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    OpenPayerNPI Medicare & MedicaidBrett Brumbaugh
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    Brett Brumbaugh — Billing Profile & Reimbursement Data

    NPI 1417671454 · East Providence, RI · Occupational Therapist

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    Brett Brumbaugh is a occupational therapist provider located in East Providence, Rhode Island. This profile covers 3 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
    OrganizationBrett Brumbaugh
    Address400 Massasoit Ave Ste 113
    CityEast Providence
    StateRI
    ZIP02914
    TaxonomyOccupational Therapist
    NPI EnumeratedOctober 3, 2022

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

    Payer SourceTotal Paid
    Medicare$16.7K
    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.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    97535A healthcare provider is required to give  proper instruction to a person especially in cases of recovery from acute disease.650$20$13K
    97166The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…30$80$2K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.80$20$1.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    97530329370300$30$10.9K
    9753545060$20$3.6K
    9716651020$80$2.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carelink, Inc.RIPhysical Therapist$0$1.1M
    Jeffrey DodgeRIGeneral Practice Dentistry$0$1M
    Carelink Inc.RIGeneral Practice Dentistry$0$914.7K
    Dominic RodaRIFoot & Ankle Surgery Podiatrist$105.1K$5K
    Jessica SwainRIOccupational Therapist$77.4K$0
    Jeanne SullivanRIPhysical Therapist$73K$0
    Kenneth SegalRIPodiatrist$56.2K$7.9K
    Jaryl SciarappaRISpeech-Language Pathologist$54.9K$0
    Courtney KirkmanRIPhysical Therapist$51.7K$0
    Nicole FortierRIOccupational Therapist$48K$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. Rhode Island Distribution
    Brett Brumbaugh — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island