Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidEugene Wade
    Ask Trek AI about this page

    Eugene Wade — Billing Profile & Reimbursement Data

    NPI 1548256266 · Kernersville, NC · Family Medicine Physician

    Customize your policy alerts

    Sign up for Eugene Wade — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Eugene Wade is a family medicine physician provider located in Kernersville, North Carolina. This profile covers 29 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEugene Wade
    Address1635 Nc Hwy 66 South
    CityKernersville
    StateNC
    ZIP27284
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 27, 2005

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

    Payer SourceTotal Paid
    Medicare$7.2M
    Medicaid$0

    Key Findings

    This provider’s billed activity is effectively single‑payer: total Medicare revenue is $7.2M while Medicaid shows none on file, so Medicare dominates this provider’s reimbursement profile and any payer‑mix analysis should treat the practice as Medicare‑centric. The absence of Medicaid billing limits comparative in‑state Medicaid insights and suggests the provider does not participate materially in Medicaid‑funded infusion services.

    Revenue is highly concentrated in a small set of biologic administration codes: the precomputed top 3 Medicare codes account for 54.0% of this provider’s total Medicare revenue, led by J3245 ($1.9M revenue, 27.1%), J9332 ($1.4M revenue, 20.3%), and J0517 ($474.8K revenue, 6.6%). This concentration indicates the business relies on a few high‑revenue injectable biologics for the bulk of Medicare receipts.

    The code mix indicates an operational focus on on‑site drug administration and specialty biologic therapy rather than routine primary care visits: many top codes are J‑codes for monoclonal antibodies and other infused/ injected biologics (examples include J3245, J9332, J1459 and J0517), and multiple high‑volume infusion/administration CPTs are present (96365, 96366, 96372). Together these codes suggest the practice operates regular infusion and injection services—administering both chronic biologics and episodic IV therapies.

    For several leading therapies this provider is a national outlier or near‑outlier: J3245 ranks #1 of 225 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code), showing outsized market share in tildrakizumab administration; J9332 also ranks #1 of 5 providers nationally (100th percentile) though it is noted as a typical, unremarkable volume context for that code, indicating the national pool for J9332 is small. These rankings imply the provider is a dominant national supplier for certain specific drugs while the competitive interpretation can vary by drug due to niche market sizes.

    Several infusion and administration CPTs and additional J‑codes show above‑typical volume, reinforcing the infusion‑centric service line: J3032 ranks #3 of 71 providers nationally (97th percentile; notably above typical national volume for this code), 96365 ranks #103 of 8873 providers nationally (99th percentile; notably above typical national volume for this code), 96366 ranks #87 of 2976 providers nationally (97th percentile; notably above typical national volume for this code), and 96372 ranks in the 99th percentile and is described as an extreme outlier. These patterns point to consistently higher use of infusion administration relative to most peers.

    The provider plays a more modest role for some other high‑cost agents: J2350 contributes $290.4K (4.1%) but ranks #96 of 105 providers nationally (6th percentile; typical, unremarkable volume for this code), indicating limited participation for that specific drug despite nontrivial revenue. Analysts should therefore distinguish between dominant positions (e.g., J3245) and codes where the provider’s revenue is meaningful but the national rank indicates modest market share.

    The practice also bills for a mix of supportive and specialty infusions beyond monoclonal antibodies—examples include J1459 (IVIG) at $398.1K (5.6%), J9312 (rituximab) at $217.4K (3.0%), and J1745 (infliximab) at $135.7K (1.9%). Presence of these products alongside chemotherapy administration codes such as 96413 ($32.9K) suggests the operation can handle a spectrum of infusion types from immune globulins to oncology‑related agents, which has implications for staffing, supply procurement, and payer contracting.

    This profile is supported by long tenure: the NPI was enumerated on 2005-09-27 (~21 years ago), indicating an established operating history. For payers and competitors evaluating contracting or referral relationships, the combination of long tenure and a concentrated, infusion‑heavy revenue base signals a stable but specialized provider whose negotiating leverage and clinical niche will hinge on its dominance in a few high‑revenue biologics.

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3245Injection, tildrakizumab, 1 mg17,500$110$1.9M
    J9332Injection, efgartigimod alfa-fcab, 2mg60,400$20$1.4M
    J0517Injection, benralizumab, 1 mg3,570$130$474.8K
    J1459Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg10,760$40$398.1K
    J2356Injection, tezepelumab-ekko, 1 mg24,780$20$371.7K
    J2357Injection, omalizumab, 5 mg10,100$30$312.9K
    J2350Injection, ocrelizumab, 1 mg6,600$40$290.4K
    J2182Injection, mepolizumab, 1 mg11,800$20$271.4K
    J3032Injection, eptinezumab-jjmr, 1 mg20,600$10$267.8K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)7,550$30$256.7K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J933211060,400$20$1.5M
    J32451103,400$110$640.2K
    J235091011,550$40$445.6K
    J012943709,530$30$393.2K
    J14592105,210$40$353.7K
    J235611019,950$10$276K
    J218241011,950$20$239.8K
    J0517210840$130$222.3K
    J93124202,070$60$178.1K
    J30321106,300$10$137.6K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan DayTXDiagnostic Radiology Physician$245.1K$0
    Jason ChristieINVascular Surgery Physician$92.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advantis Laboratories LLCNCClinical Medical Laboratory$322.9K$448.1K
    Adnan JavaidNCPulmonary Disease Physician$199.7K$392.2K
    Guardian Pharmacy Of Eastern Nc, LLCNCLong Term Care Pharmacy$203.4K$8.4K
    Digestive Health Specialists, PANCAmbulatory Surgical Clinic/Center$124.3K$13.5K
    Andrew ChowNCInternal Medicine Physician$85.8K$0
    Davonia MichaelNCAnatomic Pathology & Clinical Pathology Physician$82.2K$0
    Alexander PowersNCNeurological Surgery Physician$55.6K$0
    Stephen CockburnNCNeurology Physician$53K$0
    Kernersville Pharmacy LLCNCCommunity/Retail Pharmacy$52.7K$0
    Jennifer HarveyNCFamily Medicine Physician$28.5K$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. North Carolina Distribution
    Eugene Wade — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina