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    OpenPayerNPI Medicare & MedicaidGarrett Roy
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    Garrett Roy — Billing Profile & Reimbursement Data

    NPI 1407108715 · Beaumont, TX · Psychiatric/Mental Health Nurse Practitioner

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    Garrett Roy is a psychiatric/mental health nurse practitioner provider located in Beaumont, Texas. This profile covers 26 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGarrett Roy
    Address4347 Phelan Blvd Ste 101
    CityBeaumont
    StateTX
    ZIP77707
    TaxonomyPsychiatric/Mental Health Nurse Practitioner
    NPI EnumeratedOctober 10, 2012

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

    Payer SourceTotal Paid
    Medicare$855.1K
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…5,520$70$408.3K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…1,950$120$230.5K
    99490The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…2,280$40$86.7K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…160$140$23.6K
    99483The provider performs a thorough assessment of a cognitively impaired patient’s understanding, comprehension, memory, and reasoning; obtains a history; reviews the patient’s medication lists and…110$130$14.4K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…190$70$14.2K
    96132The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…160$70$11.4K
    90792In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…80$120$9.4K
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…70$110$7.4K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit50$100$5.1K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    993091,4071,840240$70$35K
    99350268090$120$24.4K
    993081,5211,600170$50$23.8K
    9934911,050100$80$19.5K
    9921423,49332,500110$80$17.6K
    99490281,520180$40$16.2K
    994832215040$190$12.5K
    99458292480180$30$10.8K
    G04393,8587,11060$120$10.6K
    99457447720150$40$10.1K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kristen SosaTXFamily Nurse Practitioner$1.5M$0
    Aurelio CerveraTXClinical Cardiac Electrophysiology Physician$588.6K$0
    John SmithLACardiovascular Disease Physician$503.2K$0
    Ruchita PatelTXFamily Medicine Physician$453.7K$0
    Halim Abou-faycalLAInfectious Disease Physician$436.5K$0
    Ramesh HariharanTXClinical Cardiac Electrophysiology Physician$368.3K$0
    Rajesh VenkataramanTXClinical Cardiac Electrophysiology Physician$368.1K$0
    Benjamin YanWVRadiation Oncology Physician$366K$0
    Marcus SmithTXNeurological Surgery Physician$329.1K$0
    Amy KnightLAFamily Nurse Practitioner$231.8K$52.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Epic Health Services, Inc.TXHome Health Agency$0$44.2M
    212 Therapy LLCTXHome Health Agency$0$24M
    William PearceTXOphthalmology Physician$904.3K$0
    Craig MeauxTXOphthalmology Physician$580.4K$0
    Rahul PatriTXCardiovascular Disease Physician$413.5K$0
    Kevin TalbotTXOphthalmology Physician$411.9K$0
    Peter HoangTXOptometrist$298.9K$0
    Stephen O'neilTXPain Medicine (Physical Medicine & Rehabilitation) Physician$261.4K$0
    Sushanta GoswamiTXInternal Medicine Physician$170.8K$0
    William BurkesTXSleep Medicine (Internal Medicine) Physician$75.1K$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. Texas Distribution
    Garrett Roy — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas