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    OpenPayerNPI Medicare & MedicaidWei-chuan Wang
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    Wei-chuan Wang — Billing Profile & Reimbursement Data

    NPI 1932218005 · Green Bay, WI · Retina Specialist (Ophthalmology) Physician

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    Wei-chuan Wang is a retina specialist (ophthalmology) physician provider located in Green Bay, Wisconsin. This profile covers 18 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
    OrganizationWei-chuan Wang
    Address2253 W Mason St
    CityGreen Bay
    StateWI
    ZIP54303
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$0

    Key Findings

    This provider is a retina specialist whose Medicare work is dominated by intravitreal drug therapy and related retinal procedures: J0178 shows 1.2K claims at $684 avg paid/claim generating $808.5K (60.1% of Medicare revenue), J2777 shows 5.1K claims at $29 avg paid/claim generating $147.9K (11.0%), and 67028 shows 1.1K claims at $97 avg paid/claim generating $106.3K (7.9%). The procedure and drug code mix (large volumes of anti-VEGF/anti‑retinal drugs plus intravitreal injection codes) is consistent with an outpatient retina practice focused on medical, injection‑based management of retinal disease rather than primary general ophthalmology.

    Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 79.1% of this provider's total Medicare revenue, indicating a business model heavily dependent on a small set of high‑value injection and related procedural codes. That concentration creates operational sensitivity to changes in reimbursement, drug utilization, or clinical guidelines affecting those specific codes.

    The provider is effectively single‑payer from the claims perspective: lifetime Medicare revenue is $1.3M while there is no Medicaid billing on file. This lack of Medicaid activity means payers and analysts should treat Medicare reimbursement dynamics as the primary commercial exposure and revenue driver for this clinician.

    Competitive standing across codes is mixed but not dominant nationally: J0178 ranks in the 65th percentile (described as "typical, unremarkable volume"), J2777 ranks in the 25th percentile (typical, unremarkable volume), and 67028 ranks in the 70th percentile (typical, unremarkable volume). In short, the provider shows solid, above‑median throughput on some retina procedures but does not appear as a national-volume outlier for the main anti‑VEGF code.

    There are notable high‑relative‑volume signals in diagnostic imaging and some drug lines: 92134 (retinal imaging) is in the 94th percentile and labeled "notably above typical national volume," while J9035 (bevacizumab) is in the 92th percentile but labeled "typical, unremarkable volume." The combination of very high retinal imaging volume and elevated bevacizumab claims supports a practice pattern of frequent monitoring paired with active pharmacologic therapy.

    Surgical retina activity is present but smaller in scale compared with injection therapy: 67042 (vitrectomy with internal limiting membrane work) shows 45 claims at $857 avg paid/claim producing $38.6K (2.9% of Medicare revenue), and 67108 (retinal detachment repair) shows 16 claims at $862 avg paid/claim producing $13.8K (1.0%). These figures indicate the clinician performs some operative retinal procedures but derives the bulk of Medicare revenue from injections and imaging.

    The provider has an established billing history with an NPI enumerated on 2006-08-30 (~20 years ago), suggesting a long tenure in the market. Given that tenure, lifetime Medicare revenue of $1.3M signals a steady, mid‑scale Medicare practice rather than a large integrated retinal center.

    There is a pronounced disparity in revenue per claim across key drug lines that affects revenue composition: J0178 averages $684 paid/claim while J2777 averages $29 paid/claim, and these two codes together (with 67028) produce most of the revenue. Analysts should note that differences in avg paid/claim and claim counts (unitization and drug pricing) substantially shape the provider's Medicare revenue profile and sensitivity to changes in drug utilization or reimbursement policy.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,180$680$808.5K
    J2777Injection, faricimab‑svoa, 0.1 mg5,100$30$147.9K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,100$100$106.3K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.1,470$30$42.6K
    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…430$100$40.9K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…50$860$38.6K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg240$160$37.6K
    J9035Injection, bevacizumab, 10 mg710$50$36.4K
    92014An 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…350$90$30K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…250$60$15.1K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781260440$690$488.1K
    J277722307,290$30$332K
    6702811110310$80$43.7K
    J7312110210$160$33.6K
    6704222020$870$20.8K
    6710851020$960$17.3K
    J9035770110$50$14.5K
    92014113720120$70$12.9K
    992143829,80080$70$9.2K
    920121316050$60$5.1K

    Showing 1–10 of 18

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Wei-chuan Wang, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baycare Clinic LLPWIEmergency Medicine Physician$0$3.6M
    Jeffrey ShereWIRetina Specialist (Ophthalmology) Physician$1.5M$0
    Jordan TomanWIDiagnostic Radiology Physician$67.3K$261.7K
    Kevin WienkersWIOphthalmology Physician$231.9K$0
    Chad ZehmsWIOrthopaedic Surgery Physician$218.5K$0
    Ryan ClarkWIInterventional Pain Medicine Physician$213.2K$0
    Alexander FosterWIOphthalmology Physician$181.2K$0
    Joseph BergmannWIGlaucoma Specialist (Ophthalmology) Physician$178.2K$0
    Awais SiddiqueWIVascular & Interventional Radiology Physician$175.9K$0
    Kirk DimitrisWIOrthopaedic Surgery Physician$172K$0

    Nearby Providers

    Other providers in the same ZIP code as Wei-chuan Wang, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quality Addiction Management IncWIMethadone Clinic$1.2M$66.8M
    Brown County Oral Health Partnership, Inc.WIPublic Health or Welfare Agency$0$26.6M
    Familia Dental West Green BayWIDental Clinic/Center$0$15M
    St Mary's Hospital Medical Center Of Green Bay Inc.-hospital SistersWIGeneral Acute Care Hospital$0$12.8M
    Green Bay Area Public School DistrictWILocal Education Agency (LEA)$0$6.2M
    Aspiro, Inc.WIDevelopmentally Disabled Services Day Training Agency$0$4.9M
    N.e.w. Community Clinic, LtdWIFederally Qualified Health Center (FQHC)$0$4.7M
    Kismet Advocacy LLCWIIn Home Supportive Care Agency$0$3.8M
    Power For Change, LLCWIMental Health Clinic/Center (Including Community Mental Health Center)$0$2.7M
    Family Services Of Northeast WiWIMental Health Clinic/Center (Including Community Mental Health Center)$0$1.9M

    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. Wisconsin Distribution
    Wei-chuan Wang — 3 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin