: The provider's Medicare code mix is strongly procedural and interventional, centered on image-guided spinal and joint injections consistent with an Interventional Pain Medicine Physician. High-volume spinal procedures such as 62323 (290 claims) and sacroiliac joint injections 27096 (206 claims) are prominent, and frequent use of imaging guidance is supported by both fluoroscopic codes and a very high count for 76942 (340 claims).

    Revenue concentration: The provider's Medicare revenue is concentrated in a handful of procedures — the top 3 Medicare codes by revenue (62323, 27096, 64635) account for 43.9% of this provider's total Medicare revenue, signaling reliance on image‑guided injection and neurolytic procedures for revenue generation.

    Payer mix and scale: This profile is effectively single‑payer Medicare — Total Medicare revenue is $256K and there is no Medicaid billing on file (none below), so Medicaid contributes no measurable revenue for this NPI.

    Competitive standing by code: The provider ranks well above peers on several injection and imaging codes: 27096 ranks #79 of 5443 providers nationally (99th percentile; extreme outlier, far above typical national volume) and 62323 ranks #314 of 7397 (96th percentile; notably above typical national volume), indicating a nationally elevated procedural volume in sacroiliac and lumbar epidural injections. In contrast, 64635 ranks #1834 of 5957 (68th percentile; typical, unremarkable volume), showing that radiofrequency/neurolytic services are closer to typical peer levels.

    High-volume ancillary items and drug claims: The record shows very high claim counts for certain supplies/drugs and ultrasound guidance — J1030 has 1.1K claims ($6 avg paid/claim) and J1100 has 4.5K claims with $0 avg paid/claim and $0 revenue, while 76942 (ultrasound guidance) is in the 99th percentile nationally. These counts suggest frequent use of injectables and imaging support in procedural workflows, though some lines (J1100, J2250) show $0 recorded revenue in these files.

    Mix of procedures and office evaluation: The billing mix includes both procedural codes and evaluation/management visits, with 99214 (127 claims, $89 avg paid/claim, $11.3K revenue) and 99204 (74 claims, $118 avg paid/claim, $8.7K revenue) present alongside numerous injection codes. This indicates the practice manages both new/established office care and a high volume of interventional procedures rather than being purely procedure-only.

    Local/state Medicaid comparators: There is no Medicaid billing on file (none below), so the provider cannot be benchmarked against in‑state Medicaid peers and appears to operate without measurable Medicaid revenue at this NPI.

    Tenure and operational implications: The NPI was enumerated 2012-06-21 (~14 years ago), indicating an established practice history; combined with concentrated Medicare revenue ($256K) and several nationally high percentiles for specific injection and imaging codes, this suggests an experienced interventional pain practice that focuses on a narrow set of high-frequency procedures rather than a broad multi‑payer outpatient or inpatient revenue base.

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    62323The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)…290$190$54.5K
    27096The provider performs an injection in the joint between the sacrum and ilium on one side of the body, with the aid of imaging equipment to locate the injection site. He injects an anesthetic to…210$150$31.3K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.60$470$26.3K
    76942Ultrasonography uses sound waves of higher frequencies (above the normal hearing capacity of a healthy human, i.e., 20 kHz) to visualize inner organs. When the sound waves pass through the human…340$40$13.9K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…50$260$13.8K
    62321The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the cervical (neck) or thoracic (upper and middle back)…60$190$11.4K
    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…130$90$11.3K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…130$80$11.3K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…60$180$10.7K
    20552Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.260$40$9.1K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J732121090$60$12.5K
    6463522030$290$9.8K
    6232312050$130$8.8K
    64483142040$130$7.2K
    992147292,50070$70$7.2K
    2709612040$110$6.4K
    64493102050$120$6K
    20611134050$70$5.2K
    992136012,35050$50$4.3K
    6463632030$120$3.7K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northeast Pain Management, PCMEInterventional Pain Medicine Physician$0$1.3M
    John TivnanMEInterventional Pain Medicine Physician$167.6K$0
    Brian KaufmanMEInterventional Pain Medicine Physician$113.7K$0
    Frederick LittlejohnMEPain Medicine (Anesthesiology) Physician$54.9K$0
    William ZolperMEInterventional Pain Medicine Physician$46.6K$0
    Peter ThompsonMEInterventional Pain Medicine Physician$44.5K$0
    Julie NormandMEPhysical Therapist$35.1K$0
    Angela MichalkaMEPhysician Assistant$16.1K$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. Maine Distribution
    Eric Wise — 7 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine