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    OpenPayerNPI Medicare & MedicaidJavier Rincon
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    Javier Rincon — Billing Profile & Reimbursement Data

    NPI 1639139744 · West Allis, WI · Family Medicine Physician

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    Javier Rincon is a family medicine physician provider located in West Allis, Wisconsin. This profile covers 5 Medicare and 2 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
    OrganizationJavier Rincon
    Address801 S 70th St
    CityWest Allis
    StateWI
    ZIP53214
    TaxonomyFamily Medicine Physician
    NPI EnumeratedMarch 23, 2006

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

    Payer SourceTotal Paid
    Medicare$1.6K
    Medicaid$60

    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
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.50$10$620
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.50$10$450
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…40$10$360
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…50$1$90
    82044Office or lab personnel will usually perform a semiquantitative urine albumin or microalbumin by using a reagent strip that is able to detect the analyte without the use of a chemistry analyzer or…10$10$70

    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
    8005322245040$10$6.3K
    8006123553040$10$5.1K
    8303637371040$10$2.1K
    8204471020$10$210
    8100311247020$1$190

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…10$1$50
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.10$0$0

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…84991080$10$6.4K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.24027080$1$3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    La Clinica De Los Campesinos, IncWIFederally Qualified Health Center (FQHC)$0$24.3M
    Joellen KozlowskiWIPsychologist$6.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.WIPublic Health or Welfare Agency$0$18M
    Noah Associates IncorporatedWIClinical Medical Laboratory$475.8K$10.6M
    Labworks, LLCWIClinical Medical Laboratory$0$9.9M
    Whitmore International LLCWICase Management Agency$0$5.3M
    Neb Medical Services, IncWIDurable Medical Equipment & Medical Supplies$0$5.2M
    Genesis Behavioral Services, Inc.WISubstance Abuse Rehabilitation Facility$0$4.8M
    Wisconsin Renal Care Group, L.L.C.WIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.5M
    The Home Care Agency, Inc.WIPreferred Provider Organization$0$3.4M
    Wheaton Franciscan Home Health & Hospice, LLCWIHome Health Agency$0$3.3M
    Addiction Services And Pharmacotherapy, ScWIMethadone Clinic$136.5K$3M

    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
    Javier Rincon — 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
    Javier Rincon — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin