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    OpenPayerNPI Medicare & MedicaidMerle Phillips
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    Merle Phillips — Billing Profile & Reimbursement Data

    NPI 1215926340 · Redwood Falls, MN · Chiropractor

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    Merle Phillips is a chiropractor provider located in Redwood Falls, Minnesota. This profile covers 2 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
    OrganizationMerle Phillips
    Address821 E Bridge St
    CityRedwood Falls
    StateMN
    ZIP56283
    TaxonomyChiropractor
    NPI EnumeratedOctober 20, 2005

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

    Payer SourceTotal Paid
    Medicare$20.8K
    Medicaid$860

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    98940The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.1,080$20$19.5K
    98941The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in three to four spinal regions.70$20$1.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    98941894970200$30$7.8K
    989407470120$20$3.6K

    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
    98940The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.60$20$870

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Minnesota median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    98940The provider applies manipulation to influence joint and neurophysiological function by a variety of techniques and modalities in one to two spinal regions.213270280$20$27.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carris Health - Redwood LLCMNRural Health Clinic/Center$0$4.7M
    Rwf Pharmacy Services LtdMNCommunity/Retail Pharmacy$27.1K$0
    Kilee TauerMNPhysician Assistant$6.3K$0
    Jennifer HillestadMNNurse Practitioner$4.3K$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. Minnesota Distribution
    Merle Phillips — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota
    Medicaid Revenue by Year vs. Minnesota Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Minnesota Distribution
    Merle Phillips — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota