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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWilliam Holm
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    William Holm — Billing Profile & Reimbursement Data

    NPI 1164451530 · Wausau, WI · Anesthesiology Physician

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    William Holm is a anesthesiology physician provider located in Wausau, Wisconsin. This profile covers 12 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
    OrganizationWilliam Holm
    Address425 Pine Ridge Blvd
    CityWausau
    StateWI
    ZIP54401
    TaxonomyAnesthesiology Physician
    NPI EnumeratedJune 30, 2006

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

    Payer SourceTotal Paid
    Medicare$13K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01402The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.20$110$1.8K
    01214The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.10$160$1.7K
    00790The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.10$120$1.4K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…20$50$1.3K
    00520The provider performs anesthesia services for a patient undergoing closed chest procedures including bronchoscopy, which means viewing the windpipe for investigation. This code includes procedures…10$90$1.1K
    01922The provider performs anesthesia services for a patient undergoing non–invasive imaging or radiation therapy.10$80$980
    01830The provider performs anesthesia services for a patient undergoing procedures on the distal radius, distal ulna, wrist, or hand joints. The provider may perform the procedure by using an open…10$70$900
    64415The provider injects one or more anesthetic agents and/or a steroid into the brachial plexus area, a group of nerves in the arm that originates in the neck. Report this code for one or more…20$50$880
    01480The provider performs anesthesia services for a patient undergoing an open procedure on the bones of the lower leg, ankle, and foot.10$70$840
    00400The provider performs anesthesia services for a patient undergoing any procedure on the integumentary system on the extremities, anterior trunk and perineum, not otherwise specified.10$70$830

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    0140212223020$160$3.3K
    012148711010$160$2.7K
    007908511010$180$2.5K
    0081151261020$70$2K
    00520112010$120$1.7K
    01922449010$110$1.7K
    0073116571020$70$1.6K
    01480224010$80$1.3K
    00400376010$80$1.1K
    0183031010$70$930

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Sylvia TrevinoILPediatrics Physician$0$2.9M
    Debbie LimWIRheumatology Physician$1.8M$0
    David FilsoofCACardiovascular Disease Physician$1.3M$0
    Paul UtrieWIRheumatology Physician$1.3M$0
    Riley SmythWIDiagnostic Radiology Physician$805.1K$320
    Michael AveryWIRheumatology Physician$681.6K$0
    Bjosc, LLCWIAmbulatory Surgical Clinic/Center$542.7K$24.1K
    Sean WhalenNYNuclear Medicine Physician$555.5K$0
    Bjosc, LLCWIAmbulatory Surgical Clinic/Center$415.7K$3.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    First Impressions ScWIPediatric Dentistry$0$17.3M
    Aspirus Wausau Hospital, Inc.WIGeneral Acute Care Hospital$0$16.3M
    Healthfirst Network Inc. F/k/a Family Planning Health Services Inc.WINon-Surgical Family Planning Clinic/Center$0$10.2M
    Aspirus Wausau Hospital, Inc.WILand Ambulance$4M$6.1M
    Aspirus Wausau Hospital, Inc.WIClinical Medical Laboratory$0$6.9M
    Aspirus Vna Home Health IncWIInpatient Hospice$0$3.2M
    Northwest Counseling & Guidance ClinicWIAdolescent and Children Mental Health Clinic/Center$0$3M
    Aspirus Wausau Hospital, IncWIEmergency Medicine Physician$0$2.7M
    Aspirus Vna Home Health Inc.WIDurable Medical Equipment & Medical Supplies$0$2.4M
    Total Renal Care IncWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.4M

    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
    William Holm — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin