Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJonathan Wiesen
    Ask Trek AI about this page

    Jonathan Wiesen — Billing Profile & Reimbursement Data

    NPI 1912149006 · Norfolk, VA · Internal Medicine Physician

    Customize your policy alerts

    Sign up for Jonathan Wiesen — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jonathan Wiesen is a internal medicine physician provider located in Norfolk, Virginia. 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJonathan Wiesen
    Address600 Gresham Dr Ste 8630b
    CityNorfolk
    StateVA
    ZIP23507
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 3, 2009

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

    Payer SourceTotal Paid
    Medicare$2.4M
    Medicaid$0

    Key Findings

    This provider's Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 95.8% of this provider's total Medicare revenue, with total Medicare revenue reported as $2.4M. That concentration indicates a narrow service mix where a very small set of administered drugs drives the vast majority of dollars billed to Medicare.

    The code mix shows an operational focus on in-office administration of high-cost biologic and specialty injectable therapies rather than broad primary care E/M services. The top codes are J3245, J1306, and J2356, which are all injectable biologic or specialty agents, and the presence of multiple high-volume J-codes suggests the practice operates as an infusion/injection service line or specialty biologics administration site within an Internal Medicine taxonomy.

    J3245 is the single dominant revenue generator, with 14.5K claims and $1.6M revenue representing 65.9% of the provider's Medicare revenue; nationally this provider ranks #4 of 225 and is labeled an extreme outlier (99th percentile). This indicates unusually large-scale administration of tildrakizumab relative to peers and positions the provider as a major national node for this specific drug.

    J1306 shows a contrasting pattern: it has very high claim volume at 55.2K claims but a low average paid/claim ($9 avg paid/claim) yielding $497.1K in revenue and 21.1% of Medicare revenue; the provider ranks #12 of 462 nationally (98th percentile) and is described as notably above typical national volume. The disparity between claim count and avg paid/claim suggests billing of many low-dollar units of inclisiran rather than a smaller number of high-value administrations.

    J2356 contributes $208.7K (8.9% of Medicare revenue) with 14.9K claims and ranks #40 of 113 (64th percentile), a profile characterized as typical and unremarkable relative to national peers. While it is part of the top three revenue drivers, J2356's rank and percentile suggest this code is not the source of the provider's national outlier status and is a secondary stabilizing revenue stream.

    Outside the top three, other administered drugs and chemotherapy administration codes appear only at modest scale: examples include J3032 (2.5K claims, $32.5K revenue), 96401 (450 claims, $29.7K revenue), and J0897 (1.3K claims, $22.4K revenue), each representing small shares of the $2.4M total. These smaller volumes reinforce that the business model is concentrated on a few biologic injectables rather than a broad portfolio of infusion or E/M services.

    Payer mix is effectively single-payer in practice: Medicare revenue is $2.4M while there is no Medicaid billing on file. This lack of Medicaid activity means analysts should treat the provider as operating primarily within the Medicare market and not rely on Medicaid data to characterize service mix or access patterns.

    The provider's NPI was enumerated on 2009-04-03 (~17 years ago), indicating a long-tenured billing history; combined with the concentrated biologics mix and national outlier rankings for specific J-codes, this tenure is consistent with an established practice that has specialized into high-volume biologic administration over time. For payers and competitors, this suggests predictable, entrenched volume for certain specialty drugs that may warrant focused network or utilization management strategies.

    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
    J3245Injection, tildrakizumab, 1 mg14,500$110$1.6M
    J1306Injection, inclisiran, 1 mg55,240$10$497.1K
    J2356Injection, tezepelumab-ekko, 1 mg14,910$10$208.7K
    J3032Injection, eptinezumab-jjmr, 1 mg2,500$10$32.5K
    96401The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.450$70$29.7K
    J0897Injection, denosumab, 1 mg1,320$20$22.4K
    99291Critical care services include the treatment of vital organ failure  or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…30$170$5.6K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…30$120$3.9K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.50$60$2.9K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…80$10$940

    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
    J32451104,700$110$728K
    J130611013,650$10$225K
    J23562109,560$10$201.2K
    J08972833402,820$20$89.3K
    J30323105,700$10$68K
    96413198230250$100$28.5K
    992911,2261,95050$170$12.2K
    9640118180110$60$11.5K
    96365166220100$50$6.5K
    963725321,38060$10$1.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carolinas Medical CenterNCGeneral Acute Care Hospital$0$178.2M
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Carolinas Medical CenterNCSurgical Critical Care Physician$0$52.9M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Sentara Medical GroupVAFamily Medicine Physician$0$48.7M
    Alliance Physicians IncOHFamily Medicine Physician$0$38.9M
    Mercy Health Youngstown LLCOHGeneral Acute Care Hospital$0$36.6M
    Carolinas Physicians Network IncNCPsychologist$0$29.4M
    Carolinas Medical CenterNCPsychiatric Hospital Unit$0$20.6M
    Carolinas Medical CenterNCPediatrics Physician$0$17.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Childrens Hospital Of The Kings Daughters IncVAChildren's Hospital$0$288.2M
    Sentara HospitalsVAGeneral Acute Care Hospital$0$88M
    Childrens Specialty Group PLLCVAPediatrics Physician$0$87.7M
    Sentara Reference Lab Solutions, LLCVAClinical Medical Laboratory$12.9M$4.7M
    Medical Center Radiologists IncVADiagnostic Radiology Physician$0$13.7M
    Childrens Hospital Of The Kings Daughters IncVAAdolescent and Children Mental Health Clinic/Center$0$10.2M
    Childrens Hospital Of The Kings Daughters IncVAPediatrics Physician$0$8.4M
    Deepak DeshmukhVAVascular Surgery Physician$1.4M$0
    Sentara HospitalsVAAir Ambulance$977.3K$170.6K
    Edwin CrandleyVARadiation Oncology Physician$315.3K$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. Virginia Distribution
    Jonathan Wiesen — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia