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    OpenPayerNPI Medicare & MedicaidTristan Briones
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    Tristan Briones — Billing Profile & Reimbursement Data

    NPI 1386673010 · Owensboro, KY · Physical Medicine & Rehabilitation Physician

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    Tristan Briones is a physical medicine & rehabilitation physician provider located in Owensboro, Kentucky. This profile covers 18 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
    OrganizationTristan Briones
    Address2780 Frederica Street
    CityOwensboro
    StateKY
    ZIP42301
    TaxonomyPhysical Medicine & Rehabilitation Physician
    NPI EnumeratedJuly 3, 2006

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

    Payer SourceTotal Paid
    Medicare$119.1K
    Medicaid$210

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…780$60$46.8K
    J0475Injection, baclofen, 10 mg160$140$22.7K
    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…200$60$12.9K
    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).80$90$6.8K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…80$80$6.4K
    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$4.7K
    62370The provider analyzes performance of an implantable pump and also reprograms the pump and refills it. Intrathecal or epidural pumps may be used to deliver pain medications to patients suffering from…50$60$3.1K
    95908In this procedure, the provider performs three or four nerve conduction studies, a diagnostic test to evaluate the function, especially the ability of electrical conduction of the motor and sensory…40$70$2.8K
    20552Trigger point injection, or TPI, is a medical procedure that involves injecting an anesthetic or corticosteroid substance to relieve a trigger point, which is a painful area or knot in a muscle.80$30$2.6K
    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…30$90$2.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0475210160$140$24.6K
    64483288050$180$17.7K
    992146,4947,230110$70$14.1K
    992131297,25080$50$7.7K
    27096559040$110$7.5K
    2061048464080$40$6.6K
    95886169080$60$6.2K
    62370163060$50$4.1K
    95910134030$110$3.7K
    64484234040$60$3.7K

    Showing 1–10 of 18

    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…70$1$200

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky 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…2,0092,460580$40$245K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohio County Hospital CorporationKYCritical Access Hospital$0$34.6M
    Roshan MathewKYInterventional Cardiology Physician$1M$0
    Michael ZachekKYSleep Medicine (Internal Medicine) Physician$214.5K$0
    Rejmon DedajKYPulmonary Disease Physician$188K$0
    Brian WardKYAnatomic Pathology & Clinical Pathology Physician$183K$0
    Eme IgbokweKYNeurology Physician$178.1K$0
    Thomas LoganKYOtolaryngology Physician$84.4K$85.3K
    Matthew TaylorKYOtolaryngology Physician$61.3K$107.3K
    Robert MooreKYOrthopaedic Surgery Physician$137.6K$0
    Paul TennantKYOtolaryngology Physician$135.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Green River Regional Mental Health/mental Retardation Board, Inc.KYDevelopmental Disabilities Clinic/Center$0$98.6M
    Green River Area Development DistrictKYSupports Brokerage Agency$0$92.9M
    Rivervalley Behavioral Health IncKYCommunity Health Clinic/Center$0$28.6M
    Behavioral Healthcare Services, Inc.KYDevelopmental Disabilities Clinic/Center$0$18.1M
    Bridges Of Kentucky, Inc.KYIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$16M
    Allied Adult Day Care, LLCKYAdult Day Care Clinic/Center$0$14M
    Owensboro Health Medical Group, IncKYFamily Medicine Physician$0$10.6M
    Green River Regional Mental Health/mental Retardation Board, Inc.KYAdult Day Care Clinic/Center$0$8.7M
    To The Max Behavior Therapy, LLCKYBehavior Technician$0$6.9M
    Rivervalley Behavioral Health IncKYPsychiatric Hospital$0$6.6M

    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. Kentucky Distribution
    Tristan Briones — 1 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Tristan Briones — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky