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

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

James Wiley (NPI 1720029069)

Field	Value
Entity Type	Individual
Organization	James Wiley
Address	315 W 15th Street
City	Liberal
State	KS
ZIP	67901
Taxonomy	Emergency Medicine Physician
NPI Enumerated	June 9, 2006

Payer Source	Total Paid
Medicare	$15.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	150	$50	$7.3K
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	30	$130	$3.5K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	110	$30	$3.3K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	10	$90	$1.1K
99281	The provider sees a patient for the lowest level emergency department visit.	20	$10	$140

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kansas Distribution

James Wiley — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	443	520	110	$130	$17.2K
99284	554	570	60	$80	$6.4K
99283	8	340	30	$50	$1.9K
99282	2	60	20	$30	$740
99281	1	10	20	$10	$130

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Pemiscot County Memorial Hospital	MO	Rural Acute Care Hospital	$0	$10.2M
Christopher Fisher	OK	Internal Medicine Physician	$7.6M	$0
Wagoner Hospital Authority	OK	General Acute Care Hospital	$0	$7.3M
Pemiscot County Memorial Hospital	MO	Rural Health Clinic/Center	$0	$6.5M
Southwest Medical Center	KS	General Acute Care Hospital	$0	$1.3M
Jonathan Breslau	MN	Diagnostic Radiology Physician	$1.3M	$0
Abdullah Arshad	MO	Internal Medicine Physician	$1.1M	$50.8K
Steven Gubin	TN	Cardiovascular Disease Physician	$936.6K	$0
Ladonna Williams	MO	Psychiatric/Mental Health Nurse Practitioner	$879.5K	$2.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mosaic	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$15M
Mariana E. Lucero, M.d., Chartered	KS	Pediatrics Physician	$0	$3.4M
Southwest Guidance Center	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.3M
Nargis Husainy	KS	Pediatrics Physician	$0	$1.6M
Dora Finney	KS	Optometrist	$69.8K	$830.1K
Med-trans Corporation	KS	Air Ambulance	$826.4K	$18.5K
South West Pediatrics & Adolescent Medicine PA	KS	Pediatrics Physician	$0	$832.4K
Williams Medical Group Practice, LLC	KS	Family Medicine Physician	$0	$730K
Southwest Medical Center	KS	Surgery Physician	$0	$578.8K
Rural Kansas Emergency Physicians LLC	KS	Emergency Medicine Physician	$0	$549.1K

James Wiley — Billing Profile & Reimbursement Data

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James Wiley — 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

Nearby Providers

Frequently Asked Questions

References