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    OpenPayerNPI Medicare & MedicaidBrent Byers
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    Brent Byers — Billing Profile & Reimbursement Data

    NPI 1659869881 · Edmond, OK · Nurse Practitioner

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    Brent Byers is a nurse practitioner provider located in Edmond, Oklahoma. This profile covers 20 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
    OrganizationBrent Byers
    Address3040 Nw 179th Ct
    CityEdmond
    StateOK
    ZIP73012
    TaxonomyNurse Practitioner
    NPI EnumeratedApril 24, 2018

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

    Payer SourceTotal Paid
    Medicare$9.8M
    Medicaid$0

    Key Findings

    This provider’s billings are effectively single‑payer: total Medicare revenue is $9.8M and there is no Medicaid billing on file. The absence of any Medicaid claims suggests the practice’s revenue mix and contracting exposure are concentrated in Medicare rather than a dual Medicare/Medicaid model.

    Revenue is extremely concentrated in a tiny number of line items: the precomputed top 3 Medicare codes by revenue account for 99.1% of this provider's total Medicare revenue. Specifically, Q4217 generates $6.9M (70.1% of total), Q4277 generates $2.8M (28.4% of total), and 97610 generates $55.2K (0.6% of total), indicating dependence on a very small set of high‑value codes.

    The CPT/HCPCS mix shows a focused wound‑care and skin‑substitute practice profile: the two largest codes, Q4217 and Q4277, are per‑square‑centimeter wound graft/membrane products and together drive nearly all Medicare revenue. Smaller but supportive line items (15271, 15275, 15272) and debridement/ultrasound codes (97610, 97597) reinforce that revenue is driven by advanced wound products and procedural wound management rather than high volumes of standard E/M visits.

    Competitive standing is uneven across codes: for Q4217 the provider ranks #3 of 65 providers nationally (97th percentile; notably above typical national volume for this code), signaling a dominant national presence for that specific product. By contrast Q4277 ranks #2 of 3 providers nationally (50th percentile; typical, unremarkable volume for this code) and 97610 ranks #130 of 320 providers (59th percentile; typical, unremarkable volume), so leadership is concentrated on a single code rather than broad superiority across wound modalities.

    The practice bills across multiple care settings, but these visits represent small shares of revenue: nursing‑facility and home‑visit E/M codes (99304–99309, 99344, 99347, 99348) and low‑level office codes such as 99211 appear in the dataset but contribute only modest dollar amounts relative to the skin‑substitute codes. This pattern suggests on‑site procedural work (product/graft application billed per cm2) is the economic driver while E/M services are ancillary.

    Tenure information shows the NPI was enumerated on 2018-04-24 (~8 years ago), indicating the provider has an established billing history over multiple years. Given the concentrated high dollar volumes on wound products, that tenure supports the interpretation of a stable, product‑centric wound care operation rather than a transient billing pattern.

    From a contracting and utilization management perspective, the provider’s reliance on per‑square‑centimeter wound substitute codes (Q4217, Q4277) means reimbursement negotiations and coverage policy for skin substitutes will disproportionately affect its revenue. The complete lack of Medicaid billing on file also means payers and network managers should treat this entity as primarily Medicare‑dependent when modeling financial impact.

    Statistical outlier signals are mixed: Q4217 is explicitly flagged as notably above typical national volume, which warrants further benchmarking against peers and local referral patterns; other frequently billed items such as Q4277 and 97610 are described as typical or unremarkable in national comparisons. These contrasts—one very strong outlier code plus several typical codes—suggest the provider’s profile is driven by a specific high‑volume product usage rather than uniformly high utilization across wound care 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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4217Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)6,150$1,120$6.9M
    Q4277Woundplus membrane or e-graft, per square centimeter2,020$1,390$2.8M
    97610The provider uses a low–frequency ultrasound device to try to improve wound healing.210$270$55.2K
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.240$90$22.9K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…230$50$10.6K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…140$70$9.4K
    15275The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…80$100$7.6K
    99348The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30…130$50$6.1K
    0598TThe provider uses real–time fluorescence imaging in a darkened clinical setting to examine a wound. The provider uses this imaging to identify and locate bacterial infection in the wound and to…50$90$4.7K
    97597The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…80$60$4.6K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42171102,800$1,120$3.5M
    Q42771102,020$1,380$2.8M
    97610210210$310$137.9K
    99309146270170$70$42.7K
    99308121270180$50$26.5K
    11043324090$140$21.7K
    0598T210180$90$16.1K
    993069413060$130$12.3K
    15271330100$90$10.9K
    993056712050$90$8.4K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Carnegie Tri-county Municipal Hospital Management, IncOKGeneral Practice Physician$0$1.9M
    Cordell Memorial Hospital 0189OKRural Health Clinic/Center$0$1.7M
    Michael RobinsonOKFamily Medicine Physician$328.1K$0
    Daniel TuckerARFamily Medicine Physician$276.2K$0
    Usman BhuttaOKNephrology Physician$206.5K$0
    Jeanie LoperOKFamily Medicine Physician$194.7K$0
    Jay BeltOKFamily Medicine Physician$178.2K$0
    Leonard BowenOKHematology & Oncology Physician$176.6K$0
    Krysten MescanOKFamily Nurse Practitioner$151.3K$0
    Joshua SmithOKFamily Medicine Physician$136K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alphacare PLLCOKPhysical Therapist$0$6.7M
    Roberts Group CounselingOKMental Health Counselor$0$2M
    Andrew StoneOKDiagnostic Radiology Physician$130.5K$0
    Jeffrey SheltonOKDiagnostic Radiology Physician$88K$0
    Mark StoutOKPhysician Assistant$83.5K$0
    Eric CampbellOKPhysician Assistant$75.9K$0
    Peak Laboratories, LLCOKClinical Medical Laboratory$54K$120
    Kent SmalleyOKNeuromusculoskeletal Medicine & OMM Physician$31.9K$0
    Cristina SolisOKFamily Medicine Physician$22.4K$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. Oklahoma Distribution
    Brent Byers — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma