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    OpenPayerNPI Medicare & MedicaidBethel Averbeck
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    Bethel Averbeck — Billing Profile & Reimbursement Data

    NPI 1013987882 · Minneapolis, MN · Internal Medicine Physician

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    Bethel Averbeck is a internal medicine physician provider located in Minneapolis, Minnesota. This profile covers 17 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
    OrganizationBethel Averbeck
    Address4730 Chicago Ave
    CityMinneapolis
    StateMN
    ZIP55407
    TaxonomyInternal Medicine Physician
    NPI EnumeratedJanuary 25, 2006

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    This provider’s commercial footprint is effectively single‑payer: total Medicare revenue is $1.2M while there is no Medicaid billing on file. That concentration means the practice’s revenue and operational profile are driven almost entirely by Medicare-covered services and would be sensitive to Medicare policy or reimbursement changes.

    Revenue is highly concentrated in a small set of vaccine administration codes: the top 3 Medicare codes (91320, 90480, G0008) account for 70.5% of total Medicare revenue. Individually those codes show large dollar contributions — 91320 ($512.2K, 42.1%), 90480 ($180.8K, 14.9%), and G0008 ($165.1K, 13.6%) — indicating the practice derives most of its Medicare dollars from immunization services.

    The code mix indicates the practice operates primarily as a high-volume immunization and preventive care site with a meaningful anticoagulation management component. Multiple influenza and COVID‑19 vaccine codes dominate the top list (91320, 90480, G0008, 90694, 90686), while 93793 (INR review/interpretation; 9.3K claims, $74.6K, 6.1%) signals routine chronic disease monitoring workflows alongside vaccination activity.

    On competitive standing, the practice is a national outlier for several vaccine administration codes: 91320 ranks #12 of 27083 providers nationally (100th percentile; extreme outlier), 90480 ranks #18 of 46950 (100th percentile; notably above typical national volume), and G0008 ranks #18 of 119096 (100th percentile; extreme outlier). These rankings position the provider as a major national-volume administrator for COVID‑19 and influenza vaccines compared with peers.

    93793 (INR review/interpretation) is also an outlier in volume and contribution: 9.3K claims generating $74.6K (6.1% of Medicare revenue) and ranking #6 of 4137 providers nationally (100th percentile; extreme outlier). This suggests a distinct operational capability or patient panel reliant on warfarin management that materially complements the immunization business line.

    Other E/M and nursing facility codes appear modest in scale relative to the vaccine workstream: 99211 appears 206 claims/$4.1K (0.3%) and nursing facility codes such as 99309 and 99310 together account for only small shares of revenue with low national percentiles (16th and 15th, respectively). That pattern implies limited emphasis on complex office E/M or SNF‑based primary care compared to vaccination services.

    Provider tenure is long-standing: the NPI was enumerated on 2006-01-25 (~20 years ago), indicating an established Medicare enrollment and likely operational continuity over multiple policy cycles. Long tenure combined with the dominant vaccine volumes suggests an entrenched workflow and possibly dedicated staffing or clinic processes for immunizations.

    The revenue concentration creates both opportunity and exposure: the provider’s reliance on a few high-volume vaccine codes (top 3 = 70.5% of Medicare revenue) drives scale advantages and payer negotiating leverage for those services, but it also concentrates risk if vaccine demand or reimbursement shifts. The absence of Medicaid billing further reduces payer diversification, which could limit revenue stability in markets where Medicaid share matters.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.4,030$130$512.2K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.4,640$40$180.8K
    G0008Administration of influenza virus vaccine5,500$30$165.1K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…4,900$20$117.5K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.610$140$86.3K
    93793The provider reviews and interprets a new INR test result of a patient taking regular doses of warfarin after which he adjusts the dosage if needed, instructs the patient on continued treatment, and…9,320$10$74.6K
    0124AN/A790$40$31K
    0134AN/A380$40$14.9K
    90674This code represents a flu vaccine product that protects against four strains of influenza. It is derived from cell cultures, contains no preservatives or antibiotics, and is administered as a 0.5 mL…590$20$13.5K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…30$280$8.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    91322783030$140$12.8K
    9931030634070$100$12.2K
    91320169030$130$11K
    9930937554080$70$10.5K
    9930617118040$130$8.4K
    906778373020$280$5.6K
    9069411,36030$70$4.3K
    9048021,38030$40$3.5K
    937933180110$10$3.3K
    G000822,30030$30$2.2K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Park Nicollet ClinicMNFamily Medicine Physician$0$210M
    Group Health, Inc.MNMulti-Specialty Clinic/Center$0$204M
    Regions HospitalMNGeneral Acute Care Hospital$0$44.4M
    Saint Joseph Mercy Livingston HospitalMIGeneral Acute Care Hospital$0$18.3M
    Park Nicollet Methodist HospitalMNGeneral Acute Care Hospital$0$17.2M
    Regions HospitalMNEmergency Medicine Physician$0$15.1M
    Group Health, Inc.MNMulti-Specialty Clinic/Center$0$14.8M
    Group Health, Inc.MNClinical Medical Laboratory$2.4M$11.5M
    Group Health, Inc.MNMulti-Specialty Clinic/Center$0$13M
    Amery Regional Medical Center, Inc.WICritical Access Hospital$0$8.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Allina Health SystemMNInternal Medicine Physician$0$32.9M
    Allina Health SystemMNGeneral Acute Care Hospital$0$27M
    Allina Health SystemMNPhysical Medicine & Rehabilitation Physician$0$18.2M
    Ebenezer Home CareMNHome Health Agency$0$9.9M
    Amaana Adult Day Care Center IncMNDevelopmentally Disabled Services Day Training Agency$0$9.8M
    Hennepin CountyMNPsychiatry Physician$0$9.3M
    Southside Community Health Services, Inc.MNFederally Qualified Health Center (FQHC)$0$8.9M
    Hospital Pathology Associates PAMNAnatomic Pathology & Clinical Pathology Physician$0$8.5M
    Twincare Dental LLCMNGeneral Practice Dentistry$0$6.2M
    Covenire Care Nokomis, LLC - Dba The Waters Of MinnehahaMNAssisted Living Facility$0$6M

    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. Minnesota Distribution
    Bethel Averbeck — 10 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota