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

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

Peter Wilhelm (NPI 1518127224)

Field	Value
Entity Type	Individual
Organization	Peter Wilhelm
Address	1330 Exchange St Ste 201
City	Middlebury
State	VT
ZIP	05753
Taxonomy	Family Medicine Physician
NPI Enumerated	June 16, 2008

Payer Source	Total Paid
Medicare	$88.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

18 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…	510	$80	$41.7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	150	$130	$19K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	40	$280	$11.9K
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…	80	$50	$4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	340	$10	$2.7K
20610	In 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…	30	$50	$1.7K
G0008	Administration of influenza virus vaccine	50	$30	$1.5K
G0009	Administration of pneumococcal vaccine	40	$30	$1.3K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	50	$20	$980
0124A	N/A	20	$40	$840

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Peter Wilhelm — 1 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	38	960	90	$70	$10.6K
G0439	15	240	50	$120	$8.3K
90677	9	80	20	$270	$6.8K
99213	461	910	80	$50	$6.7K
G0008	108	170	70	$20	$3.5K
20610	52	80	60	$30	$3K
0124A	52	80	30	$40	$1.6K
36415	15	160	100	$10	$1.3K
0134A	33	40	20	$40	$1.3K
69210	22	30	20	$20	$1.2K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
University Of Vermont Medical Center Inc	VT	Internal Medicine Physician	$0	$17.6M
Northeastern Vermont Regional Hospital, Inc	VT	Primary Care Clinic/Center	$0	$2.8M
James Stafford	TX	Radiation Oncology Physician	$1.5M	$0
University Of Vermont Medical Center Inc	VT	General Acute Care Hospital	$0	$780.5K
Paul Unger	VT	Hematology & Oncology Physician	$744.6K	$0
University Of Vermont Health Network Specialty Care Transport, LLC	VT	Land Ambulance	$144K	$510.7K
Carlos Torres	TX	Anatomic Pathology & Clinical Pathology Physician	$580.7K	$0
Middlebury Family Health	VT	Health Maintenance Organization	$0	$547.3K
Brian Kim	VT	Ophthalmology Physician	$488.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Specialized Community Care, Inc	VT	Community/Behavioral Health Agency	$0	$60.9M
Counseling Service Of Addison County	VT	Developmental Disabilities Clinic/Center	$0	$59.6M
Counseling Service Of Addison County, Inc	VT	Clinic/Center	$0	$22.1M
Middlebury Pediatric Dentistry, PLLC	VT	Pediatric Dentistry	$0	$2.9M
Rainbow Pediatrics	VT	Pediatric Adolescent Medicine Physician	$0	$1.8M
Middlebury Volunteer Ambulance Association, Inc	VT	Ambulance	$508.9K	$1.3M
Porter Hospital, Inc	VT	Family Medicine Physician	$0	$1.3M
Brian Collins	VT	Pediatric Dentistry	$0	$606.8K
Amy Gregory	VT	Ophthalmology Physician	$306.6K	$0
Elizabeth Keathley	VT	Clinical Psychologist	$0	$303.3K

Peter Wilhelm — Billing Profile & Reimbursement Data

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Peter Wilhelm — 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