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 & MedicaidDavid Hesse
    Ask Trek AI about this page

    David Hesse — Billing Profile & Reimbursement Data

    NPI 1477532091 · Eau Claire, WI · Podiatrist

    Customize your policy alerts

    Sign up for David Hesse — 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.

    David Hesse is a podiatrist provider located in Eau Claire, Wisconsin. 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
    OrganizationDavid Hesse
    Address719 W Hamilton Ave Ste A
    CityEau Claire
    StateWI
    ZIP54701
    TaxonomyPodiatrist
    NPI EnumeratedJanuary 12, 2006

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

    Payer SourceTotal Paid
    Medicare$45.5K
    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
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.300$60$16.7K
    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…140$60$8.1K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.230$30$7.5K
    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$5K
    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…30$90$2.6K
    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…20$80$1.6K
    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.10$110$1.5K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.100$10$1.4K
    73620In this diagnostic procedure, the provider takes two X–ray views of a patient’s foot to assess an injury, fracture, arthritis, tumor, or congenital abnormality.40$20$820
    11719The provider performs trimming of one or more normally developed nails of the fingers or toes.100$1$300

    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
    11721118200290$30$9.8K
    992147,9039,80080$70$9.2K
    11056811090$50$6.8K
    11720399070$20$6.8K
    992131,7099,38060$50$4.7K
    992047243,39030$100$3.7K
    992031,6462,82030$60$2.4K
    11750395020$100$2.3K
    117191430100$10$1.5K
    73620134030$10$590

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chris BuntrockNMOphthalmology Physician$1M$0
    Independent Surgery Center LLCWIAmbulatory Surgical Clinic/Center$775.9K$89.1K
    Terrence MccannaWIOphthalmology Physician$506.9K$0
    John MoffittWIOphthalmology Physician$280.1K$0
    Thomas HarveyWIOphthalmology Physician$269.3K$290
    Rajesh MaddikuntaWICardiovascular Disease Physician$257.2K$0
    Heidi JareckiWIOphthalmology Physician$255K$0
    Samuel ElsnerWIFoot & Ankle Surgery Podiatrist$56.5K$0
    Gregory MackWIFoot & Ankle Surgery Podiatrist$42.8K$0
    Pam KohlhaasWICertified Registered Nurse Anesthetist$14.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Croix Hospice LLCWICommunity Based Hospice Care Agency$0$25.2M
    Mchs Hospitals IncWIGeneral Acute Care Hospital$0$12.4M
    Steven KristoWIOrthodontics and Dentofacial Orthopedics Dentistry$0$7.9M
    Mayo Clinic Health System-northwest Wisconsin Region, Inc.WIMulti-Specialty Clinic/Center$0$7.5M
    Milwaukee Health Services System, LLCWIMethadone Clinic$229.3K$5.6M
    Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St FrancisWIGeneral Acute Care Hospital$0$5.7M
    Sacred Heart Hospital Of The Hospital Sisters- 3rd Order Of St FrancisWIFamily Medicine Physician$0$4.6M
    Mchs Hospitals IncWIClinic/Center$0$4.1M
    Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.WISubstance Abuse Rehabilitation Facility$0$3.9M
    Dedra Davis-wallaceWIPediatric Dentistry$0$3.6M

    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
    David Hesse — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin