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    OpenPayerNPI Medicare & MedicaidBrandon Rebholz
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    Brandon Rebholz — Billing Profile & Reimbursement Data

    NPI 1871675264 · Appleton, WI · Orthopaedic Surgery Physician

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    Brandon Rebholz is a orthopaedic surgery physician provider located in Appleton, 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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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBrandon Rebholz
    Address5320 W Michaels Dr
    CityAppleton
    StateWI
    ZIP54913
    TaxonomyOrthopaedic Surgery Physician
    NPI EnumeratedOctober 19, 2006

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

    Payer SourceTotal Paid
    Medicare$69.5K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    22614The provider performs arthrodesis, also known as spinal fusion, to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone graft material to fuse the spine. The…60$270$17K
    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…170$80$14K
    22612The provider performs arthrodesis, also known as spinal fusion, in the lumbar spine (lower back), to permanently join two vertebrae, the interlocking bones of the spine. The provider applies bone…10$1,130$12.4K
    63047The provider performs a laminectomy (excision of the thin bony plate at the back of a vertebra), facetectomy (excision of an area of a vertebra characterized by its smooth surface), and foraminotomy…20$470$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…60$110$6.4K
    22842The provider places spinal instrumentation at the back of the spine across three to six vertebral segments to correct a spinal deformity during the course of a spinal surgery, such as a spinal…10$530$5.8K
    63048At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.40$150$5.4K
    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…10$70$950

    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
    22612223010$1,220$19.5K
    2261472050$230$14.6K
    992142,3669,80080$70$9.2K
    63047317020$490$8.7K
    22842222020$420$7.1K
    992138,8219,38060$50$4.7K
    6304883030$120$3.8K
    992045303,39030$100$3.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Steven WeinerWIUrology Physician$150.1K$0
    Richard StaehlerWIPhysical Medicine & Rehabilitation Physician$114.2K$0
    Jared GreenbergWIPhysical Medicine & Rehabilitation Physician$93.9K$0
    William BodemerWIOrthopaedic Surgery Physician$61.2K$0
    Marie WalkerWIPhysical Medicine & Rehabilitation Physician$42.4K$140
    Thomas WascherWINeurological Surgery Physician$29.3K$0
    Paige BrockdorfWIFamily Nurse Practitioner$19.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Partnership Community Health Center, IncWIFederally Qualified Health Center (FQHC)$0$41.6M
    Expressive Therapies LLCWIClinical Social Worker$0$5.2M
    Steven KleinWIPsychologist$0$1.8M
    Brooke PenoskeWIHealth & Wellness Coach$0$1.3M
    Peter John JacquesWIPhysical Therapist$0$1.3M
    Carrie ChapmanWICardiovascular Disease Physician$432.8K$0
    Patrick MannebachWICardiovascular Disease Physician$373.8K$0
    Noah SmithWIDermatology Physician$364K$0
    Simon RoselaarWICardiovascular Disease Physician$328.7K$0
    Woodland Surgery Center LLCWIAmbulatory Surgical Clinic/Center$160.3K$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
    Brandon Rebholz — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin