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

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

Philip Wilson (NPI 1811256084)

Field	Value
Entity Type	Individual
Organization	Philip Wilson
Address	4370 W Main St
City	Dothan
State	AL
ZIP	36305
Taxonomy	Family Medicine Physician
NPI Enumerated	May 9, 2012

Payer Source	Total Paid
Medicare	$41K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J7320	Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	2,800	$10	$14K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	120	$60	$7.1K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	80	$90	$7K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	120	$50	$5.3K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	60	$80	$4.6K
99203	The 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…	20	$70	$1.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$30	$540
72100	The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…	20	$30	$500

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Philip Wilson — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J7320	6	10	3,090	$10	$16.3K
99233	940	1,860	80	$90	$13.4K
99232	1,131	2,530	100	$60	$13.3K
99239	397	780	60	$90	$6.3K
20610	194	600	60	$50	$5.1K
99203	1,500	2,210	30	$70	$3.1K
99212	961	1,240	30	$30	$2.1K
72100	393	620	30	$20	$900

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Martin	MS	Family Medicine Physician	$9M	$0
Scott Cook	PA	Family Medicine Physician	$130.6K	$3.9M
David Filsoof	CA	Cardiovascular Disease Physician	$1.3M	$0
Tariq Yousuf	TX	Interventional Cardiology Physician	$1.3M	$0
Ritu Saini	NY	MOHS-Micrographic Surgery Physician	$687.6K	$487.4K
Farhan Tahir	PA	Rheumatology Physician	$1M	$0
Aaron Aldape	TX	Family Medicine Physician	$988.1K	$0
Atif Rasheed	TN	Emergency Medicine Physician	$832.9K	$54.7K
Mitesh Patel	NJ	Sports Medicine (Family Medicine) Physician	$785K	$0
Robert Galamaga	AZ	Hematology & Oncology Physician	$749.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeastern Pediatric Associates, P.A.	AL	Pediatrics Physician	$0	$17.3M
Professional Resource Management Of Wiregrass, LLC	AL	Psychiatry Physician	$0	$9M
Triad Of Alabama LLC	AL	General Acute Care Hospital	$0	$4.6M
Hejal Patel	AL	Radiation Oncology Physician	$2.2M	$0
Wiregrass Wellness Center, LLC	AL	Psychiatry Physician	$0	$1.6M
Ent Care PC	AL	Specialist	$0	$866.8K
Circle City Speech, LLC	AL	Speech-Language Pathologist	$0	$852.8K
Kirk Sturridge	AL	Ophthalmology Physician	$715.4K	$0
Alabama Eye Surgery Center LLC	AL	Ambulatory Surgical Clinic/Center	$657.1K	$0
Craig Omohundro	AL	Dermatology Physician	$466.7K	$0

Philip Wilson — Billing Profile & Reimbursement Data

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Philip Wilson — 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