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

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

William Wagner (NPI 1598738155)

Field	Value
Entity Type	Individual
Organization	William Wagner
Address	652 S Medical Center Dr Ste 320
City	St George
State	UT
ZIP	84790
Taxonomy	Neurology Physician
NPI Enumerated	February 13, 2006

Payer Source	Total Paid
Medicare	$49.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 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…	220	$90	$19.1K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	140	$80	$10.5K
95913	In this procedure, the provider performs 13 or more nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	20	$230	$4.6K
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	20	$170	$3.8K
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…	30	$100	$3K
95910	In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…	20	$140	$2.6K
99203	The provider sees a new 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 provider…	30	$70	$2.5K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	10	$140	$2K
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…	30	$60	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

William Wagner — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,679	4,080	80	$80	$11.6K
95913	10	10	60	$210	$8.8K
99215	2,919	1,190	40	$110	$7.5K
95886	25	60	50	$70	$6.4K
99213	5,535	3,680	60	$50	$6.4K
95911	25	40	20	$150	$5.3K
95910	35	30	20	$120	$4.1K
99204	1,648	1,790	30	$100	$4.1K
99203	1,177	1,360	30	$70	$2.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Zimmermann	AK	Medical Oncology Physician	$1.2M	$570
Zachary Arthurs	SC	Vascular Surgery Physician	$641.3K	$0
Nathaniel Moore	CO	Family Medicine Physician	$640K	$0
Tyler Kemmis	CO	Radiation Oncology Physician	$422.6K	$0
Walid Alami	VA	Interventional Cardiology Physician	$222K	$0
Julie Weintraub	CO	Radiation Oncology Physician	$212.2K	$0
Daniel Possley	CO	Orthopaedic Surgery Physician	$203.7K	$0
Jake Chanin	CO	Cardiovascular Disease Physician	$179.7K	$1.2K
Bohuslav Finta	CO	Clinical Cardiac Electrophysiology Physician	$174K	$0
Kristin Thanavaro	CO	Cardiovascular Disease Physician	$173.1K	$0

William Wagner — Billing Profile & Reimbursement Data

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William Wagner — 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

Frequently Asked Questions

References