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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWalter Halek
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    Walter Halek — Billing Profile & Reimbursement Data

    NPI 1023127230 · Chicago, IL · Podiatrist

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    Walter Halek is a podiatrist provider located in Chicago, Illinois. This profile covers 3 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWalter Halek
    Address5618 S Pulaski Rd
    CityChicago
    StateIL
    ZIP60629
    TaxonomyPodiatrist
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$83.3K
    Medicaid$8.5K

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11057The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.530$70$38.8K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.800$40$27.9K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.250$60$16.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    11056146430140$60$15.4K
    11721118640290$30$15.1K
    11057413060$60$6.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11057The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.870$10$6.1K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.1,460$1$1.5K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…30$1$100
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.580$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Illinois median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…1,4021,540410$20$30.2K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.100370400$10$8.9K
    11057The provider removes more than 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.740140$20$8K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.73170340$10$7.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$40M
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$28.9M
    Russell FiorellaILClinical Pathology/Laboratory Medicine Physician$4K$17.3M
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$16.5M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Michael AppiagyeiILInternal Medicine Physician$52.7K$5.1M
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$4.5M
    Anuj JainILFamily Medicine Physician$140.8K$3.9M
    Manish ShuklaILFamily Medicine Physician$39.6K$3.8M
    James DiesfeldILInterventional Pain Medicine Physician$32.6K$3.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ada S. Mckinley Community Services, Inc.ILMental Health Clinic/Center (Including Community Mental Health Center)$0$19M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$8.2M
    Sinai Psychiatry And Behavorial Health - Holy CrossILMental Health Clinic/Center (Including Community Mental Health Center)$0$3.7M
    Khaled RashadILPhysical Therapist$168.1K$483K
    Sundar SivaprakasamILCritical Care Medicine (Internal Medicine) Physician$294.4K$11.4K
    Andrew SapthaveeILOtolaryngology Physician$129.5K$109.4K
    Maria PekicILNurse Practitioner$40K$8.1K
    Mohammed KaiseruddinILFamily Medicine Physician$3.9K$3.5K

    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. Illinois Distribution
    Walter Halek — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Walter Halek — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois