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    OpenPayerNPI Medicare & MedicaidJohn Briggs
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    John Briggs — Billing Profile & Reimbursement Data

    NPI 1578620761 · Menasha, WI · Counseling Psychologist

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    John Briggs is a counseling psychologist provider located in Menasha, Wisconsin. This profile covers 5 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
    OrganizationJohn Briggs
    Address1095 Midway Rd
    CityMenasha
    StateWI
    ZIP54952
    TaxonomyCounseling Psychologist
    NPI EnumeratedJanuary 3, 2007

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

    Payer SourceTotal Paid
    Medicaid$29.6K
    Medicare$8.2K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.30$110$3.8K
    96130The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…20$80$1.6K
    96131The provider, physician or other qualified healthcare professional, administers standardized psychological tests to a patient, interprets the results, establishes a treatment plan, and prepares a…20$70$1.1K
    96139A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.40$30$1.1K
    96138A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.20$30$440

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    961394240180$30$4.9K
    9613141030$60$2.9K
    907912019020$110$2.5K
    9613051020$90$2.5K
    96138424050$30$1.3K

    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
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…260$120$29.6K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Wisconsin median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…520900410$70$130.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thedacare Medical Center - Shawano, Inc.WICritical Access Hospital$0$32.8M
    Thedacare Regional Medical Center-neenah, Inc.WIGeneral Acute Care Hospital$0$18.3M
    Thedacare, IncorporatedWIFamily Medicine Physician$0$14.8M
    Thedacare Regional Medical Center - Appleton, Inc.WIGeneral Acute Care Hospital$0$11.5M
    Thedacare Medical Center - Waupaca, Inc.WICritical Access Hospital$0$10.9M
    Thedacare Medical Center - Berlin, Inc.WICritical Access Hospital$0$9.4M
    Thedacare Medical Center - New London, Inc.WICritical Access Hospital$0$9.2M
    Thedacare, IncorporatedWICommunity Based Hospice Care Agency$0$8.3M
    Thedacare, IncorporatedWIDurable Medical Equipment & Medical Supplies$0$7.4M
    Thedacare Medical Center - Wild Rose, IncWICritical Access Hospital$0$6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gold Cross Ambulance Service IncWILand Ambulance$1.4M$5.7M
    Preferred Home Health Care, IncWIHome Health Agency$0$4.2M
    Thedacare, IncorporatedWICounselor$0$1.5M
    Joseph NeilitzWIOphthalmology Physician$257.8K$0
    Michele HolderWIDermatology Physician$153.7K$0
    Sorin HerscoviciWIEndocrinology, Diabetes & Metabolism Physician$79.7K$2.8K
    Cheryl-lynn PitreWIFamily Medicine Physician$82.4K$0
    John JosephWIPain Medicine (Anesthesiology) Physician$73.8K$0
    John BeldWIPsychiatry Physician$23.1K$0
    Yong LiWIPsychiatry Physician$17.9K$70

    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. Wisconsin Distribution
    John Briggs — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    John Briggs — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin