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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Wingate
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    Matthew Wingate — Billing Profile & Reimbursement Data

    NPI 1871898239 · Tea, SD · Orthopaedic Surgery of the Spine Physician

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    Matthew Wingate is a orthopaedic surgery of the spine physician provider located in Tea, South Dakota. This profile covers 25 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
    OrganizationMatthew Wingate
    Address2120 Live Stronger St
    CityTea
    StateSD
    ZIP57064
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedJanuary 17, 2011

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

    Payer SourceTotal Paid
    Medicare$176K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22633In this procedure the provider joins two adjoining lumbar vertebral bodies permanently, accessing the operative site with a combination of approaches for a better outcome. The provider performs this…30$1,270$39.3K
    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…220$90$19.4K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…30$520$14.1K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…70$180$11.6K
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…50$220$11.2K
    72148In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the lumbar spinal canal and contents without using contrast.70$150$10.9K
    72110In this diagnostic procedure, the provider performs at least four X–ray views of the lumbosacral spine to evaluate the patient's spine for the presence of abnormal curves, fractures, or cancer.300$30$10.3K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$570$9.7K
    63005This procedure is laminectomy of one or two lumbar vertebral segments with exploration and/or decompression of the spinal cord and/or cauda equina. This procedure does not contain a facetectomy,…10$720$8.6K
    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…100$80$7.6K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2263322020$740$16.4K
    992144011,66090$70$11.4K
    63047163020$340$7.2K
    992137551,71080$50$6.4K
    2284222020$330$5.7K
    2261421030$170$5.4K
    6300511010$410$4.9K
    2285373040$100$4.5K
    72148156030$70$3.8K
    992036760030$60$2.9K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orthopedic Institute PCSDMulti-Specialty Clinic/Center$0$567.1K
    Michael AdlerSDOrthopaedic Surgery Physician$407.3K$0
    David JonesSDOrthopaedic Hand Surgery Physician$323.9K$0
    Richard CurdSDOrthopaedic Hand Surgery Physician$289.9K$0
    Michael ChangAZOrthopaedic Surgery of the Spine Physician$275.8K$0
    Matthew MckenzieSDOrthopaedic Surgery Physician$275.6K$0
    Corey RothrockSDAdult Reconstructive Orthopaedic Surgery Physician$273.3K$0
    Timothy WalkerSDOrthopaedic Surgery Physician$261.3K$0
    Stanley CrawfordLAOrthopaedic Surgery of the Spine Physician$258.9K$0
    Jason HurdSDOrthopaedic Surgery Physician$214.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Keith BaumgartenSDOrthopaedic Surgery Physician$210K$0
    James BrunzSDPain Medicine (Anesthesiology) Physician$202.3K$0
    Kwang ChangSDPhysical Medicine & Rehabilitation Physician$175.5K$0
    Erik PetersonSDOrthopaedic Surgery Physician$139.7K$0
    Gregory AlvineSDOrthopaedic Surgery of the Spine Physician$112.2K$0
    Peter LoobySDOrthopaedic Surgery Physician$81.9K$0
    Evan HermansonSDOrthopaedic Surgery Physician$81.3K$0
    Luke RasmussenSDOrthopaedic Surgery Physician$70.7K$0
    Precision Dental CareSDGeneral Practice Dentistry$0$65.7K
    Hunstad Top Gum Dental LLCSDGeneral Practice Dentistry$0$60.2K

    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. South Dakota Distribution
    Matthew Wingate — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota