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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Robert Wauters (NPI 1578902565)

Field	Value
Entity Type	Individual
Organization	Robert Wauters
Address	319 Wb Mclean Dr
City	Cape Carteret
State	NC
ZIP	28584
Taxonomy	Allergy & Immunology Physician
NPI Enumerated	June 23, 2013

Payer Source	Total Paid
Medicare	$3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99204	The provider sees a new 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 provider…	20	$130	$2K
95076	The provider performs this test to identify which foods, drugs, or other substances trigger an allergic response in an individual.	10	$90	$1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Robert Wauters — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

2 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99204	6,591	8,430	30	$110	$4.8K
95076	4	10	20	$90	$1.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jacksonville Children's And Multispecialty Clinic, PA	NC	Family Medicine Physician	$0	$44.6M
Katherine Sutherland	NC	Family Nurse Practitioner	$15.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bear Island Recovery Services, Inc.	NC	Mental Health Clinic/Center (Including Community Mental Health Center)	$126.2K	$1.2M
Mildred Warren	NC	Dermatology Physician	$390.3K	$0
Michael Reardon	NC	Internal Medicine Physician	$307.6K	$0
Jessica Oneil	NC	Optometrist	$79.5K	$0

Robert Wauters — Billing Profile & Reimbursement Data

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Robert Wauters — 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