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 & MedicaidSeth Eberhardt
    Ask Trek AI about this page

    Seth Eberhardt — Billing Profile & Reimbursement Data

    NPI 1447682968 · West Reading, PA · Podiatrist

    Customize your policy alerts

    Sign up for Seth Eberhardt — 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.

    Seth Eberhardt is a podiatrist provider located in West Reading, Pennsylvania. This profile covers 13 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
    OrganizationSeth Eberhardt
    Address6th Avenue & Spruce Street
    CityWest Reading
    StatePA
    ZIP19611
    TaxonomyPodiatrist
    NPI EnumeratedAugust 7, 2013

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

    Payer SourceTotal Paid
    Medicare$46.6K
    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.

    13 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…260$60$16.2K
    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…90$70$6.6K
    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$120$5.8K
    28750In this procedure, the provider surgically immobilizes the metatarsophalangeal joint of the great toe. A metatarsophalangeal joint is a joint between the first metatarsal of the foot and the first…10$440$5.3K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.100$30$3.1K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.160$20$2.7K
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.60$50$2.6K
    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…10$100$1.4K
    73610In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.50$20$1.1K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.10$80$880

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2875081010$1,350$20.3K
    11721739860440$30$17.4K
    9921422,31723,230100$80$14.5K
    1104226643070$70$7.8K
    992132,97422,37070$60$7.7K
    1173028930030$80$5.3K
    992043,11110,29030$110$5K
    992039367,33030$70$3.5K
    2060025534030$40$1.6K
    736301301,43040$20$1.2K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Hospital, IncWVGeneral Acute Care Hospital$0$41.1M
    University Healthcare Physicians, Inc.WVFamily Medicine Physician$0$17.5M
    City Hospital, Inc.WVInternal Medicine Physician$0$1.9M
    Randall J. Hill, M.d., P.L.L.C.WVSpecialist$0$1.9M
    Edward KiggunduWVRadiation Oncology Physician$835.2K$0
    Jessica MathenyWVObstetrics & Gynecology Physician$3.1K$492.9K
    Salahadin GharadKYCardiovascular Disease Physician$225.6K$0
    Scott GilchristWVPsychiatry Physician$224.6K$0
    Joseph CincinnatiWVOrthopaedic Surgery Physician$202.9K$0
    Jacob SechristWVDiagnostic Radiology Physician$164.6K$38K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reading HospitalPAGeneral Acute Care Hospital$0$58.4M
    Tower Health Medical GroupPAEmergency Medicine Physician$0$8M
    Penn State Health Medical Group, LLCPAPediatrics Physician$0$7.7M
    New Directions Treatment ServicesPAMethadone Clinic$0$6.3M
    Tower Direct LLCPALand Ambulance$1.4M$1.9M
    William KimmelPAAnatomic Pathology & Clinical Pathology Physician$1.7M$131.8K
    Stephen LongeneckerPAOrthopaedic Surgery Physician$543.9K$0
    Eric SlotkinPAOrthopaedic Surgery Physician$360.4K$0
    Arun KundraPAClinical Cardiac Electrophysiology Physician$257.8K$8.3K
    Kenneth McalpinePAOrthopaedic Surgery Physician$261.8K$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. Pennsylvania Distribution
    Seth Eberhardt — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania