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    v1.0.28
    OpenPayerNPI Medicare & MedicaidFrederick Terry
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    Frederick Terry — Billing Profile & Reimbursement Data

    NPI 1306058375 · Bristol, TN · Physical Medicine & Rehabilitation Physician

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    Frederick Terry is a physical medicine & rehabilitation physician provider located in Bristol, Tennessee. This profile covers 13 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
    OrganizationFrederick Terry
    Address320 Bristol West Blvd
    CityBristol
    StateTN
    ZIP37620
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedMay 4, 2007

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

    Payer SourceTotal Paid
    Medicare$118.9K
    Medicaid$180

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95886The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…350$70$24K
    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…180$90$15.9K
    95911In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…100$150$15.3K
    64483This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral).160$90$14.4K
    64493The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance…130$90$11.7K
    64635Under fluoroscopic or CT guidance, the provider applies an agent to a lower back joint to destroy nerve tissue.70$160$10.8K
    64494In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that…120$50$6.4K
    95909In this procedure, the provider performs five or six nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…60$100$5.3K
    95910In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…40$120$4.5K
    64636In this add on procedure, the provider destroys the facet joint nerve of a lumbar or sacral spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of…70$50$3.4K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    644833915070$190$25.8K
    646354215040$360$25.6K
    644933216060$180$16.9K
    992144,40811,370120$80$16.6K
    623239515050$150$14.8K
    958861312080$60$9.8K
    992137,87111,03080$50$8K
    9591197030$140$7.5K
    646362811040$130$6.5K
    95910246030$110$5.8K

    Showing 1–10 of 13

    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
    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…30$10$180

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Tennessee median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3,4253,760610$40$202.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Holston Medical Group PCTNFamily Medicine Physician$0$37M
    James LouthanTNInternal Medicine Physician$735.7K$0
    Edward ForeTNFamily Medicine Physician$637K$0
    Rick WhilesTNInternal Medicine Physician$634.1K$0
    Alison WhitmanVAFamily Medicine Physician$386.8K$0
    Song ZangMORheumatology Physician$341.3K$0
    Cynthia PartainTNFamily Medicine Physician$262.5K$0
    Charlotte TownsendVAFamily Medicine Physician$227.2K$33.9K
    Nicholas HarmanTNFamily Medicine Physician$232.4K$10.3K
    Mary FranciscoTNPediatric Gastroenterology Physician$182.5K$38.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wellmont Health SystemTNGeneral Acute Care Hospital$0$27.3M
    Bristol Pediatric Dentistry PLLCTNPediatric Dentistry$0$23.4M
    Ipc Pac Healthcare Services Of Tennessee PCTNInternal Medicine Physician$0$8.5M
    Blue Ridge Radiology, P.C.TNDiagnostic Radiology Physician$0$4.2M
    Youthcare PediatricsTNPediatrics Physician$0$3.1M
    Applachian Recovery Care, PLLCTNAddiction Medicine (Internal Medicine) Physician$0$2.4M
    Ambulance Service Of Bristol IncTNAmbulance$836.3K$1.5M
    Mountain Empire Cataract & Eye Surgery CenterTNAmbulatory Surgical Clinic/Center$953.1K$929.5K
    The Endoscopy Center Of BristolTNAmbulatory Surgical Clinic/Center$508.4K$181.3K
    Renaissance Surgery Center, LLCTNAmbulatory Surgical Clinic/Center$669.7K$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. Tennessee Distribution
    Frederick Terry — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Frederick Terry — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee