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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBob Wodecki
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    Bob Wodecki — Billing Profile & Reimbursement Data

    NPI 1649270190 · Statesville, NC · Rheumatology Physician

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    Bob Wodecki is a rheumatology physician provider located in Statesville, North Carolina. This profile covers 76 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
    OrganizationBob Wodecki
    Address293 Old Mocksville Rd
    CityStatesville
    StateNC
    ZIP28625
    TaxonomyRheumatology Physician
    NPI EnumeratedJuly 27, 2005

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

    Payer SourceTotal Paid
    Medicare$3.1M
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is the dominant revenue source: lifetime Medicare revenue is $3.1M and there is no Medicaid billing on file, so the practice is effectively single‑payer with respect to public programs. The absence of Medicaid billing suggests limited exposure to Medicaid populations and that Medicare payment trends will drive payer negotiation leverage and revenue risk.

    Revenue is highly concentrated in a small set of biologic infusion codes: the precomputed top 3 Medicare codes by revenue account for 67.3% of this provider's total Medicare revenue. Those top codes — J0129 (23K claims, $783.2K), J9312 (10.9K claims, $676.4K), and J3262 (123.7K claims, $618.3K) — indicate most dollars flow from clinic‑administered injectable biologic therapies.

    The code mix and volumes point to an infusion‑centric rheumatology practice model: high claim counts for J3262 (123.7K claims, $618.3K) and J0129 (23K claims, $783.2K) together with chemotherapy/infusion administration codes (96413, 96415, 96365, 96367, 96375) show routine in‑office IV/subcutaneous biologic and infusion services rather than primarily procedure‑only or consultative care. This suggests on‑site pharmacy handling, infusion nursing capacity, and workflow built around repeat biologic administrations.

    Competitive standing varies by drug: the provider ranks highly for several biologics nationally — J9312 ranks #4 of 317 providers nationally (99th percentile; notably above typical national volume for this code) and J3262 ranks #27 of 618 (96th percentile; notably above typical national volume). In contrast, J0129 ranks #97 of 1221 (92th percentile; typical, unremarkable volume). These rankings imply the provider is a major national participant for rituximab and tocilizumab administrations but only a typical volume provider for abatacept.

    Office visit activity is also unusually high relative to national peers: 99214 has 1.3K claims and $107K revenue and ranks #6229 of 479517 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). This pattern indicates substantial ongoing management of established patients in addition to infusion throughput, consistent with longitudinal rheumatology care.

    Several ancillary service codes appear as outliers and reflect on the service mix: add‑on infusion hours 96415 is a 99th percentile extreme outlier, and radiographic codes 73110 and 73130 both rank in the 99th percentile (extreme outliers). These high ranks for extended infusion time and upper‑extremity imaging suggest the practice delivers prolonged infusion sessions and frequently evaluates musculoskeletal complaints in‑house.

    The provider’s clinical tenure is long: NPI was enumerated on 2005-07-27 (~21 years ago), indicating a well‑established practice presence in STATESVILLE, NC. That longevity, combined with the concentrated biologics revenue base and high national ranks on key infusion codes, supports a stable, specialty infusion practice with entrenched referral or patient retention patterns.

    From a payer and contracting perspective, this profile signals concentrated Medicare risk and negotiating focus: a small number of biologic administration codes produce most revenue (67.3% concentrated) and the provider has no Medicaid billing on file. Payors evaluating network value or utilization management should prioritize the high‑volume biologic codes (J9312, J3262, J0129) and the unusually high utilization of prolonged infusion and E/M services when modeling spend and designing oversight or reimbursement strategies.

    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.

    76 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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)23,040$30$783.2K
    J9312Injection, rituximab, 10 mg10,910$60$676.4K
    J3262Injection, tocilizumab, 1 mg123,660$10$618.3K
    J1602Injection, golimumab, 1 mg, for intravenous use32,170$10$321.7K
    J1745Injection, infliximab, excludes biosimilar, 10 mg7,580$30$197.2K
    J0897Injection, denosumab, 1 mg6,360$20$114.6K
    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…1,260$90$107K
    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…710$100$70K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.600$50$28.1K
    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…440$60$26.2K

    Showing 1–10 of 76

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 76 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    76 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01297709,530$30$393.2K
    J326234037,160$1$224.8K
    J93121202,070$60$178.1K
    J1602117011,900$10$175.9K
    J174510804,110$30$117.3K
    862351040160$20$70.1K
    J0897614302,100$20$63.9K
    G048210512080$190$40.3K
    80307343380100$60$35.4K
    86038123030$10$23K

    Showing 1–10 of 76

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jerome WatsonNCPhysical Medicine & Rehabilitation Physician$249.2K$0
    Jeffrey BrinkFLOtolaryngology Physician$223.5K$0
    John AllanNCCardiovascular Disease Physician$205.8K$0
    Rocco TriticoNCSpecialist$172.1K$0
    Yvette-marie PellegrinoSCAdult Medicine Physician$132K$0
    Todd HansenFLPhlebology Physician$123.7K$0
    Dominick CarboneNCUrology Physician$65.5K$0
    Julia ProkesovaCTEmergency Medicine Physician$59.8K$0
    William NewtonNCVascular Surgery Physician$45.7K$0
    Zulfiqar TurkNCNeurology Physician$38.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Homecare Management CorporationNCCommunity/Behavioral Health Agency$0$38.2M
    Piedmont Healthcare, P.A.NCInternal Medicine Physician$0$34.1M
    Addiction Recovery Medical ServicesNCCommunity/Behavioral Health Agency$112.3K$14.1M
    Addiction Recovery Medical Services - ProvidersNCPain Medicine (Anesthesiology) Physician$0$7.6M
    Frank LichtenbergerNCAllergy & Immunology Physician$653.5K$0
    Piedmont Healthcare, PANCEndoscopy Clinic/Center$353K$162.4K
    Ahmed ElnaggarNCPulmonary Disease Physician$197.7K$0
    Roger HatharasingheNCInternal Medicine Physician$177K$0
    Harsh GovilNCInterventional Pain Medicine Physician$174.9K$0
    Robert AryeeteyNCInfectious Disease Physician$171.7K$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.

    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. North Carolina Distribution
    Bob Wodecki — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina