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

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

Jerald Wiley (NPI 1528123130)

Field	Value
Entity Type	Individual
Organization	Jerald Wiley
Address	1520 3rd St Nw
City	Great Falls
State	MT
ZIP	59404
Taxonomy	Chiropractor
NPI Enumerated	December 26, 2006

Payer Source	Total Paid
Medicare	$9.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
98940	The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.	530	$20	$10.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Jerald Wiley — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
98940	10	100	150	$20	$4.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quality Life Concepts Inc.	MT	Community/Behavioral Health Agency	$0	$26M
Central Montana Eyecare PC	MT	Optometrist	$0	$1.8M
Martha Morgan	MT	Clinical Social Worker	$15.9K	$546.9K
Tanya Richem	MT	Professional Counselor	$0	$546.5K
Lisa Anderson Mangan	MT	Professional Counselor	$0	$500.6K
Pacific Cataract And Laser Institute Inc PC	MT	Ambulatory Surgical Clinic/Center	$379.3K	$0
Rays Of Light, LLC	MT	Community/Behavioral Health Agency	$0	$367.2K
Sharon Altschwager	MT	Counselor	$0	$327K
Elisabeth Purdy	MT	Professional Counselor	$0	$246.4K
Carey Welsh	MT	Family Medicine Physician	$116.1K	$0

Jerald Wiley — Billing Profile & Reimbursement Data

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Jerald Wiley — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References