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    OpenPayerNPI Medicare & MedicaidNeil Wangstrom
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    Neil Wangstrom — Billing Profile & Reimbursement Data

    NPI 1730189820 · La Porte, IN · Otolaryngology Physician

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    Neil Wangstrom is a otolaryngology physician provider located in La Porte, Indiana. This profile covers 11 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
    OrganizationNeil Wangstrom
    Address304 Detroit St
    CityLa Porte
    StateIN
    ZIP46350
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJuly 29, 2005

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

    Payer SourceTotal Paid
    Medicare$36.4K
    Medicaid$0

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99204The 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…60$100$6K
    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…90$60$5.6K
    99203The provider sees a new 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 provider…80$70$5.4K
    31536The provider uses a laryngoscope to look directly inside the larynx, which is the voice box, to detect the presence of any abnormalities. He also surgically removes a sample of the abnormal or…30$140$3.8K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.50$80$3.8K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.40$90$3.5K
    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…30$90$3.1K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.20$130$2.6K
    43193An esophagoscopy is a procedure to view the esophagus, in this case by means of rigid endoscope passed through the mouth. During this procedure the provider obtains tissue for one or more biopsies.30$60$1.6K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.40$30$1K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992148,47410,540110$80$15.5K
    312314710040$130$9.3K
    992134,70810,82080$50$7.6K
    6943651020$280$6.8K
    992041,1634,69030$100$4.9K
    315756815040$80$4.2K
    992035783,49030$70$3.1K
    3153611020$140$2.7K
    6921012829030$30$1.8K
    4319311030$60$1.6K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    La Porte Clinic Company LLCINInternal Medicine Physician$0$18.8M
    Guillermo FontILMaternal & Fetal Medicine Physician$0$4.9M
    Kalid AdabWIHematology & Oncology Physician$259.5K$1.2M
    Wassim ShwaikiINPulmonary Disease Physician$404.9K$3.2K
    Mamoon ElbedawiMIGastroenterology Physician$353.4K$0
    Jeffrey HarrisGAObstetrics & Gynecology Physician$4.5K$282.4K
    Gaurav KumarINPulmonary Disease Physician$257.6K$0
    Vinay TumuluriINInternal Medicine Physician$218K$0
    Tarek AhdabILInterventional Cardiology Physician$198.8K$14K
    Anne HollingsworthINInternal Medicine Physician$208.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    La Porte Hospital Company LLCINGeneral Acute Care Hospital$0$20.9M
    Centers For Pain Control, IncINPain Medicine Physician$0$8.1M
    North Indiana Emergency Physicians, LLPINEmergency Medicine Physician$0$7M
    La Porte County AuditorINLand Ambulance$1M$4.8M
    Valerie WeberINMental Health Counselor$0$5.2M
    Beacon Medical Group, Inc.INFamily Medicine Physician$0$3.4M
    Lincoln PediatricsINPediatrics Physician$0$3.3M
    Thomas AllenINHealth Service Psychologist$33.2K$1.4M
    Jennifer AlderinkINFamily Medicine Physician$981.7K$0
    Sayuri CheruvuINMedical Oncology Physician$934.1K$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. Indiana Distribution
    Neil Wangstrom — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana