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    OpenPayerNPI Medicare & MedicaidDavid Horak
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    David Horak — Billing Profile & Reimbursement Data

    NPI 1730165515 · Neenah, WI · Diagnostic Radiology Physician

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    David Horak is a diagnostic radiology physician provider located in Neenah, Wisconsin. This profile covers 26 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Horak
    Address325 N Commercial St
    CityNeenah
    StateWI
    ZIP54956
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedDecember 22, 2005

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

    Payer SourceTotal Paid
    Medicare$25.7K
    Medicaid$160

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.120$50$5.5K
    73221In this diagnostic procedure, the provider performs a magnetic resonance imaging, or MRI imaging, of any of the joints of a patient’s upper extremity, which can be the shoulder, elbow, wrist, or…80$50$4.1K
    73720In this diagnostic procedure, the provider performs magnetic resonance imaging imaging of a patient’s lower extremity for other than a joint without contrast material initially, and then after…30$80$2.3K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.30$70$1.9K
    77002The provider uses fluoroscopic guidance to place a needle for biopsy, aspiration, injection, or localization of a device to detect any lesions in any area of the body, except for the spine, or to…20$70$1.5K
    73718In this diagnostic procedure, the provider performs a magnetic resonance imaging study of a patient’s lower extremity other than a joint, without the use of contrast material.30$40$1.1K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…30$30$1K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.10$60$820
    72195In this procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis area without contrast material.20$50$810
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…30$30$810

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067368500140$60$14.5K
    74177482550100$70$8.5K
    77063361480150$30$8.2K
    70450490530120$30$4.6K
    7417647250040$60$3.4K
    2061069381040$40$3.1K
    73721817030$70$3K
    7126037646050$40$2.7K
    73221814030$70$2.4K
    7708022535060$20$2.1K

    Showing 1–10 of 26

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.30$10$170

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    73721In this diagnostic procedure, the provider performs magnetic resonance imaging of a lower extremity joint without using contrast material.5770140$80$43.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Radiology Associates Of The Fox Valley, ScWIDiagnostic Radiology Physician$0$2.1M
    Debbie LimWIRheumatology Physician$1.8M$0
    Paul UtrieWIRheumatology Physician$1.3M$0
    Paul TuttleWIRheumatology Physician$861.3K$0
    Michael AveryWIRheumatology Physician$681.6K$0
    Sandeep RaoAZVascular & Interventional Radiology Physician$634.9K$0
    Nila AlsheikILDiagnostic Radiology Physician$332.8K$300.3K
    Ehab YoussefMIDiagnostic Radiology Physician$613.8K$0
    Ejaz ShamimILDiagnostic Radiology Physician$34.5K$540.6K
    Steven MichelORDiagnostic Radiology Physician$541.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thedacare Regional Medical Center-neenah, Inc.WIGeneral Acute Care Hospital$0$18.3M
    Ascension Medical Group-fox Valley Wisconsin, IncWIMulti-Specialty Clinic/Center$0$13.4M
    The Neuroscience Group Of Northeast Wisconsin ScWINeurological Surgery Physician$0$3.9M
    Children's Hospital Of Wisconsin, Inc.WIChildren's Hospital$0$3.4M
    Bio-medical Applications Of Wisconsin, Inc.WIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.9M
    Khalid KahookWIRetina Specialist (Ophthalmology) Physician$1.8M$390
    Neenah Joint School DistrictWILocal Education Agency (LEA)$0$1.6M
    Ministry Home Care, LLC.WICommunity Based Hospice Care Agency$0$1.5M
    Fox Valley Emergency Medicine S.c.WIEmergency Medicine Physician$0$1.5M
    Rajeev BuddiWIRetina Specialist (Ophthalmology) Physician$1.3M$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
    David Horak — 1 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    David Horak — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin