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

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

Jon Wiggins (NPI 1629084975)

Field	Value
Entity Type	Individual
Organization	Jon Wiggins
Address	33663 Bayview Medical Dr
City	Lewes
State	DE
ZIP	19958
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicare	$134.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	120	$210	$24.2K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	260	$70	$17K
43239	The 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.	220	$70	$15.2K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	90	$160	$14.2K
43274	The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…	30	$370	$9.6K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	50	$180	$9.2K
43242	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where, under endoscopic ultrasound guidance, he carries out a fine needle aspiration or…	30	$200	$6.4K
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…	90	$70	$6.1K
43255	An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During the procedure, the provider stops patient bleeding.	40	$150	$6.1K
43259	An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope through the mouth. During this procedure, the physician uses endoscopic…	30	$170	$5.1K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Delaware Distribution

Jon Wiggins — 2 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	25	60	100	$310	$44.7K
G0105	15	40	30	$300	$22.6K
43239	9	60	110	$130	$18.6K
45380	21	60	60	$200	$17.7K
99232	472	730	120	$60	$14.2K
99213	1,015	1,810	120	$60	$13.6K
G0121	19	40	20	$280	$11.2K
45378	24	40	20	$210	$8.6K
43274	3	10	30	$350	$8.4K
43249	14	20	20	$280	$8.3K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Beebe Physician Network Inc.	DE	Internal Medicine Physician	$0	$19.7M
Ron Rosen	NY	Nuclear Medicine Physician	$2.4M	$8.9K
Sherif Heiba	NY	Nuclear Medicine Physician	$1.7M	$18.5K
Joshua Harris	NY	Hematology & Oncology Physician	$1.6M	$62.3K
Jahan Aghalar	NY	Internal Medicine Physician	$1.6M	$26.8K
Sunil Mehra	NY	Pulmonary Disease Physician	$393.1K	$1.1M
Todd Coven	NY	MOHS-Micrographic Surgery Physician	$1.5M	$0
Elizabeth Small	NY	Ophthalmology Physician	$1.2M	$0
Alyssa Rehm	NY	Neurology Physician	$1.2M	$0
Gurmohan Syali	NY	Medical Oncology Physician	$1.1M	$69.2K

Jon Wiggins — 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