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    OpenPayerNPI Medicare & MedicaidShirley Wang
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    Shirley Wang — Billing Profile & Reimbursement Data

    NPI 1598831026 · Overland Park, KS · Rheumatology Physician

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    Shirley Wang is a rheumatology physician provider located in Overland Park, Kansas. This profile covers 14 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationShirley Wang
    Address8101 College Blvd Ste 100
    CityOverland Park
    StateKS
    ZIP66210
    TaxonomyRheumatology Physician
    NPI EnumeratedNovember 27, 2006

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the clear revenue driver: total Medicare revenue is $1.2M while there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the public programs captured here. Analysts should treat Medicaid as absent when modeling payer mix or population coverage for this NPI.

    Revenue is highly concentrated in a small set of biologic infusion and injectable drug codes: the precomputed top three Medicare codes account for 64.3% of total Medicare revenue, driven by J0717 ($384K), J0129 ($253.3K) and J1602 ($143K). That concentration indicates the practice’s financial performance is closely tied to a handful of high‑cost injectable therapies.

    The CPT/HCPCS mix is consistent with a rheumatology practice that provides in‑office administration of biologic therapies and infusion services: high revenue entries include J0717 (certolizumab pegol), J0129 (abatacept), J1602 (golimumab) as well as infliximab codes Q5104 ($139.8K) and J1745 ($139.6K). Supporting procedure codes for drug administration and infusion (96413, 96401, 96415) and multiple injectable drug codes show the practice operates an infusion/administration workflow rather than relying solely on self‑administered treatments.

    Competitive standing across the major biologic codes is mixed: J0717 ranks #157 of 848 (82nd percentile) and is within a broadly typical national volume band for that code, J0129 ranks #682 of 1221 (44th percentile) and J1602 ranks #531 of 1041 (49th percentile), both showing modest or mid‑range participation compared with peers. By contrast, the biosimilar infliximab code Q5104 ranks #22 of 178 (88th percentile), which places this provider among the higher national users of that specific biosimilar within a relatively small cohort of reporting providers.

    Service intensity in office visits is an outlier relative to national peers: 99215 shows 452 claims, $124 avg paid/claim, $56K revenue (4.6% of Medicare revenue) and ranks #2464 of 145531 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code). This suggests a disproportionate share of high‑complexity office E/M encounters — consistent with a complex, medically intensive patient panel or a practice pattern that documents higher‑level visits.

    Infusion and chemotherapy administration codes appear regularly but are characterized in the data as typical volumes relative to national peers: 96413 (390 claims, $37.1K; ranks #1190 of 7514, 84th percentile — typical, unremarkable), 96401 (479 claims, $25.9K; ranks #282 of 3868, 93rd percentile — typical, unremarkable), and 96415 (242 claims, $5.1K; ranks #404 of 4959, 92nd percentile — typical, unremarkable). Taken together with the high‑revenue biologic drug codes, these administration codes corroborate an infusion‑capable practice profile without signaling anomalous administration volume by the provided labels.

    Tenure and stability: the NPI was enumerated on 2006-11-27 (~20 years ago), indicating a long‑standing presence in the market that can support steady referral relationships and repeat biologic infusion business. This longevity is relevant when projecting continuity of care and likely ongoing Medicare revenue.

    From a payer‑strategy perspective, the absence of Medicaid billing means the provider’s publicly reported revenue exposure is concentrated in Medicare; payers and network planners should not assume Medicaid access or experience without separate contractual or claims evidence. Given the concentration in a few high‑revenue biologic codes, any contracting or utilization‑management discussion should prioritize those specific drugs and their administration pathways.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0717Injection, certolizumab pegol, 1 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)96,000$1$384K
    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)7,450$30$253.3K
    J1602Injection, golimumab, 1 mg, for intravenous use13,000$10$143K
    Q5104Injection, infliximab-abda, biosimilar, (renflexis), 10 mg4,820$30$139.8K
    J1745Injection, infliximab, excludes biosimilar, 10 mg5,370$30$139.6K
    99215The 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…450$120$56K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…390$100$37K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.480$50$25.9K
    99214The 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…190$80$16.1K
    99205The provider sees a new 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 provider…80$150$11.7K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J012910208,000$30$291.5K
    J071711051,600$1$200.4K
    J1602102014,360$10$167.7K
    Q51041104,820$30$139.9K
    J17458203,110$30$96.9K
    96413228080$90$26.3K
    992141,6544,310120$70$16.4K
    96401130180$50$9K
    99215191,35040$100$8.4K
    992058156030$140$6K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David DyerKSOphthalmology Physician$7.5M$0
    Bassam MattarKSHematology & Oncology Physician$7.2M$0
    Pavan ReddyKSHematology & Oncology Physician$6.7M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Thomas FinleyOKOphthalmology Physician$4.8M$0
    Daniel FeilerKSOphthalmology Physician$4.8M$0
    Travis KoenekeKSHematology & Oncology Physician$4.4M$0
    Christopher DakhilKSHematology & Oncology Physician$4.4M$0
    Stephen WilesMOOphthalmology Physician$4.4M$0
    Shaker DakhilKSHematology & Oncology Physician$4.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.KSHome Health Agency$0$64.4M
    Laboratory Corporation Of America HoldingsKSClinical Medical Laboratory$8.5M$26.1M
    Maxim Healthcare Services,inc.KSHome Health Agency$0$23.5M
    Moore EnterprisesKSHome Health Agency$0$16M
    Carestaf, Inc.KSHome Health Agency$0$10.4M
    Laboratory Corporation Of America HoldingsKSClinical Medical Laboratory$806.3K$6.6M
    Intelligere LLCKSInterpreter$0$6.5M
    Homestead Of Overland Park Operations LLCKSAssisted Living Facility$0$2.4M
    In Home Family Counseling Associates LLCKSMarriage & Family Therapist$0$1.8M
    Vpa PCKSFamily Medicine Physician$0$1.2M

    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. Kansas Distribution
    Shirley Wang — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas