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    OpenPayerNPI Medicare & MedicaidJeffrey Wilbert
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    Jeffrey Wilbert — Billing Profile & Reimbursement Data

    NPI 1144217688 · Dayton, OH · Psychologist

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    Jeffrey Wilbert is a psychologist provider located in Dayton, Ohio. This profile covers 3 Medicare and 6 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
    OrganizationJeffrey Wilbert
    Address2717 Miamisburg Centerville Rd
    CityDayton
    StateOH
    ZIP45459
    TaxonomyPsychologist
    NPI EnumeratedSeptember 30, 2005

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

    Payer SourceTotal Paid
    Medicaid$93.1K
    Medicare$36.5K

    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.160$120$18.6K
    96130The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…150$90$13.2K
    96136The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…150$30$4.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9613023030$80$4.5K
    90791843020$110$3.4K
    9613625030$30$1.2K

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.640$80$51.1K
    96130The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…470$50$21.6K
    96136The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…470$20$10.8K
    96101N/A90$80$7.5K
    96131The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…30$40$1.2K
    96137Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…30$20$540

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.2801,260130$110$84.7K
    96131The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…12219080$120$34.8K
    96130The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…5728080$70$26.5K
    96101N/A6720060$140$16.4K
    96137Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List…579050$50$14.5K
    96136The provider, a physician or other qualified healthcare professional, administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of…2211070$30$13.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kettering Medical CenterOHGeneral Acute Care Hospital$0$38M
    Kettering Medical CenterOHGeneral Acute Care Hospital$0$20M
    Kettering Medical CenterOHGeneral Acute Care Hospital$0$10.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri Star Scientific Inc.OHPACE Provider Organization$0$17.6M
    Crn Healthcare, Inc.OHCommunity/Behavioral Health Agency$0$15M
    Compassus Op Of Ohio LLCOHCommunity Based Hospice Care Agency$0$8.2M
    Six Roses Home Health CareOHHome Health Clinical Nurse Specialist$0$7.5M
    Dermatopathology Laboratory Of Central StatesOHClinical Medical Laboratory$3.1M$1.8M
    Surgery Center At Corporate Way LLCOHAmbulatory Surgical Clinic/Center$1.7M$326.8K
    Digestive Endoscopy Center LLCOHAmbulatory Surgical Clinic/Center$623.5K$872.5K
    David KeyOHUrology Physician$520.8K$0
    Timothy SchoonoverOHNeurology Physician$356.8K$0
    Amol SoinOHInterventional Pain Medicine Physician$352.6K$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. Ohio Distribution
    Jeffrey Wilbert — 3 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio
    Medicaid Revenue by Year vs. Ohio Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Jeffrey Wilbert — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio