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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTimothy Wheeler
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    Timothy Wheeler — Billing Profile & Reimbursement Data

    NPI 1609822816 · Ashland, KY · Surgery Physician

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    Timothy Wheeler is a surgery physician provider located in Ashland, Kentucky. This profile covers 10 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
    OrganizationTimothy Wheeler
    Address613 23rd St Ste 440
    CityAshland
    StateKY
    ZIP41101
    TaxonomySurgery Physician
    NPI EnumeratedMay 26, 2006

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

    Payer SourceTotal Paid
    Medicare$36.4K
    Medicaid$0

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.30$470$14.2K
    99204The 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…60$90$5.1K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$100$4.8K
    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…60$70$3.9K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…50$60$2.7K
    99213The 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…50$50$2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…10$120$1.6K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.10$80$860
    99203The 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…10$50$690
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…10$40$530

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992144,8637,230110$70$14.1K
    992322,0202,860100$60$11.6K
    992231,7451,94040$130$8.6K
    4756245020$430$7.7K
    992134,9167,25080$50$7.7K
    4323926627060$90$7.4K
    992048673,20030$100$4.8K
    992226262,07030$90$4.5K
    9923186191040$40$3.1K
    992032,0322,38030$70$2.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Three Rivers Medical Clinics IncKYInternal Medicine Physician$0$7M
    Robin AroraWVNephrology Physician$392.5K$0
    Kwadwo Gyarteng-dakwaNCPain Medicine (Anesthesiology) Physician$391K$0
    Timothy HartKYFamily Medicine Physician$83.6K$25K
    Lindsay MontgomeryKYPhysician Assistant$80.2K$70
    Mark VeronneauKYOtolaryngology Physician$51.5K$16.2K
    Denise RoofKYCertified Registered Nurse Anesthetist$63.5K$0
    Roderick TompkinsKYSurgery Physician$45K$0
    Jon BrinkmanKYPlastic Surgery within the Head & Neck (Otolaryngology) Physician$44.2K$0
    Melissa EmeryKYFamily Nurse Practitioner$38K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    Timothy Wheeler — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky