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    OpenPayerNPI Medicare & MedicaidSeth Williams
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    Seth Williams — Billing Profile & Reimbursement Data

    NPI 1306054390 · Madison, WI · Orthopaedic Surgery of the Spine Physician

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    Seth Williams is a orthopaedic surgery of the spine physician provider located in Madison, 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
    OrganizationSeth Williams
    Address621 Science Dr
    CityMadison
    StateWI
    ZIP53711
    TaxonomyOrthopaedic Surgery of the Spine Physician
    NPI EnumeratedMay 21, 2007

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

    Payer SourceTotal Paid
    Medicare$83.1K
    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
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…40$710$24.7K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…20$1,110$21.1K
    22558The provider performs arthrodesis, also known as spinal fusion, in the lower back, to permanently join two vertebrae, the interlocking bones of the spine, to alleviate persistent pain caused by a…20$480$7.1K
    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…90$70$6.7K
    22840The provider places spinal instrumentation in the neck across a single interspace (C1–C2) to correct a spinal deformity during the course of a spinal surgery, such as a spinal fusion, or arthrodesis.10$520$6.3K
    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…90$50$4.3K
    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…30$110$3.7K
    22853The provider inserts a metallic cage or mesh device between two vertebrae and may use screws or flanges to attach it to the front part of the vertebrae; the device maintains the disc space, provides…20$160$3.2K
    61783In this add on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…20$160$2.8K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.20$150$2.2K

    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
    2261253010$1,220$19.5K
    2255831020$660$11.8K
    992144,4369,80080$70$9.2K
    6304737020$490$8.7K
    2284041010$410$4.9K
    992132,9859,38060$50$4.7K
    22853294030$130$4.1K
    63048283030$120$3.8K
    992041,1803,39030$100$3.7K
    6178362020$160$2.9K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. Joseph's Health Services, Inc.WICritical Access Hospital$0$3.9M
    Nevein IbrahimILDiagnostic Radiology Physician$668.4K$0
    Mihai MititeluWIOphthalmology Physician$366.1K$140
    Mark BiagtanWIAllergy Physician$361.9K$0
    Scott PerlmanWINuclear Imaging & Therapy Physician$351.6K$0
    David KimWIBody Imaging Physician$229.2K$0
    Andrew SwansonWIMOHS-Micrographic Surgery Physician$215.9K$0
    Richard IllgenWIOrthopaedic Surgery Physician$213.3K$0
    Yaohui XuWIDermatology Physician$211.2K$0
    Gregory CooleyWIRadiation Oncology Physician$194.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Agrace Hospicecare, IncorporatedWICommunity Based Hospice Care Agency$0$35.1M
    Home Care United, Inc.WIDurable Medical Equipment & Medical Supplies$0$2.5M
    Hhu Xtra Care IncWIHome Infusion Therapy Pharmacy$0$2.3M
    Journey Mental Health Center, Inc.WICase Management Agency$0$2.1M
    Allison DowdWIPediatric Dentistry$0$1.9M
    Eric TeduitsWIPediatric Dentistry$0$1.8M
    Christopher LynchWIPhysical Medicine & Rehabilitation Physician$237.1K$0
    Walgreen CoWIPharmacy$190.1K$12.6K
    Walgreen CoWIPharmacy$173.6K$25.2K
    Mark HuthWIFamily Medicine Physician$109.2K$83.9K

    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
    Seth Williams — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin