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    OpenPayerNPI Medicare & MedicaidTodd Eiden
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    Todd Eiden — Billing Profile & Reimbursement Data

    NPI 1033142518 · Two Rivers, WI · Psychologist

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    Todd Eiden is a psychologist provider located in Two Rivers, Wisconsin. This profile covers 1 Medicare and 10 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
    OrganizationTodd Eiden
    Address3120 Memorial Dr
    CityTwo Rivers
    StateWI
    ZIP54241
    TaxonomyPsychologist
    NPI EnumeratedJuly 8, 2006

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

    Payer SourceTotal Paid
    Medicaid$4.7M
    Medicare$8.7K

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…90$100$8.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90837190280130$90$13.3K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97153A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…24,650$90$2.2M
    97155The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…8,680$130$1.1M
    0365TAdaptive behavior tx addl6,500$60$383.3K
    97156The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…3,310$70$234.8K
    0369TDuodenal mucosal resurfacing, endoscopic2,140$100$210.1K
    T2017Habilitation, residential, waiver; 15 minutes230$800$186.5K
    97151The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…1,190$120$143.9K
    0364TBehavior treatment6,950$20$111.2K
    0368TBehavior treatment modified additional2,240$30$73.8K
    0370TFamily adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present)320$80$24K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wisconsin median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97153A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…141105,170$80$1.5M
    T2017Habilitation, residential, waiver; 15 minutes2130820$110$605.6K
    97155The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…91102,070$120$581.8K
    0365TAdaptive behavior tx addl9503,570$70$305.2K
    0369TDuodenal mucosal resurfacing, endoscopic9501,180$100$155.8K
    0364TBehavior treatment7503,670$10$68.2K
    97156The provider discusses a patient’s adaptive behavior treatment face–to–face with the guardian(s) or caregiver(s), with or without the patient present. Report this code for each 15 minutes that the…680200$70$60.4K
    0368TBehavior treatment modified additional9501,190$30$50K
    97151The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…550160$90$34.6K
    0370TFamily adaptive behavior treatment guidance, administered by physician or other qualified health care professional (without the patient present)1730350$80$31K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aurora Health Care North, Inc.WIGeneral Acute Care Hospital$0$6.8M
    Alfredo DiazWIInternal Medicine Physician$144.8K$0
    Richard TheobaldWIInternal Medicine Physician$115.7K$0
    Joseph FederWIOphthalmology Physician$76.3K$0
    Rajesh SharmaWIGastroenterology Physician$51.5K$0
    Mackenzie ZulegerWINurse Practitioner$27.6K$0
    Bryce LewellenWIOptometrist$21.8K$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. Wisconsin Distribution
    Todd Eiden — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    3 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Todd Eiden — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin