Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidBarry Bertolet
    Ask Trek AI about this page

    Barry Bertolet — Billing Profile & Reimbursement Data

    NPI 1295845444 · Tupelo, MS · Cardiovascular Disease Physician

    Customize your policy alerts

    Sign up for Barry Bertolet — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Barry Bertolet is a cardiovascular disease physician provider located in Tupelo, Mississippi. This profile covers 45 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBarry Bertolet
    Address499 Gloster Creek Village A-2
    CityTupelo
    StateMS
    ZIP38801
    TaxonomyCardiovascular Disease Physician
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$667.9K
    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.

    45 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,730$80$138.3K
    99458The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month.…3,140$30$91.1K
    J1306Injection, inclisiran, 1 mg9,090$10$81.8K
    99457The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…1,670$30$56.9K
    99454The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period.1,460$30$46.7K
    92928The provider inserts a catheter through the skin (percutaneous approach) and guides it into the heart's arteries. They deploy one or more stents (small tubes) to keep the artery open and may expand a…120$360$43.9K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…120$250$29.9K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…240$100$24.4K
    93458In this procedure, the provider performs imaging supervision and interpretation for a coronary angiography with left heart catheterization and intraprocedural injections for left ventriculography. He…120$160$19.4K
    J2785Injection, regadenoson, 0.1 mg340$50$15.3K

    Showing 1–10 of 45

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 45 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    45 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J13065207,380$10$74K
    93306118210290$80$27.8K
    J27854270410$40$22K
    99214424,110170$70$21.9K
    784523713070$160$16.7K
    9292817030$390$15.1K
    3722141020$890$15.1K
    33361203020$540$14.1K
    992325731,490100$60$12.9K
    99458150280$30$12.3K

    Showing 1–10 of 45

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Mississippi Medical Center, Inc.MSGeneral Acute Care Hospital$0$117.7M
    North Mississippi Medical Clinics IncMSInternal Medicine Physician$0$16.9M
    Monroe Health Services, Inc.MSGeneral Acute Care Hospital$0$16.4M
    Pontotoc Health Services, Inc.MSCritical Access Hospital$0$11.6M
    North Mississippi Medical Center Inc.MSRural Health Clinic/Center$0$7.7M
    North Mississippi Medical Center Inc.MSInternal Medicine Physician$0$2.9M
    Webster Health Services, Inc.MSRural Health Clinic/Center$0$2.8M
    Cardiology Associates Of North Ms PAMSCardiovascular Disease Physician$0$1.9M
    North Mississippi Medical Center, Inc.MSHome Health Agency$0$1.6M
    North Mississippi Medical Center Inc.MSRural Health Clinic/Center$0$1.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Happy Smiles Dentistry - Tupelo LLCMSGeneral Practice Dentistry$0$16.2M
    North Mississippi Ambulatory Surgery Center LLCMSAmbulatory Surgical Clinic/Center$1.5M$7.1M
    Relias Emergency Medicine Specialists Of Tupelo LLCMSEmergency Medicine Physician$0$8.4M
    Sog Surgery Center LLCMSAmbulatory Surgical Clinic/Center$7.5M$480
    Prescribed Pediatric Extended Care, IncMSMedically Fragile Infants and Children Day Care$0$7.2M
    Kare-in-home Hospice Of North Mississippi, LLCMSCommunity Based Hospice Care Agency$0$5M
    North Mississippi Allergy And Asthma Center PLLCMSAllergy & Immunology Physician$0$4.3M
    Sanders Clinic For Women PAMSObstetrics & Gynecology Physician$0$3.8M
    Magnolia Manor Of TupeloMSPreferred Provider Organization$0$3.4M
    Ivancic Pediatric Clinic PAMSPrimary Care Clinic/Center$0$3.3M

    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. Mississippi Distribution
    Barry Bertolet — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi