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 & MedicaidCharles Bingham
    Ask Trek AI about this page

    Charles Bingham — Billing Profile & Reimbursement Data

    NPI 1639135619 · Eau Claire, WI · Endocrinology, Diabetes & Metabolism Physician

    Customize your policy alerts

    Sign up for Charles Bingham — 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.

    Charles Bingham is a endocrinology, diabetes & metabolism physician provider located in Eau Claire, Wisconsin. This profile covers 14 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
    OrganizationCharles Bingham
    Address1400 Bellinger St
    CityEau Claire
    StateWI
    ZIP54703
    TaxonomyEndocrinology, Diabetes & Metabolism Physician
    NPI EnumeratedApril 26, 2006

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

    Payer SourceTotal Paid
    Medicare$428.8K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J3111Injection, romosozumab-aqqg, 1 mg33,180$10$265.4K
    J0897Injection, denosumab, 1 mg4,620$20$83.2K
    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…300$90$27.5K
    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…300$60$18.3K
    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…110$120$13K
    99215The provider sees an established 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…50$120$6.4K
    99211An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.310$20$4.9K
    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$150$3.7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…240$10$2.6K
    G0108Diabetes outpatient self-management training services, individual, per 30 minutes70$40$2.6K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J311121015,120$10$206.2K
    J08978602,220$20$69.3K
    992148939,80080$70$9.2K
    992151,0803,32030$110$6.3K
    96365899050$50$5.8K
    992134029,38060$50$4.7K
    992054581,07020$140$4K
    99204973,39030$100$3.7K
    G01084016040$40$2.4K
    952517312060$20$1.7K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mayo Clinic Health System-northwest Wisconsin Region, Inc.WICritical Access Hospital$0$2.1M
    Peter NoseworthyMNCardiovascular Disease Physician$1.1M$0
    Abigail StockhamMNRadiation Oncology Physician$757.3K$0
    Steven AlbertsMNMedical Oncology Physician$746.5K$0
    Peter ReichertMNDiagnostic Radiology Physician$656.3K$0
    Zachary WilsonWIRadiation Oncology Physician$562.9K$0
    Yolanda GarcesMNRadiation Oncology Physician$419.3K$0
    Timothy KozelskyMNRadiation Oncology Physician$396.3K$0
    James LeenstraMNRadiation Oncology Physician$394.3K$0
    Aswin KumarWIDiagnostic Radiology Physician$387K$100

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eau Claire County Dept. Of Human ServicesWICommunity/Behavioral Health Agency$0$32.9M
    Mayo Clinic Health System-northwest Wisconsin Region, Inc.WIGeneral Acute Care Hospital$0$16.8M
    Eau Claire County Department Of Human ServicesWICase Management Agency$0$10.1M
    Ucp Of West Central WisconsinWICase Management Agency$0$7M
    Hha Of Wisconsin, LLCWIHome Health Agency$0$3.2M
    Eau Claire County Department Of Human ServicesWICommunity/Behavioral Health Agency$0$2.7M
    Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.WISubstance Abuse Rehabilitation Facility$0$2.5M
    Eau Claire County Department Of Human ServicesWICommunity/Behavioral Health Agency$0$2.3M
    Melissa HartWIAnatomic Pathology & Clinical Pathology Physician$187.2K$59.6K
    Michael ColganWIMOHS-Micrographic Surgery Physician$221.4K$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
    Charles Bingham — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin