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NPI 1578500336 · Pomona, CA · Surgery Physician
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Ming-wei Wu is a surgery physician provider located in Pomona, California. This profile covers 26 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Ming-wei Wu |
| Address | 3191 W Temple Ave Ste 110 |
| City | Pomona |
| State | CA |
| ZIP | 91768 |
| Taxonomy | Surgery Physician |
| NPI Enumerated | June 1, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $9.8M |
| Medicaid | $670 |
MING-WEI WU has a long-tenured NPI (enumerated 2006-06-01, ~20 years ago) and is overwhelmingly Medicare-facing: total Medicare revenue is $9.8M versus total Medicaid revenue of $673, indicating the practice’s commercial scale and financial dependence is effectively single-payer (Medicare) rather than dual-payer.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 83.4% of this provider's total Medicare revenue. Those top contributors are Q4205 ($4.1M, 42.3% of Medicare revenue), Q4221 ($3.3M, 34.2% of Medicare revenue), and Q4253 ($674.6K, 6.9% of Medicare revenue), showing a narrow set of products drive the bulk of receipts.
The provider’s code mix is dominated by amniotic/membrane graft products (Q4205, Q4221, Q4253 and related Q-codes) alongside skin substitute and debridement services (e.g., 15271, 11043), which is consistent with a practice oriented toward grafting and wound/skin-substitute procedures rather than broad surgical procedures. For example, 15271 appears with 775 claims and $91.5K revenue, and debridement code 11043 appears with 329 claims and $53.3K revenue, supporting a wound-care/surgical grafting service-line interpretation.
Competitive standing is mixed by code: the provider ranks #1 of 4 for Q4221 (100th percentile) but that peer set is small and the supplied label is "typical, unremarkable volume for this code," so the top position reflects a small national market presence rather than broad dominance. For Q4205 the provider ranks #9 of 63 (87th percentile; typical, unremarkable volume), while Q4253 ranks #49 of 73 (33th percentile; typical, unremarkable volume), indicating prominence in a few niche products but more modest positioning on others; Q4226 even shows as rank #1 of 1 nationally with no peer volume comparison available.
The practice reports unusually high volumes of nursing-facility and home/residence E/M visits in Medicare: 99308 appears with 4.7K claims and $277.8K revenue and ranks #123 of 25763 providers nationally (100th percentile; labeled an "extreme outlier"), while 99348 has 1.2K claims and $78.2K revenue and ranks #121 of 11547 (99th percentile; "extreme outlier"). These patterns point to a sustained operational emphasis on post-acute or residential care visits in addition to graft/product billing.
Medicaid billing is negligible in scale and concentrated: total Medicaid revenue is $673 and the Medicaid activity is entirely concentrated in 99308 (25 claims, $27 avg paid/claim), which the dataset flags as accounting for 100.0% of the provider’s Medicaid revenue. The Medicaid rank for that code is #1045 of 1148 in-state (9th percentile; typical, unremarkable volume), underscoring a very limited Medicaid footprint relative to Medicare.
Several codes are flagged as statistical outliers in Medicare beyond the Q-codes, which may affect peer comparisons: 15271 ranks #9 of 1157 (99th percentile; "extreme outlier") and 99348 and 99308 are both labeled "extreme outlier" at their national ranks. These elevated percentiles indicate the provider’s activity for specific skin-substitute and post-acute E/M services is unusually high versus national peers and should be a focal point for competitive or utilization review.
From a business-profile perspective, reliance on a handful of Q-code products (top 3 = 83.4% of Medicare revenue) combined with dominant Medicare scale ($9.8M) and a nearly non-existent Medicaid book ($673) means revenue concentration is high and strategic exposure is concentrated in a small set of product lines and payer relationships. At the same time, the provider holds top or unique positions for select Q-codes (e.g., Q4221 rank #1 of 4 and Q4226 rank #1 of 1), suggesting targeted market strength in particular membrane/graft products despite the overall concentration.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| Q4205 | Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure) | 3,760 | $1,100 | $4.1M |
| Q4221 | Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure) | 3,380 | $990 | $3.3M |
| Q4253 | Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure) | 910 | $740 | $674.6K |
| Q4204 | Xwrap, per square centimeter (add-on, list separately in addition to primary procedure) | 300 | $1,100 | $327.2K |
| Q4262 | Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure) | 270 | $1,060 | $285.7K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 4,710 | $60 | $277.8K |
| Q4250 | Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure) | 180 | $1,290 | $227.7K |
| Q4226 | Myown skin, includes harvesting and preparation procedures, per square centimeter | 250 | $680 | $168.9K |
| 15271 | The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2. | 780 | $120 | $91.5K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 1,240 | $60 | $78.2K |
Showing 1–10 of 26
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
26 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| Q4262 | 10 | 10 | 2,370 | $1,030 | $3.8M |
| Q4205 | 2 | 10 | 1,890 | $1,150 | $2.7M |
| Q4253 | 5 | 10 | 3,110 | $670 | $2.3M |
| Q4221 | 1 | 10 | 1,030 | $990 | $1M |
| Q4204 | 1 | 10 | 550 | $1,090 | $595.5K |
| Q4250 | 1 | 10 | 420 | $1,290 | $542K |
| 11043 | 1 | 370 | 120 | $170 | $52.1K |
| 99309 | 203 | 1,790 | 210 | $80 | $48.1K |
| 99308 | 5 | 1,640 | 190 | $60 | $35.5K |
| 99349 | 71 | 870 | 110 | $90 | $31.7K |
Showing 1–10 of 26
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 30 | $30 | $680 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 1,045 | 1,150 | 400 | $20 | $42K |
Other providers in the same ZIP code as Ming-wei Wu, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Latara Enterprise Inc. | CA | Clinical Medical Laboratory | $4.5M | $61.7M |
| Kunal Kamboj | CA | Physical Medicine & Rehabilitation Physician | $638K | $0 |
| Zhiwei Zhao | CA | Oral and Maxillofacial Surgery (Dentist) | $216.6K | $0 |
| Rosa Hilario | CA | Audiologist | $34.6K | $0 |
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