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

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

Allan Wicks (NPI 1497792402)

Field	Value
Entity Type	Individual
Organization	Allan Wicks
Address	1230 E 1st St
City	Casper
State	WY
ZIP	82601
Taxonomy	Cardiovascular Disease Physician
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicare	$370.6K
Medicaid	$0

Key Findings

This provider’s public billing footprint is almost exclusively Medicare: lifetime Medicare revenue is $370.6K while Medicaid is listed as none (no Medicaid billing on file), indicating an effectively single‑payer Medicare practice and limited exposure to Medicaid patient volume or state program contracting. Analysts should treat Medicaid-managed care and state-level risk as absent in this profile unless non-Medicare data surfaces elsewhere.

Revenue concentration is high: the precomputed top three Medicare codes — 99214 (27.4%), 93306 (17.3%), and 99213 (13.1%) — together account for 57.8% of this provider’s total Medicare revenue. This concentration signals material dependence on a small set of office visit and echocardiography services for the majority of Medicare dollars.

The service mix points to a clinically broad cardiology practice that centers on outpatient evaluation and diagnostic imaging. High-revenue E/M codes (99214, 99213, plus notable volume of 99204) dominate reimbursements while noninvasive cardiac imaging is also prominent (93306, 93000, 78452, A9500), and there is limited but present invasive work (93460) and imaging supervision (93458, 93456).

Competitive standing by code shows unusually high national visit volumes for office E/M: 99214 ranks in the 98th percentile and 99213 in the 97th percentile and are described as notably above typical national volume; this suggests the provider is a high-volume clinician nationally on core outpatient cardiology visits. By contrast, key diagnostic imaging codes sit at more moderate peer positions — 93306 is at the 89th percentile (labeled typical, unremarkable volume) and 93456 is lower relative to peers (11th percentile, labeled typical, unremarkable volume) — indicating strong visit throughput but more typical imaging volumes versus national echo/angiography specialists.

Operationally, throughput for monitoring and simple diagnostics is substantial: 93000 (ECG) appears with 914 claims and $10.1K revenue and ranks in the 97th percentile (notably above typical national volume), while INR and anticoagulation management codes such as 93793 (1K claims, $9.1K revenue) and routine coagulation testing 85610 (724 claims, $2.9K revenue) reflect high recurring monitoring activity that supports chronic-care follow-up and anticoagulation management. These volumes imply a steady panel of managed patients requiring frequent monitoring.

Although noninvasive diagnostics drive most imaging revenue, there is evidence of some invasive procedure capability: 93460 (coronary angiography) contributes $11.2K (3.1% of Medicare revenue) and 93458 (imaging supervision for left heart cath) contributes $5.4K (1.5%). The relatively small revenue share for these cath-related codes compared with echo and E/M suggests interventional activity exists but is not the primary revenue engine.

Tenure is long: the NPI was enumerated on 2006-05-31 (~20 years ago), indicating an established clinical presence and likely sustained referral relationships in Casper, WY. This longevity, paired with high E/M volumes, supports the interpretation of a stable outpatient cardiology practice.

From a contracting and network strategy perspective, the combination of high Medicare dependency ($370.6K Medicare; none (no Medicaid billing on file) Medicaid) and a narrow revenue concentration (top three codes = 57.8%) means payers and health systems should view this provider as a Medicare‑centric cardiology resource with predictable outpatient visit and diagnostic testing volume, but with limited participation in Medicaid populations or diversified payer mixes.

Medicare: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,030	$100	$99K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	560	$110	$62.4K
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…	740	$60	$47.3K
78452	In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…	80	$290	$21.4K
99204	The 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…	170	$120	$20.8K
A9500	Technetium tc-99m sestamibi, diagnostic, per study dose	120	$130	$15K
93460	The provider performs coronary angiography, an imaging study of the vessels in the heart. He inserts tubing into an artery, typically in the groin or arm, and threads it into both the left and right…	40	$290	$11.2K
93000	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	910	$10	$10.1K
93793	The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and…	1,010	$10	$9.1K
J2785	Injection, regadenoson, 0.1 mg	200	$40	$7.4K

Showing 1–10 of 40

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Allan Wicks — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

40 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
93306	3	20	300	$100	$29.6K
A9500	3	10	90	$130	$15.8K
99214	14	780	100	$80	$14.8K
78452	10	20	70	$210	$13.7K
99233	97	110	70	$90	$11.3K
99232	117	190	90	$60	$11K
J2785	4	10	180	$40	$10.6K
93351	5	10	30	$170	$9.9K
99213	27	850	110	$60	$9.9K
93460	3	10	20	$250	$9.6K

Showing 1–10 of 40

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Riverton Memorial Hospital LLC	WY	Rural Acute Care Hospital	$0	$4.7M
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M
Aspire Case Management Services	WY	Case Management Agency	$0	$2.3M

Allan Wicks — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References