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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarroll Wetzel
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    Carroll Wetzel — Billing Profile & Reimbursement Data

    NPI 1841212362 · Clinton, MO · Surgery Physician

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    Carroll Wetzel is a surgery physician provider located in Clinton, Missouri. This profile covers 9 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
    OrganizationCarroll Wetzel
    Address1602 N 2nd St
    CityClinton
    StateMO
    ZIP64735
    TaxonomySurgery Physician
    NPI EnumeratedJuly 24, 2006

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

    Payer SourceTotal Paid
    Medicare$39.6K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    47563The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease. She injects dye and…20$540$10.7K
    45384The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions using hot biopsy…40$160$6.2K
    45378The 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…40$140$5.2K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$170$4.1K
    49650The provider performs laparoscopic repair of an initial inguinal hernia.10$350$3.9K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…20$250$3.7K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.40$70$2.9K
    43249The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates (widens) the esophagus with a balloon less than 30 mm in diameter.20$110$2.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.10$70$880

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    4756363020$480$8.2K
    G01216616020$250$7.4K
    4323935637060$100$6.9K
    4538442030$140$6.7K
    49650485020$350$6.7K
    432496211020$190$6.6K
    36561548020$250$5.6K
    453782821020$160$3.9K
    432355223020$100$3.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Golden Valley Memorial Hospital DistrictMOGeneral Acute Care Hospital$0$15.6M
    Golden Valley Memorial Hospital DistrictMORural Health Clinic/Center$0$5.6M
    Jonathan BreslauMNDiagnostic Radiology Physician$1.3M$0
    Jay RobinowKSRadiation Oncology Physician$1.2M$0
    William WinnMNDiagnostic Radiology Physician$997.1K$0
    Manuel CamejoMOOphthalmology Physician$924.9K$0
    Neil AnandMNDiagnostic Radiology Physician$529.9K$58.1K
    Matthew MalloryARRadiation Oncology Physician$570.4K$0
    David TrueMORheumatology Physician$477.4K$2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Compass Health, Inc.MOCommunity/Behavioral Health Agency$0$1.3B
    Four Seasons In Home Services, LLCMOHome Health Agency$0$18M
    Compass Health, IncMOCommunity/Behavioral Health Agency$0$11.1M
    Compass Health, Inc.MOFederally Qualified Health Center (FQHC)$0$8.4M
    Compass Health, Inc.MOCase Management Agency$0$6.6M
    Share And Care For Special People, Inc.MOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$4.6M
    Michael GilbertMODiagnostic Radiology Physician$100.9K$3.9K
    Richard WoodlandMOOtolaryngology/Facial Plastic Surgery Physician$29K$59.4K
    Silas WilliamsMOVascular & Interventional Radiology Physician$81.7K$250
    Manik MehraMOFamily Medicine Physician$17.7K$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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    Carroll Wetzel — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri