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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDaniel Wilson
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    Daniel Wilson — Billing Profile & Reimbursement Data

    NPI 1700977592 · Wheeling, WV · Family Medicine Physician

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    Daniel Wilson is a family medicine physician provider located in Wheeling, West Virginia. This profile covers 40 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDaniel Wilson
    Address109 Mount Wood Rd
    CityWheeling
    StateWV
    ZIP26003
    TaxonomyFamily Medicine Physician
    NPI EnumeratedSeptember 27, 2006

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

    Payer SourceTotal Paid
    Medicare$160K
    Medicaid$420

    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.

    40 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…830$50$43.4K
    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…390$80$29.7K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit140$120$16.7K
    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…200$60$12.4K
    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…50$120$6.5K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…30$190$6.4K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…60$90$5.5K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…50$90$3.9K
    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…30$100$3.2K
    G0008Administration of influenza virus vaccine110$30$3K

    Showing 1–10 of 40

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    40 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992323551,34090$60$11.9K
    992142942,740100$70$11.8K
    9923340666060$90$11.4K
    G04398856060$120$9.3K
    9922326278030$130$7.9K
    99213482,86080$50$7.5K
    9923919637070$90$7K
    9921537647030$110$6.8K
    2061015124060$40$5.3K
    992224851,08030$100$4.5K

    Showing 1–10 of 40

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.60$10$410

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. West Virginia median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.129150810$10$45.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wheeling Hospital IncWVGeneral Acute Care Hospital$0$40.1M
    Wheeling Hospital IncWVFamily Medicine Physician$0$8.5M
    John CherianPACardiovascular Disease Physician$320.7K$0
    Devender BatraOHCardiovascular Disease Physician$309.1K$0
    Jondavid PollockWVRadiation Oncology Physician$254.7K$0
    David ClumpPARadiation Oncology Physician$181.4K$0
    Ghassan GhorayebWVOphthalmology Physician$175.8K$0
    Chris CookVAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$136.7K$0
    Mohammad Akram KawsaraTXInterventional Cardiology Physician$133.8K$0
    Walid GharibWVCardiovascular Disease Physician$131.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwood Health Systems IncWVDevelopmentally Disabled Services Day Training Agency$0$67.6M
    Northwood Health Systems IncWVCommunity/Behavioral Health Agency$0$52.5M
    Lorraine Surgical Supply Of West Virginia Inc.WVDurable Medical Equipment & Medical Supplies$0$34.6M
    Russell Nesbitt Services IncWVRespite Care$0$29.5M
    Florence Crittenton Programs, Inc.WVMental Health Counselor$0$14.4M
    Lifeline Addiction Specialists, PLLCWVMulti-Specialty Clinic/Center$0$7M
    Radiology Associates, IncWVDiagnostic Radiology Physician$0$6.7M
    Serenity Hills Life CenterWVSubstance Use Disorder Rehabilitation Clinic/Center$0$6.1M
    Alecto Healthcare Services Wheeling LLCWVGeneral Acute Care Hospital$0$6M
    Florence Crittenton Services Inc.WVIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$5.4M

    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. West Virginia Distribution
    Daniel Wilson — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia
    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Daniel Wilson — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia