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    OpenPayerNPI Medicare & MedicaidJoseph Wilson
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    Joseph Wilson — Billing Profile & Reimbursement Data

    NPI 1497915698 · Durham, NC · Orthopaedic Surgery Physician

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    Joseph Wilson is a orthopaedic surgery physician provider located in Durham, North Carolina. This profile covers 15 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
    OrganizationJoseph Wilson
    Address120 William Penn Plz
    CityDurham
    StateNC
    ZIP27704
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedJune 11, 2008

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

    Payer SourceTotal Paid
    Medicare$146.7K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    23472In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…50$1,070$48.2K
    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…430$90$36.9K
    23406In this procedure, the provider performs a multiple tenotomy in the shoulder area in which he incises or divides multiple tendons through the same incision in the skin. The provider performs this…40$300$11.3K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…90$100$8.9K
    29827The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…10$690$7.5K
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…130$50$6.5K
    73030This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.250$30$6.3K
    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…90$70$5.9K
    29824The provider examines the tissue inside the shoulder joint with an arthroscope and inserts additional instruments to remove a portion of the clavicle, or collarbone. An arthroscopic Mumford procedure…20$240$4.7K
    23405In this procedure, the provider performs a tenotomy in the shoulder area in which he incises or divides a single tendon through a small incision in the skin. The provider performs this procedure to…10$310$3.4K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2982710812020$1,000$25K
    234721313020$750$17.9K
    992142,03218,060110$80$15.1K
    2340611040$300$11.3K
    29824296020$310$7.5K
    992136,61016,32070$50$7.1K
    206104561,62060$50$5.1K
    992046,3718,43030$110$4.8K
    732214727030$80$4.2K
    2340521010$270$3.2K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emergeortho PANCOrthopaedic Surgery Physician$0$20.9M
    Arthur KalmanFLPhysical Medicine & Rehabilitation Physician$640.3K$0
    Francis PecoraroNCInterventional Pain Medicine Physician$569.7K$0
    Lawrence MontaltoNCPain Medicine Physician$497.8K$0
    Garlon CampbellNCPain Medicine (Anesthesiology) Physician$495.6K$0
    Shawn HockerNCSports Medicine (Orthopaedic Surgery) Physician$485.4K$0
    Werner BrooksNCOrthopaedic Surgery Physician$468K$0
    Jimmy MaliNCPhysical Medicine & Rehabilitation Physician$421.2K$0
    David ZubNCPain Medicine Physician$419.2K$0
    Eric LescaultNCOrthopaedic Surgery Physician$399.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Private Diagnostic Clinic, PLLCNCPediatrics Physician$0$17.5M
    Sunrise Clinical Associates, PLLCNCCommunity/Behavioral Health Agency$0$16.5M
    County Of Durham Finance DeptNCLand Ambulance$2.4M$11.3M
    Rapha Healthcare Services,llcNCMulti-Specialty Clinic/Center$0$13.6M
    Php Of Nc, IncNCDevelopmentally Disabled Services Day Training Agency$0$12.7M
    Bayada Home Health, Care, Inc.NCHome Health Agency$0$11.6M
    Duke University Health System, Inc.NCGeneral Acute Care Hospital$0$11.6M
    Duke University Health System, Inc.NCParenteral & Enteral Nutrition Supplies (DME)$0$8.3M
    Duke University Health System, Inc.NCInternal Medicine Physician$0$7.6M
    Associated Health Services, Inc.NCAmbulatory Surgical Clinic/Center$1.6M$102.4K

    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. North Carolina Distribution
    Joseph Wilson — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina