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

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

Mark Wagner (NPI 1649211764)

Field	Value
Entity Type	Individual
Organization	Mark Wagner
Address	1000 Dexter Ave N Ste 320
City	Seattle
State	WA
ZIP	98109
Taxonomy	Sports Medicine (Family Medicine) Physician
NPI Enumerated	June 9, 2006

Payer Source	Total Paid
Medicare	$138.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J7322	Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg	2,930	$10	$38.1K
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	$20.7K
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…	140	$130	$17.9K
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…	90	$130	$11.8K
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…	160	$60	$9.8K
J7318	Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	1,560	$10	$7.8K
20611	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…	90	$70	$6.1K
99205	The 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…	40	$170	$6.1K
73564	In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.	130	$40	$5.2K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	70	$40	$2.7K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Mark Wagner — 0 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7322	1	10	2,930	$10	$38K
99214	2,445	10,860	100	$80	$13.6K
G0439	2,068	2,390	50	$130	$9.7K
J7318	2	10	1,740	$1	$8.6K
99215	515	4,320	40	$120	$8.4K
20611	59	170	50	$80	$6.9K
99213	1,981	9,690	60	$60	$6.5K
99205	607	1,820	30	$150	$5.4K
99204	545	4,750	30	$110	$5.2K
36415	1,044	1,920	60	$10	$3.5K

Showing 1–10 of 24

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fred Hutchinson Cancer Center	WA	General Acute Care Hospital	$0	$72.6M
Adaptive Biotechnologies Corporation	WA	Clinical Medical Laboratory	$21.9M	$1.1M
Emily Program PC	WA	Community/Behavioral Health Agency	$0	$5.4M
Zhihong Zhang	WA	Hematology & Oncology Physician	$1.1M	$0
Manh Pham	WA	Family Nurse Practitioner	$211.9K	$0
Jonathan Chen	WA	Radiation Oncology Physician	$189.1K	$0
Heather Rogers	WA	Dermatology Physician	$186.8K	$0
Lauren East	WA	Diagnostic Radiology Physician	$106K	$78.1K
Emily Weg	WA	Radiation Oncology Physician	$165.4K	$0
Uma Malhotra	WA	Infectious Disease Physician	$114K	$0

Mark Wagner — Billing Profile & Reimbursement Data

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Mark 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

Nearby Providers

Frequently Asked Questions

References