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    v1.0.28
    OpenPayerNPI Medicare & MedicaidNicholas Maxwell
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    Nicholas Maxwell — Billing Profile & Reimbursement Data

    NPI 1437223807 · Monroe, WI · Surgery Physician

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    Nicholas Maxwell is a surgery physician provider located in Monroe, Wisconsin. This profile covers 17 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
    OrganizationNicholas Maxwell
    Address515 22nd Ave
    CityMonroe
    StateWI
    ZIP53566
    TaxonomySurgery Physician
    NPI EnumeratedNovember 20, 2006

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

    Payer SourceTotal Paid
    Medicare$54.9K
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    47562The provider removes the gallbladder through a laparoscope, a tubular instrument with a light source and camera inserted through the abdominal wall, to treat gallbladder disease.20$450$7.2K
    45388In this procedure, the provider performs flexible colonoscopy to destroy one or more tumors, polyps, or other lesions. The procedure includes, but does not require, guide wire passage and dilating…40$200$6.9K
    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$100$5.3K
    49505The provider repairs an initial inguinal hernia on a child, five years of age or older. She pushes the hernia back to reduce it.10$420$4.6K
    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…70$70$4.5K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk30$170$4.5K
    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…30$130$3.9K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk20$170$3.2K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$90$3.2K
    36561A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient.  The catheter's tip must terminate in the…10$250$2.7K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992145,4599,80080$70$9.2K
    4538811040$200$6.9K
    G01059618020$220$6.4K
    4756232010$460$6.4K
    992152,2843,32030$110$6.3K
    992231,6552,08030$130$6.1K
    4950541010$410$5.7K
    G01213012020$230$5.3K
    992134,8759,38060$50$4.7K
    36561768020$250$4.5K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sylvia TrevinoILPediatrics Physician$0$2.9M
    Michael MarksALRadiation Oncology Physician$321.4K$0
    Vinod AlluriTXPsychiatry Physician$187.4K$88.4K
    Sunil PenesettiWICardiovascular Disease Physician$190.1K$19.2K
    Alan SingerWIInterventional Cardiology Physician$198.9K$0
    Gabriel SchaabWIOphthalmology Physician$195.9K$0
    Stephen WagnerWIOphthalmology Physician$183K$0
    Kenneth KleinWIRadiation Oncology Physician$169.3K$0
    John PhelanWIInterventional Cardiology Physician$168.5K$40
    Arif AhmadWICardiovascular Disease Physician$157.5K$120

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of GreenWIMental Health Clinic/Center (Including Community Mental Health Center)$0$9.6M
    The Monroe Clinic, Inc.WIGeneral Acute Care Hospital$0$6.3M
    Monroe School DistrictWILocal Education Agency (LEA)$0$1.3M
    Green County Emergency Medical Service IncWILand Ambulance$385K$228.9K
    Charles StuartWINephrology Physician$146.7K$0
    Walgreen CoWIPharmacy$132.7K$11K
    Wal-mart Stores East LPWICommunity/Retail Pharmacy$129.1K$0
    Charles KindWIPodiatrist$109.8K$3.2K
    Monroe Hometown Pharmacy West LLCWICommunity/Retail Pharmacy$97.5K$7.9K
    Leah GrinvalskyWIPhysical Therapist$101.3K$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
    Nicholas Maxwell — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin