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 & MedicaidSean Henning
    Ask Trek AI about this page

    Sean Henning — Billing Profile & Reimbursement Data

    NPI 1457373979 · Elkhart, IN · Podiatrist

    Customize your policy alerts

    Sign up for Sean Henning — 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.

    Sean Henning is a podiatrist provider located in Elkhart, Indiana. This profile covers 10 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
    OrganizationSean Henning
    Address2310 California Rd
    CityElkhart
    StateIN
    ZIP46514
    TaxonomyPodiatrist
    NPI EnumeratedJuly 24, 2006

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

    Payer SourceTotal Paid
    Medicare$62.1K
    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.

    10 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…590$60$34.8K
    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…220$70$15.7K
    11750The provider removes part or all of a fingernail or toenail, including the nail plate and matrix and including the lunula if the excision is complete.30$120$3.8K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.130$30$3.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…50$40$1.8K
    11730The provider removes part or all of a single nail plate using simple avulsion techniques.20$80$1.1K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.20$20$420
    73660In this diagnostic procedure, the provider takes a minimum of two X–ray views of one or multiple toes to assess injury, fracture, arthritis, tumor, or congenital abnormalities.20$20$360
    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.10$30$310
    J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg40$10$220

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921336610,82080$50$7.6K
    1172090100120$20$7.1K
    99203373,49030$70$3.1K
    117502310020$100$2.7K
    11730386020$70$2.5K
    992128122,36030$30$2.1K
    7363012168040$20$1.3K
    J0702183220130$1$1.1K
    7361046648030$10$550
    7366052020$10$170

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orthopedic And Sports Medicine Center Of Northern Indiana, IncINOrthopaedic Surgery Physician$0$3.1M
    Edith CullenINSports Medicine (Family Medicine) Physician$676.7K$0
    Jeffrey YerglerINOrthopaedic Surgery Physician$405K$0
    Jonathan EashINAnesthesiology Physician$305.8K$0
    Adam CienINOrthopaedic Surgery Physician$253.1K$0
    Mark KlaassenINOrthopaedic Surgery Physician$199.7K$0
    Jason HixINSports Medicine (Family Medicine) Physician$192.6K$0
    Robert ClemencyINFoot & Ankle Surgery Podiatrist$192.3K$0
    Paul SmuckerINPhysical Medicine & Rehabilitation Physician$168.9K$0
    Ryan ForemanINSports Medicine (Family Medicine) Physician$161.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elkhart General Hospital, Inc.INGeneral Acute Care Hospital$0$25.6M
    Elite Emergency Physicians IncINEmergency Medicine Physician$0$21.5M
    Beacon Medical Group, Inc.INCritical Care Medicine (Internal Medicine) Physician$0$4.6M
    Privia Medical Group Indiana, LLCINMulti-Specialty Clinic/Center$0$2.6M
    Gordon HughesINRheumatology Physician$2M$0
    Asc Surgical Ventures, LLCINAmbulatory Surgical Clinic/Center$1.5M$17.2K
    Ahsanul HaqueINHematology & Oncology Physician$831K$0
    Whitney BolingINOphthalmology Physician$724K$0
    Roger MooreINDermatology Physician$693.9K$0
    Northern Indiana Ambulatory Surgery CenterINAmbulatory Surgical Clinic/Center$525.2K$7K

    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. Indiana Distribution
    Sean Henning — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana