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

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

Marjorie Wells (NPI 1780698431)

Field	Value
Entity Type	Individual
Organization	Marjorie Wells
Address	1020 S. Conwell Street
City	Casper
State	WY
ZIP	82601
Taxonomy	Family Medicine Physician
NPI Enumerated	July 28, 2006

Payer Source	Total Paid
Medicare	$273.6K
Medicaid	$0

Key Findings

This provider is effectively a Medicare-focused practice: lifetime Medicare revenue is $273.6K and there is no Medicaid billing on file (none). The absence of Medicaid activity makes the provider a single-payer (Medicare) performer in available claims data, which concentrates analytic attention on Medicare utilization patterns.

Revenue is highly concentrated in a very small number of services: the precomputed top three Medicare codes account for 84.4% of total Medicare revenue. Those top three are J0897 ($143.6K, 52.4%), 99214 ($48.4K, 17.7%), and G0439 ($39.2K, 14.3%), showing that most income is driven by one injectable therapy plus routine office and annual wellness visits.

The code mix points to a family-medicine practice that provides both ongoing office-based injectable therapy and standard primary care E/M and preventive services. J0897 (denosumab injection) is the single largest revenue line at $143.6K, while 99214 and G0439 together represent the bulk of the remaining Medicare revenue, indicating on-site medication administration plus moderate-complexity follow-up visits and a sizable annual wellness visit practice.

Competitive standing by code is mixed: J0897 ranks #1584 of 10057 providers nationally (84th percentile) and is described as typical, unremarkable volume for the code, suggesting the provider is above median but not a national outlier for denosumab administration. 99214 ranks #42464 of 479517 (91th percentile) and is likewise labeled typical, while G0439 ranks #3946 of 105855 (96th percentile) and is explicitly noted as notably above typical national volume, making the provider comparatively strong on annual wellness visits.

Preventive and vaccination services form a visible secondary revenue stream: 90677 (pneumococcal vaccine) generated $11K (4.0% of Medicare revenue) and ranks #8482 of 52451 (83th percentile), while influenza-related codes 90662 ($6.7K, 2.4%) and G0008 ($3.2K, 1.2%) also appear in the top lines with percentiles in the 70s–80s. These patterns indicate routine on-site immunization activity consistent with a general primary care workflow that supplements injection-based therapy and office visits.

Ancillary diagnostic services contribute only negligible revenue relative to the top codes: examples include 80053 ($200, 0.1%), 83036 ($180, 0.1%), and 93000 ($120, 0.0%), with the latter at a low national rank (#65708 of 71016, 3th percentile). The small dollar contributions and low percentiles suggest lab and ECG services are not a material part of the practice’s Medicare revenue mix and are likely outsourced or limited in scope.

The provider has an established billing history, with NPI enumerated 2006-07-28 (~20 years ago), which supports interpretation of these patterns as a stable clinical focus rather than a transient billing footprint. Given the tenure and the concentrated revenue mix, the practice presents as a long-standing family medicine clinician whose Medicare business centers on denosumab injections, mid-level complexity E/M visits, and relatively high utilization of annual wellness visits.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0897	Injection, denosumab, 1 mg	7,980	$20	$143.6K
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…	540	$90	$48.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	310	$130	$39.2K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	40	$280	$11K
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…	160	$50	$7.3K
90662	This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…	90	$70	$6.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	50	$130	$6.7K
G0008	Administration of influenza virus vaccine	110	$30	$3.2K
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	10	$160	$2.1K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	170	$10	$1.7K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Marjorie Wells — 1 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0897	5	50	1,800	$20	$51.1K
99214	56	780	100	$80	$14.8K
G0439	9	170	70	$120	$13.1K
99213	301	850	110	$60	$9.9K
90677	30	110	20	$280	$8.9K
90662	63	140	70	$70	$8.6K
99215	85	220	40	$120	$8.3K
G0008	82	210	70	$30	$3.2K
99443	9	10	30	$70	$2.9K
99212	306	350	30	$40	$2.4K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Medical Associates, PLLC	ID	Emergency Medicine Physician	$0	$2.6M
Wyoming Health Medical Group, LLC	WY	Internal Medicine Physician	$0	$1.8M
Don Wynn	TX	Pulmonary Disease Physician	$1.4M	$0
Debra Griner	WY	Family Nurse Practitioner	$622.8K	$0
Banner Health Physicians West LLC	WY	Multi-Specialty Clinic/Center	$0	$368.9K
Platte County Hospital	WY	Rural Health Clinic/Center	$0	$344.5K
Matthew Rutman	NY	Urology Physician	$277.1K	$39.9K
Douglas Tangel	CO	Pulmonary Disease Physician	$276.3K	$0
Kumari Usha	WI	Nephrology Physician	$258.2K	$0
Mary Burke	WY	Family Medicine Physician	$253.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M

Marjorie Wells — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References