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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Hodek
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    Michael Hodek — Billing Profile & Reimbursement Data

    NPI 1699966820 · Wausau, WI · Anesthesiology Physician

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    Michael Hodek is a anesthesiology physician provider located in Wausau, Wisconsin. This profile covers 8 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
    OrganizationMichael Hodek
    Address425 Pine Ridge Blvd
    CityWausau
    StateWI
    ZIP54401
    TaxonomyAnesthesiology Physician
    NPI EnumeratedAugust 5, 2007

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

    Payer SourceTotal Paid
    Medicare$12K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    01402The provider performs anesthesia services for a patient undergoing an open or arthroscopic total knee arthroplasty.20$110$2.4K
    00790The provider performs anesthesia services for a patient undergoing intraperitoneal procedures in the upper abdomen, including laparoscopy, which are not specified by any other anesthesia code.20$140$2.2K
    00731The anesthesia provider performs anesthesia services for an unspecified type of upper gastrointestinal endoscopic procedure during which another provider introduces the endoscope to but not beyond…40$60$2.2K
    01214The provider performs anesthesia services for a patient undergoing an open total hip arthroplasty.10$130$1.4K
    00520The provider performs anesthesia services for a patient undergoing closed chest procedures including bronchoscopy, which means viewing the windpipe for investigation. This code includes procedures…10$90$1.2K
    36620In this procedure, the provider inserts a catheter percutaneously (through the skin) into an artery and uses this catheter for the purpose of sampling, transfusion, or continuous real–time blood…40$30$1.2K
    00910The provider performs anesthesia services for a patient undergoing transurethral procedures including urethrocystoscopy. The surgical provider may examine the organs of the urinary system from within…10$50$700
    64447The provider injects one or more anesthetic agents and/or a steroid into the area of the femoral nerve, which innervates the leg and foot. Report this code for one or more injections during a single…20$40$620

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    014027323020$160$3.3K
    012148711010$160$2.7K
    007902111010$180$2.5K
    00520102010$120$1.7K
    007315871020$70$1.6K
    00910258010$70$930
    644476613020$40$910
    366203225020$30$780

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Sylvia TrevinoILPediatrics Physician$0$2.9M
    Debbie LimWIRheumatology Physician$1.8M$0
    David FilsoofCACardiovascular Disease Physician$1.3M$0
    Paul UtrieWIRheumatology Physician$1.3M$0
    Riley SmythWIDiagnostic Radiology Physician$805.1K$320
    Michael AveryWIRheumatology Physician$681.6K$0
    Bjosc, LLCWIAmbulatory Surgical Clinic/Center$542.7K$24.1K
    Sean WhalenNYNuclear Medicine Physician$555.5K$0
    Bjosc, LLCWIAmbulatory Surgical Clinic/Center$415.7K$3.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    First Impressions ScWIPediatric Dentistry$0$17.3M
    Aspirus Wausau Hospital, Inc.WIGeneral Acute Care Hospital$0$16.3M
    Healthfirst Network Inc. F/k/a Family Planning Health Services Inc.WINon-Surgical Family Planning Clinic/Center$0$10.2M
    Aspirus Wausau Hospital, Inc.WILand Ambulance$4M$6.1M
    Aspirus Wausau Hospital, Inc.WIClinical Medical Laboratory$0$6.9M
    Aspirus Vna Home Health IncWIInpatient Hospice$0$3.2M
    Northwest Counseling & Guidance ClinicWIAdolescent and Children Mental Health Clinic/Center$0$3M
    Aspirus Wausau Hospital, IncWIEmergency Medicine Physician$0$2.7M
    Aspirus Vna Home Health Inc.WIDurable Medical Equipment & Medical Supplies$0$2.4M
    Total Renal Care IncWIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.4M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Michael Hodek — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin