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

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

Andrew Wagner (NPI 1699722082)

Field	Value
Entity Type	Individual
Organization	Andrew Wagner
Address	Rabb 440
City	Boston
State	MA
ZIP	02215
Taxonomy	Urology Physician
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicare	$60.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
50543	The provider uses a surgical laparoscopic technique to remove part of a kidney.	20	$1,250	$22.6K
55866	The provider removes the prostate gland through a minimally invasive laparoscopic approach behind the pubic bone. The surgery is radical, meaning the entire prostate is removed, often to treat…	20	$980	$16.6K
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…	80	$80	$5.7K
52000	In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…	90	$60	$5.5K
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…	50	$110	$5.4K
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…	60	$50	$3K
55700	Code deleted December 31, 2025.	10	$110	$1.3K
76872	The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.	10	$30	$350

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Andrew Wagner — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
50543	2	10	20	$1,220	$26.8K
52000	110	240	90	$170	$17.6K
55866	8	10	20	$840	$16.8K
99214	9,304	15,410	110	$80	$15.6K
99213	8,017	13,700	70	$60	$8.8K
99204	1,876	5,870	30	$120	$5.6K
55700	99	110	20	$170	$5.2K
76872	99	110	30	$80	$3K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shilpa Desai	MA	Ophthalmology Physician	$1.6M	$0
Andrew Bouley	MA	Neurology Physician	$602.8K	$0
Katherine Wang	MA	Neurological Surgery Physician	$489.5K	$0
Christine Mclaughlin	MA	Endocrinology, Diabetes & Metabolism Physician	$256.1K	$0
Elizabeth Shortsleeve	MA	Family Nurse Practitioner	$204.8K	$0
Anthony Abner	MA	Radiation Oncology Physician	$197.4K	$0
Edward Mostone	MA	Primary Podiatric Medicine Podiatrist	$178.3K	$0
Philip Barbosa	MA	Urology Physician	$166.9K	$0
Rachel Haft	MA	Internal Medicine Physician	$155.9K	$1.8K
Debra Shapiro	MA	Internal Medicine Physician	$156.7K	$0

Andrew Wagner — Billing Profile & Reimbursement Data

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Andrew 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

Related Providers

Frequently Asked Questions

References