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

Why is the Medicaid comparison limited to Mississippi 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. Mississippi (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 Wilkins (NPI 1598875304)

Field	Value
Entity Type	Individual
Organization	Robert Wilkins
Address	415 S 28th Ave
City	Hattiesburg
State	MS
ZIP	39401
Taxonomy	Interventional Cardiology Physician
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Key Findings

This provider’s Medicare billing profile is concentrated in cardiac imaging and diagnostic services consistent with an interventional cardiology practice: 78431 (PET myocardial imaging) is the single largest revenue driver and the listing includes multiple nuclear cardiology entries (78431, 78434, A9555) plus pharmacologic stress agent billing (J2785), alongside echocardiography (93306) and catheterization supervision/interpretation codes (93458, 93459). The mix of high-volume imaging codes and procedure supervision suggests the operation centers on scheduled diagnostic imaging and cath-lab support rather than broad primary care or inpatient medicine.

Revenue concentration is high: the precomputed data show that the top 3 Medicare codes by revenue account for 63.5% of this provider's total Medicare revenue. Those top three codes are 78431 (45.8% of Medicare revenue, $511.5K), 37225 (9.9%, $110.2K), and 93306 (7.9%, $87.8K), indicating a heavy dependence on a small set of cardiac imaging and interventional codes.

Payer mix is effectively single‑payer Medicare: lifetime Medicare revenue is $1.2M while Medicaid revenue is none (no Medicaid billing on file), so this provider’s publicly visible billing and revenue are driven entirely by Medicare activity with no Medicaid presence to diversify payer risk. That concentration should be considered when benchmarking financial exposure or access for Medicaid populations.

Competitive standing is mixed across services: 78431 ranks #71 of 1377 providers nationally (95th percentile) and is characterized in the data as "typical, unremarkable volume for this code," whereas 93306 ranks #805 of 24624 (97th percentile) and J2785 ranks #149 of 6388 (98th percentile), both labeled "notably above typical national volume." In practice this means the provider is a prominent national outlier on several cardiac imaging and stress-agent measures while its PET myocardial imaging volume is labeled unremarkable by the supplied benchmark language.

There are clear statistical outliers in diagnostic throughput that imply high ambulatory testing volume: 93000 appears with 963 claims and is marked an "extreme outlier, far above typical national volume," and several other codes (93306, 93015, 93880, J2785) are labeled "notably above typical national volume." These patterns point to consistently high EKG/stress-testing and echo throughput relative to national peers.

The practice performs occasional higher-reimbursement interventional procedures alongside high-volume imaging: 37225 posts 18 claims at $6123 avg paid/claim totaling $110.2K (9.9% of Medicare revenue), and lower-frequency cath/intervention codes such as 33361 (14 claims, $535 avg, $7.5K) and 92928 (18 claims, $406 avg, $7.3K) are present. This suggests a business model where imaging and diagnostic throughput form the revenue base while select higher-acuity interventions contribute episodically.

Operational footprint appears outpatient-focused with substantial office and ambulatory care volume: E/M code 99214 shows 924 claims and $76.7K revenue and 99204 has 126 claims and $14.1K revenue, while stress and imaging codes (78431, 78434, J2785, 93000, 93015) reflect frequent outpatient diagnostic encounters. This blend indicates substantial front-end clinic traffic supporting the high imaging/testing volumes.

Provider tenure is long-standing: the NPI was enumerated on 2006-08-30 (~20 years ago), indicating an established practice history which may explain developed referral patterns that support sustained imaging and procedure volumes. Tenure combined with the observed coding mix suggests the provider has maintained a stable, cardiology-focused service line over many years.

Medicare: Complete Services Breakdown

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

48 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
78431	The provider performs a PET myocardial imaging scan, a type of nuclear imaging test, with CT transmission scan that reveals blood flow to and from the heart (perfusion). Ejection fraction and…	310	$1,670	$511.5K
37225	N/A	20	$6,120	$110.2K
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	830	$110	$87.8K
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…	920	$80	$76.7K
J2785	Injection, regadenoson, 0.1 mg	1,390	$40	$61.1K
A9555	Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries	320	$150	$47.4K
78434	The provider performs a positron emission tomography (PET) study at both rest and stress to measure myocardial blood flow. Stress is induced by injection of a drug. Report this code in conjunction…	310	$130	$38.7K
93880	Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…	300	$120	$36.5K
93015	The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…	340	$50	$16.5K
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…	130	$110	$14.1K

Showing 1–10 of 48

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 48 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Robert Wilkins — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

48 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
37225	15	20	20	$3,490	$118.5K
78431	2	40	40	$1,230	$85.9K
33285	12	30	20	$1,900	$62.5K
A9555	2	40	120	$410	$53.1K
93306	24	210	290	$80	$27.8K
78434	2	10	160	$120	$23.8K
J2785	3	70	410	$40	$22K
99214	277	4,110	170	$70	$21.9K
99233	626	970	110	$90	$21.7K
78452	83	130	70	$160	$16.7K

Showing 1–10 of 48

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hattiesburg Clinic PA	MS	Multi-Specialty Clinic/Center	$0	$59.5M
Rush Medical Foundation	MS	General Acute Care Hospital	$0	$29.4M
Hattiesburg Clinic PA	MS	Pediatrics Physician	$0	$10.9M
Hattiesburg Clinic PA	MS	Pediatrics Physician	$0	$7.9M
State Of Mississippi - University Of Mississippi Medical Center	MS	Critical Access Hospital	$0	$7.5M
Hattiesburg Clinic PA	MS	Ambulatory Surgical Clinic/Center	$4.5M	$2.4M
Lowery A. Woodall Outpatient Surgery Facility, LLC	MS	Ambulatory Surgical Clinic/Center	$446.4K	$6.1M
Walthall General Hospital	MS	Critical Access Hospital	$0	$6.2M
Hattiesburg Clinic PA	MS	Clinical Medical Laboratory	$2.2M	$3.3M
Hattiesburg Clinic, PA	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region 12 Commission On Mental Health & Retardation Pine Belt Men	MS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$108.3M
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$81.6M
Doves Home Care	MS	Home Health Agency	$0	$12M
Neighborhood Healthcare Providers	MS	Internal Medicine Physician	$0	$10.9M
Top Choice Healthcare	MS	In Home Supportive Care Agency	$0	$6M
Relias Emergency Medicine Specialists Of Hattiesburg LLC	MS	Emergency Medicine Physician	$0	$5M
Southern Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$4.7M	$103.6K
South Mississippi Emergency Physicians PA	MS	Emergency Medicine Physician	$0	$3.2M
Hattiesburg Clinic PA	MS	Obstetrics & Gynecology Physician	$0	$2.8M
Southern Mississippi Neonatology, PA	MS	Neonatal-Perinatal Medicine Physician	$0	$2.7M

Robert Wilkins — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References