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 Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah 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. Utah (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.

Darrell Wilson (NPI 1922160530)

Field	Value
Entity Type	Individual
Organization	Darrell Wilson
Address	1303 N Main St
City	Cedar City
State	UT
ZIP	84720
Taxonomy	Emergency Medicine Physician
NPI Enumerated	December 14, 2006

Payer Source	Total Paid
Medicare	$98.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	380	$130	$48.8K
99291	Critical 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…	190	$160	$30.9K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	170	$90	$14.3K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	420	$10	$2.5K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	40	$50	$1.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Darrell Wilson — 3 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	3	460	80	$130	$12.7K
99291	5	450	30	$160	$7.8K
99284	21	490	50	$80	$5.2K
99283	39	180	20	$50	$1.3K
93010	38	450	80	$10	$940

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Martin	MS	Family Medicine Physician	$9M	$0
Scott Cook	PA	Family Medicine Physician	$130.6K	$3.9M
David Filsoof	CA	Cardiovascular Disease Physician	$1.3M	$0
Tariq Yousuf	TX	Interventional Cardiology Physician	$1.3M	$0
Ritu Saini	NY	MOHS-Micrographic Surgery Physician	$687.6K	$487.4K
Farhan Tahir	PA	Rheumatology Physician	$1M	$0
Aaron Aldape	TX	Family Medicine Physician	$988.1K	$0
Atif Rasheed	TN	Emergency Medicine Physician	$832.9K	$54.7K
Mitesh Patel	NJ	Sports Medicine (Family Medicine) Physician	$785K	$0
Robert Galamaga	AZ	Hematology & Oncology Physician	$749.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tyler Albrecht	UT	Pediatric Dentistry	$0	$2.8M
Ihc Health Services Inc	UT	Multi-Specialty Clinic/Center	$0	$1.6M
Color Country Pediatrics, LLC	UT	Pediatrics Physician	$0	$1.3M
Pinnacle Youth Services, Inc	UT	Community/Behavioral Health Agency	$0	$1.3M
Iron County School District	UT	Local Education Agency (LEA)	$0	$1.3M
Southern Utah University	UT	Developmentally Disabled Services Day Training Agency	$0	$1.2M
Premier Pediatrics LLC	UT	Pediatrics Physician	$0	$1.1M
Children's Dental Of Cedar City	UT	Pediatric Dentistry	$0	$1.1M
Robert Dowse	UT	Pediatrics Physician	$0	$867K
Kirk Anderton	UT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$798.4K

Darrell Wilson — Billing Profile & Reimbursement Data

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Darrell Wilson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References