Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

James Wadley (NPI 1922160423)

Field	Value
Entity Type	Individual
Organization	James Wadley
Address	262 S Leggett Dr
City	Abilene
State	TX
ZIP	79605
Taxonomy	Corneal and Contact Management Optometrist
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicare	$96.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
65778	The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.	30	$960	$24.1K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	290	$80	$22.5K
99213	The 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…	330	$60	$19.3K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	340	$20	$7.9K
92082	The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation.	190	$30	$5.7K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	60	$90	$5K
92273	The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…	50	$90	$4.7K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	50	$50	$2.3K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	60	$40	$2.2K
92025	The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.	50	$20	$1.2K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

James Wadley — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
65778	71	100	30	$1,040	$63.3K
92014	691	2,700	100	$80	$21K
99213	3,229	29,790	70	$60	$8.4K
92134	1,025	1,690	70	$30	$8.3K
92273	37	100	30	$90	$7.9K
92004	760	2,070	40	$90	$6.1K
92083	727	1,590	50	$40	$4.1K
92060	27	90	30	$40	$3.3K
92250	135	1,840	50	$30	$3K
92133	1,127	1,470	50	$20	$2.4K

Showing 1–10 of 12

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Big Country Rehabilitation Inc	TX	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$20.3M
Metrocare Services - Abilene LP	TX	Land Ambulance	$1.9M	$3.6M
Chukwuemeka Ezeoke	TX	Gastroenterology Physician	$75.9K	$0
Michelle Saksa	TX	Occupational Therapist	$12K	$0

James Wadley — Billing Profile & Reimbursement Data

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James Wadley — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References