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    OpenPayerNPI Medicare & MedicaidBenjamin Hodges
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    Benjamin Hodges — Billing Profile & Reimbursement Data

    NPI 1790266971 · Fort Atkinson, WI · Physician Assistant

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    Benjamin Hodges is a physician assistant provider located in Fort Atkinson, Wisconsin. This profile covers 9 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
    OrganizationBenjamin Hodges
    Address1504 Madison Ave
    CityFort Atkinson
    StateWI
    ZIP53538
    TaxonomyPhysician Assistant
    NPI EnumeratedAugust 24, 2018

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

    Payer SourceTotal Paid
    Medicare$12.5K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    20610In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…110$30$3.5K
    27447In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…20$130$2.8K
    27130In this procedure, the provider surgically replaces the hip joint by prosthesis, or artificial hip joint. He replaces both the femoral and acetabular components with or without using an autograft or…20$130$2.6K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…20$80$1.4K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…10$80$1.2K
    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…20$40$660
    73502In this diagnostic procedure, the provider takes X–ray images of one hip, either left or right, from two or three projections (directions or angles) to check for any fracture, swelling, or other…10$10$90
    73140In this diagnostic procedure, the provider performs a radiological study of one or more fingers. He performs two or more views.20$1$90
    73562In this procedure, the provider takes three X–ray images of a patient’s knee joint to check for any fracture, swelling, or reason for pain in the knee area.10$10$80

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    2744717028030$990$33.8K
    2713011322020$970$25.1K
    2544741010$550$8.7K
    992138,3819,38060$50$4.7K
    992221,7412,20020$90$3.1K
    2061016281040$40$3.1K
    7350259763050$10$1K
    7356248651040$20$1000
    731405714020$20$380

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fort Healthcare, Inc.WIGeneral Acute Care Hospital$0$9.4M
    School District Of Fort AtkinsonWILocal Education Agency (LEA)$0$1.5M
    Rock River Community Clinic, IncWIFederally Qualified Health Center (FQHC)$0$1.5M
    Fort Healthcare IncWIRural Health Clinic/Center$0$1.4M
    Opportunities, Inc. Of Jefferson CountyWIDevelopmentally Disabled Services Day Training Agency$0$1.3M
    City Of Fort AtkinsonWILand Ambulance$166.1K$87.7K
    Walgreen CoWIPharmacy$175.2K$27K
    Catherine LeeWIOphthalmology Physician$194.9K$0
    Pain Centers Of Wisconsin - Fort Atkinson, LLCWIInterventional Pain Medicine Physician$101.7K$0
    Paul SchuppnerWIOrthopaedic Surgery Physician$96.1K$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
    Benjamin Hodges — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin