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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Kim Wiley (NPI 1780735464)

Field	Value
Entity Type	Individual
Organization	Kim Wiley
Address	76 16th St
City	Wheeling
State	WV
ZIP	26003
Taxonomy	Colon & Rectal Surgery Physician
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicare	$96.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90912	The provider, a physician or other qualified healthcare professional, trains a patient to control involuntary bodily functions by altering brain activity, blood pressure, heart rate, and other bodily…	320	$60	$17.9K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	90	$180	$15.1K
91120	N/A	50	$290	$14.1K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	70	$200	$12.9K
91122	N/A	60	$190	$12.2K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	30	$180	$5.6K
90913	The provider, a physician or other qualified healthcare professional, trains a patient to control involuntary bodily functions by altering brain activity, blood pressure, heart rate, and other bodily…	200	$20	$4.6K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	30	$130	$4K
51784	This test measures the electrical activity in the anal or urethral sphincter muscles.	80	$50	$3.5K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	30	$100	$2.6K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Kim Wiley — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90912	1	10	320	$60	$17.8K
91120	1	10	50	$290	$14.1K
91122	1	10	60	$190	$12.2K
45385	20	70	40	$200	$10.4K
99215	341	470	30	$110	$6.8K
G0105	1	30	30	$190	$6.5K
45380	37	70	30	$120	$4.8K
99222	1,044	1,080	30	$100	$4.5K
90913	1	10	200	$20	$4.5K
G0121	3	40	20	$180	$3.7K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wheeling Hospital Inc	WV	General Acute Care Hospital	$0	$40.1M
Wheeling Hospital Inc	WV	Family Medicine Physician	$0	$8.5M
John Cherian	PA	Cardiovascular Disease Physician	$320.7K	$0
Devender Batra	OH	Cardiovascular Disease Physician	$309.1K	$0
Jondavid Pollock	WV	Radiation Oncology Physician	$254.7K	$0
David Clump	PA	Radiation Oncology Physician	$181.4K	$0
Ghassan Ghorayeb	WV	Ophthalmology Physician	$175.8K	$0
Daniel Wilson	WV	Family Medicine Physician	$160K	$420
Chris Cook	VA	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$136.7K	$0
Mohammad Akram Kawsara	TX	Interventional Cardiology Physician	$133.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwood Health Systems Inc	WV	Developmentally Disabled Services Day Training Agency	$0	$67.6M
Northwood Health Systems Inc	WV	Community/Behavioral Health Agency	$0	$52.5M
Lorraine Surgical Supply Of West Virginia Inc.	WV	Durable Medical Equipment & Medical Supplies	$0	$34.6M
Russell Nesbitt Services Inc	WV	Respite Care	$0	$29.5M
Florence Crittenton Programs, Inc.	WV	Mental Health Counselor	$0	$14.4M
Lifeline Addiction Specialists, PLLC	WV	Multi-Specialty Clinic/Center	$0	$7M
Radiology Associates, Inc	WV	Diagnostic Radiology Physician	$0	$6.7M
Serenity Hills Life Center	WV	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.1M
Alecto Healthcare Services Wheeling LLC	WV	General Acute Care Hospital	$0	$6M
Florence Crittenton Services Inc.	WV	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$5.4M

Kim Wiley — Billing Profile & Reimbursement Data

Sign up for Kim Wiley — Billing Profile & Reimbursement Data policy alerts

Kim Wiley — Billing Profile & Reimbursement Data

Sign up for Kim Wiley — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References