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    OpenPayerNPI Medicare & MedicaidBrian Whyte
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    Brian Whyte — Billing Profile & Reimbursement Data

    NPI 1407965668 · Beckley, WV · Surgery Physician

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    Brian Whyte is a surgery physician provider located in Beckley, West Virginia. This profile covers 27 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
    OrganizationBrian Whyte
    Address122 George St
    CityBeckley
    StateWV
    ZIP25801
    TaxonomySurgery Physician
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$471.6K
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in scope: lifetime Medicare revenue is $471.6K and there is no Medicaid billing on file. The absence of any Medicaid claims indicates payer mix is heavily concentrated in Medicare, which constrains this provider’s exposure to Medicaid populations and related network negotiations.

    Revenue is moderately concentrated in a small set of vascular/endovascular and diagnostic codes: the precomputed top 3 Medicare codes by revenue account for 37.0% of this provider's total Medicare revenue. Those top three revenue drivers are 37229, 93925, and 37225, signaling that a minority of codes generate a disproportionate share of income.

    The code mix points to a vascular/interventional surgery practice with integrated diagnostic imaging and general E/M throughput. High-revenue CPTs include endovascular/interventional codes such as 37229 and 37225 and intravascular ultrasound add-on codes 37252/37253, while a large share of revenue and volume also comes from duplex and Doppler studies (e.g., 93925, 93922, 93880) and E/M visits (e.g., 99214, 99232).

    Diagnostic vascular imaging is a clear strength: 93925 (322 claims) and 93922 (334 claims) both rank in the 98th percentile and are described as notably above typical national volume, while 93880 (348 claims) ranks in the 97th percentile and is also described as notably above typical national volume. These high percentiles for duplex/physiologic studies indicate the provider performs substantially more noninvasive vascular diagnostics than most peers nationally.

    Interventional procedure volumes are mixed and generally not nationally dominant: 37229 ($74.6K) and 37225 ($48.9K) are characterized as typical, unremarkable volume (37229 at the 4th percentile and 37225 at the 0th percentile by rank), and many intravascular/interventional ranks sit in mid-to-lower percentiles. In short, the practice shows stronger competitive standing in diagnostic imaging and certain access procedures than in higher-complexity endovascular case volume.

    There are several specific procedure-level outliers that shape service capacity: 36556 (62 claims) is in the 98th percentile and labeled notably above typical national volume, and 76937 (131 claims) is in the 97th percentile and also described as notably above typical national volume. High volumes of central venous access and ultrasound-guided vascular access suggest operational emphasis on procedures that support both inpatient and outpatient vascular workups.

    Clinical throughput spans outpatient and hospital settings: meaningful revenue and claims appear under office/outpatient E/M codes (99214, 99204, 99215) and inpatient/observation E/M codes (99232, 99222, 99223). The mixture of these E/M codes alongside procedure codes implies the provider manages both clinic-based follow-up/new patient evaluations and inpatient care tied to vascular interventions.

    The provider has long tenure on file, with the NPI enumerated 2006-08-30 (~20 years ago), which supports an established local presence. Despite long tenure, overall Medicare revenue of $471.6K indicates modest scale relative to many national peers, especially given the strong imaging volumes concentrated in a subset of vascular diagnostic and access services.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    37229N/A10$5,740$74.6K
    93925The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of…320$160$50.6K
    37225N/A10$4,440$48.9K
    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…500$90$44.6K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…350$110$36.5K
    93970The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arms or legs). This is a complete, bilateral…230$130$28.8K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…450$60$26.8K
    99204The provider sees a new 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 provider…190$110$22.1K
    37252In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their…30$670$17.3K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…130$130$16.6K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    3722911010$5,740$74.6K
    3722511010$2,420$26.6K
    37253110120$130$15K
    992321341,34090$60$11.9K
    992141722,740100$70$11.8K
    3530111010$870$11.3K
    9922345278030$130$7.9K
    992135952,86080$50$7.5K
    992155547030$110$6.8K
    3725211020$270$5.2K

    Showing 1–10 of 27

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Raleigh General Hospital LLCWVGeneral Acute Care Hospital$0$36.4M
    Community Health Systems, Inc.WVFederally Qualified Health Center (FQHC)$0$35M
    Fmrs Health Systems IncWVCommunity/Behavioral Health Agency$0$27M
    Health Care Alliance, Inc.WVEmergency Medicine Physician$0$25M
    Jan-care Ambulance Of Raleigh County IncWVLand Ambulance$1.9M$20.8M
    Appalachian Regional Healthcare, IncWVGeneral Acute Care Hospital$0$18.3M
    Raleigh County Commission On Aging, Inc.WVHome Health Agency$0$16.7M
    Mountain State Home Health Care IncWVNursing Care Agency$0$16.5M
    Family Options Providers, LLC.WVCommunity/Behavioral Health Agency$0$16.1M
    Raleigh County Commission On Aging, Inc.WVHome Health Agency$0$13.8M

    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. West Virginia Distribution
    Brian Whyte — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia