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    OpenPayerNPI Medicare & MedicaidAndrea Wilson
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    Andrea Wilson — Billing Profile & Reimbursement Data

    NPI 1841282217 · Decorah, IA · Surgical Physician Assistant

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    Andrea Wilson is a surgical physician assistant provider located in Decorah, Iowa. This profile covers 15 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
    OrganizationAndrea Wilson
    Address1830 State Highway 9
    CityDecorah
    StateIA
    ZIP52101
    TaxonomySurgical Physician Assistant
    NPI EnumeratedAugust 22, 2005

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

    Payer SourceTotal Paid
    Medicare$47.4K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J7325Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg1,630$10$11.4K
    20610In 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…230$40$8.2K
    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…120$60$7K
    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…130$50$6.2K
    99214The 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…60$70$4.1K
    J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,980$1$2K
    73564In this procedure, the provider takes four or more X–ray views of the knee joint to check for any fracture, swelling, or reason for pain in the knee area.80$20$1.8K
    99212The 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,…70$30$1.8K
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…30$30$930
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.30$30$840

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992143,1464,690100$70$14.4K
    J73257201,200$10$10K
    992131,8844,740100$50$8K
    206106052050$40$4.2K
    992031451,60030$60$3.2K
    992123661,24040$30$2.1K
    205505811030$30$1.6K
    2060481040$40$1.5K
    7356221737050$20$1.5K
    735645722050$20$1.4K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gundersen Lutheran Medical Center IncWIGeneral Acute Care Hospital$0$74.3M
    Mercy Health System CorporationWIMulti-Specialty Clinic/Center$0$13.2M
    Gundersen Clinic LtdWIClinic/Center$0$10.1M
    Palmer Lutheran Health Center, IncIARural Health Clinic/Center$0$6M
    Peter BrachaFLRetina Specialist (Ophthalmology) Physician$4M$0
    Palmer Lutheran Health Center, Inc.IARural Health Clinic/Center$0$3.5M
    Gundersen Lutheran Medical Center IncWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.6M
    Naila AhmadMDRheumatology Physician$1.1M$0
    David HeiFLMedical Oncology Physician$1M$0
    Cindy CalderonWIOphthalmology Physician$897.7K$4.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Opportunity Homes IncIADevelopmentally Disabled Services Day Training Agency$0$19.6M
    Northeast Iowa Mental Health CenterIAMental Health Clinic/Center (Including Community Mental Health Center)$0$7.7M
    Choice Employment ServicesIACommunity/Behavioral Health Agency$0$7.6M
    Spectrum IndustriesIADevelopmentally Disabled Services Day Training Agency$0$3.2M
    Winneshiek Medical CenterIACritical Access Hospital$0$1.2M
    Decorah Community School DistrictIALocal Education Agency (LEA)$0$954.2K
    Timothy FechnerIAPhysical Therapist$183.9K$0
    Daniel WientzenIAFamily Medicine Physician$143.7K$0
    White Drug Enterprises IncIACommunity/Retail Pharmacy$128.7K$3.3K
    Kurt SwansonIAFamily Medicine Physician$112.4K$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. Iowa Distribution
    Andrea Wilson — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa