Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidErwin Winkel
    Ask Trek AI about this page

    Erwin Winkel — Billing Profile & Reimbursement Data

    NPI 1093874331 · Houston, TX · Urology Physician

    Customize your policy alerts

    Sign up for Erwin Winkel — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Erwin Winkel is a urology physician provider located in Houston, Texas. This profile covers 20 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationErwin Winkel
    Address1140a Cypress Station Dr Ste 200
    CityHouston
    StateTX
    ZIP77090
    TaxonomyUrology Physician
    NPI EnumeratedDecember 6, 2006

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

    Payer SourceTotal Paid
    Medicare$153.6K
    Medicaid$0

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…720$70$46.9K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…130$190$25.1K
    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…200$90$18.2K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg100$130$13.3K
    88121The lab analyst performs a technical lab test on a urinary tract specimen using in situ hybridization and three to five molecular probes for computer assisted morphometric analysis, looking at the…20$300$6.9K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.20$420$6.3K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$330$5K
    99204The provider sees a new 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 provider…50$110$4.8K
    99203The provider sees a new 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 provider…50$70$3.7K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.30$110$3.7K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9217155270110$130$18.4K
    9921410,90232,500110$80$17.6K
    8812131040$310$14.7K
    50590405020$550$13.1K
    520007060060$160$12K
    523569817020$550$11K
    7219729432030$140$9K
    9921376229,79070$60$8.4K
    5570020630020$220$6.1K
    7417872991030$140$5.9K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Privia Medical Group Gulf Coast, PLLCTXObstetrics & Gynecology Physician$0$11.3M
    Samir ShirodkarTXUrology Physician$3.4M$0
    Ajay KwatraTXUrology Physician$3M$0
    Carmen Perez-masuelliTXRheumatology Physician$1.8M$0
    Samer SukiTXHematology & Oncology Physician$1.7M$0
    Jason BerilgenTXRadiation Oncology Physician$1.6M$0
    Umang PatelTXRadiation Oncology Physician$1.1M$0
    Mohsen AraniTXHematology & Oncology Physician$1M$0
    Shan GuoTXHematology & Oncology Physician$938.6K$0
    Pierre KhouryTXHematology & Oncology Physician$589.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Epic Health Services, Inc.TXHome Health Agency$0$85.4M
    Houston Northwest Operating Company, LLCTXGeneral Acute Care Hospital$0$18.4M
    Spring Independent School DistrictTXLocal Education Agency (LEA)$0$12.2M
    Rachel Marie JelksTXCommunity/Behavioral Health Agency$0$11.2M
    Elixir Diagnostics, LLCTXClinical Medical Laboratory$4.1M$360
    Olympia JeffriesTXNurse Practitioner$1.4M$0
    Northwest Surgery Center, LtdTXAmbulatory Surgical Clinic/Center$899.8K$0
    Kirk KanadyTXRadiation Oncology Physician$603.6K$0
    Kozhaya SokhonTXCardiovascular Disease Physician$397.7K$0
    Eric KleinbaumTXHematology & Oncology Physician$391.1K$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. Texas Distribution
    Erwin Winkel — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas