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    OpenPayerNPI Medicare & MedicaidJohn Wilson
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    John Wilson — Billing Profile & Reimbursement Data

    NPI 1811982002 · Mobile, AL · Otolaryngology Physician

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    John Wilson is a otolaryngology physician provider located in Mobile, Alabama. This profile covers 10 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
    OrganizationJohn Wilson
    Address2880 Dauphin St
    CityMobile
    StateAL
    ZIP36606
    TaxonomyOtolaryngology Physician
    NPI EnumeratedSeptember 14, 2005

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

    Payer SourceTotal Paid
    Medicare$85.9K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…460$60$27K
    95165In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens.1,890$10$18.9K
    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…220$70$15.2K
    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.100$80$8.1K
    95004The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.1,340$1$4K
    92557The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…140$30$3.5K
    70220The provider performs X–ray examination of the paranasal sinuses by obtaining a minimum of three views. He performs the procedure for assessment of sinusitis.120$20$2.8K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.100$30$2.8K
    69433The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia.20$160$2.5K
    92567In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.160$10$1.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    951651070860$10$13K
    992134186,47080$50$7.9K
    315751912050$80$4.8K
    99203272,21030$70$3.1K
    950041040790$1$2.9K
    6943372020$150$2.7K
    925574118070$20$2.4K
    692103816050$30$2.1K
    925673118060$10$1K
    7022046030$20$860

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Premier Health Management, Inc.ALOphthalmology Physician$0$3M
    Mark DouglasALOphthalmology Physician$2.1M$0
    Henry SempleALOphthalmology Physician$2M$0
    Stuart BallALOphthalmology Physician$1.3M$0
    Mark GacekALOtolaryngology Physician$244.7K$0
    Curtis GrafALOphthalmology Physician$242.9K$0
    Ryan BurtonALOphthalmology Physician$240.4K$0
    Joseph TurnerALOphthalmology Physician$239.7K$0
    Jay BrownALOphthalmology Physician$211.9K$0
    Charles SalisburyALOphthalmology Physician$199.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mobile Bay Dental, LLCALGeneral Practice Dentistry$0$3.6M
    Scott FreemanALMOHS-Micrographic Surgery Physician$2.9M$0
    Lifeguard Ambulance Service LLCALLand Ambulance$414.6K$2.2M
    Rehab Medical, LLCALDurable Medical Equipment & Medical Supplies$0$1.9M
    Mobile Bay Vision, LLCALOptometrist$0$1.8M
    Surgicare Of Mobile LtdALAmbulatory Surgical Clinic/Center$1.5M$101.9K
    Sleep Management, L.L.C.ALOxygen Equipment & Supplies (DME)$0$1.5M
    Odyssey Healthcare Operating B, LPALCommunity Based Hospice Care Agency$0$1.4M
    Lincare Inc.ALOxygen Equipment & Supplies (DME)$0$1.4M
    Vital Smiles Alabama PCALHealth Maintenance Organization$0$1.3M

    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. Alabama Distribution
    John Wilson — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama