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    OpenPayerNPI Medicare & MedicaidWayne Tucker Do, PA
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    Wayne Tucker Do, PA — Billing Profile & Reimbursement Data

    NPI 1770601874 · Bear, DE · Family Medicine Physician

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    Wayne Tucker Do, PA is a family medicine physician provider located in Bear, Delaware. This profile covers 0 Medicare and 6 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 TypeOrganization
    OrganizationWayne Tucker Do, PA
    Address100 Becks Woods Dr
    CityBear
    StateDE
    ZIP19701
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMarch 27, 2007

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

    Payer SourceTotal Paid
    Medicaid$276.6K
    Medicare$0

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…6,090$40$249.5K
    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…580$40$24.7K
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…240$10$2.4K
    3074FNo Summary found for this code330$0$0
    3078FNo Summary found for this code160$0$0
    3079FNo Summary found for this code100$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Delaware median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1075001,130$50$235.1K
    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…3245401,100$40$185.3K
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…2150200$10$2.2K
    3074FNo Summary found for this code6090690$1$100
    3079FNo Summary found for this code5370340$1$40
    3078FNo Summary found for this code6580620$1$40

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Wayne Tucker Do, PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wayne TuckerDEFamily Medicine Physician$142.4K$157.6K

    Nearby Providers

    Other providers in the same ZIP code as Wayne Tucker Do, PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chesapeake Rehab Equipment Inc.DECustomized Equipment (DME)$0$4.1M
    Reliance Healthcare, LLCDEFamily Medicine Physician$0$3.3M
    United Medical Clinic, LLCDEInternal Medicine Physician$0$2.7M
    Aquila Of Delaware, Inc.DESubstance Use Disorder Rehabilitation Clinic/Center$0$1.9M
    Kool Koala Pediatric & Adolescent Dentistry LLCDEPediatric Dentistry$0$1.6M
    Mark WieczorekDEDentist$0$1.4M
    Messiahs Angel Foundation CenterDEAdult Day Care Clinic/Center$0$1.2M
    Aquila Of Delaware, Inc.DESubstance Use Disorder Rehabilitation Clinic/Center$0$735.1K
    Wasif QureshiDECardiovascular Disease Physician$683.6K$0
    Mark ZwebenDECardiovascular Disease Physician$586.6K$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.

    Medicaid Revenue by Year vs. Delaware Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Wayne Tucker Do, PA — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware