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    v1.0.28
    OpenPayerNPI Medicare & MedicaidZachary Zimmerman
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    Zachary Zimmerman — Billing Profile & Reimbursement Data

    NPI 1265815187 · Beloit, WI · Otolaryngology Physician

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    Zachary Zimmerman is a otolaryngology physician provider located in Beloit, Wisconsin. This profile covers 9 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
    OrganizationZachary Zimmerman
    AddressBeloit Clinic
    CityBeloit
    StateWI
    ZIP53511
    TaxonomyOtolaryngology Physician
    NPI EnumeratedJuly 9, 2015

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

    Payer SourceTotal Paid
    Medicare$46.3K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…160$70$11.2K
    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…220$50$10.4K
    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…120$50$6.3K
    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…60$80$5K
    31575The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.110$50$5K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.80$50$3.6K
    69210The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.120$20$2.6K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…10$140$1.7K
    92504In this diagnostic procedure, the provider uses a microscope to examine the ears of a patient. He may also sometimes examine the patient’s nose for direct visualization to help with diagnosis…70$10$410

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992142,4559,80080$70$9.2K
    992137469,38060$50$4.7K
    992059391,07020$140$4K
    31231910030$100$3.9K
    992044403,39030$100$3.7K
    31575313040$70$2.9K
    99203982,82030$60$2.4K
    692104621040$20$1.9K
    92504185030$10$790

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Beloit Health System IncWIGeneral Acute Care Hospital$0$22.7M
    Beloit Health System IncWIGeneral Practice Physician$0$4.9M
    Beloit Health System IncWIRenal Dialysis Technician$0$2M
    Douglas DebenhamINRadiation Oncology Physician$1.8M$0
    John KapoorCAInternal Medicine Physician$812.8K$575.1K
    Jason FriedrichsFLOphthalmology Physician$695K$0
    Anupama UpadhyayIAPsychiatry Physician$31.6K$560.4K
    Charles SweeneyILNephrology Physician$297.6K$157.4K
    Tariq AlamMONeurology Physician$223.8K$3.2K
    James StarrMIInternal Medicine Physician$210.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Systems, Inc.WIFederally Qualified Health Center (FQHC)$0$14.2M
    Orthodontic Experts Of Wisconsin, LLCWIOrthodontics and Dentofacial Orthopedics Dentistry$0$4.4M
    School District Of BeloitWILocal Education Agency (LEA)$0$2.8M
    City Of BeloitWIParamedic$333.3K$1.6M
    Southern Wisconsin Emergency Associates ScWIEmergency Medicine Physician$0$1.7M
    Orthomidwest Surgery Center Beloit, LLCWIAmbulatory Surgical Clinic/Center$415.3K$0
    Jennifer TaylorWINurse Practitioner$185.9K$39.7K
    Walgreen CoWIPharmacy$138.3K$55.6K
    Paul SegalWIDermatology Physician$192.2K$830
    Eric XanthopoulosWIRadiation Oncology Physician$186K$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
    Zachary Zimmerman — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin