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    OpenPayerNPI Medicare & MedicaidJeffrey Riney
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    Jeffrey Riney — Billing Profile & Reimbursement Data

    NPI 1669495552 · Paducah, KY · Family Medicine Physician

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    Jeffrey Riney is a family medicine physician provider located in Paducah, Kentucky. This profile covers 28 Medicare and 11 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
    OrganizationJeffrey Riney
    Address225 Medical Center Drive
    CityPaducah
    StateKY
    ZIP42003
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 25, 2006

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

    Payer SourceTotal Paid
    Medicare$288.6K
    Medicaid$36.3K

    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.

    28 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,110$80$92.8K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit540$120$63.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,140$50$55.7K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…90$190$17K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…210$80$15.4K
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…30$270$9K
    G0008Administration of influenza virus vaccine220$30$6.4K
    99495The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires at least moderate medical decision making,…40$130$5.1K
    G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment30$150$4.9K
    G0444Annual depression screening, 5 to 15 minutes440$10$3.1K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214727,230110$70$14.1K
    G043921,57060$110$9.3K
    99213387,25080$50$7.7K
    9067713984020$280$6.7K
    906942361040$70$4.9K
    992042,5423,20030$100$4.8K
    99496320020$170$3.9K
    994953438020$130$2.9K
    90732114020$130$2.7K
    994429913030$50$2.6K

    Showing 1–10 of 28

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…460$50$21.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…530$30$14.9K
    1125FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.190$0$0
    1126FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.230$0$0
    1159FNo Summary found for this code580$0$0
    1160FNo Summary found for this code570$0$0
    3074FNo Summary found for this code500$0$0
    3075FNo Summary found for this code60$0$0
    3078FNo Summary found for this code500$0$0
    3079FNo Summary found for this code60$0$0

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kentucky median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…2,0083,3401,020$30$296K
    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…1,3312,460580$40$245K
    G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care…131150180$1$350
    3074FNo Summary found for this code159320510$1$20
    3078FNo Summary found for this code151310470$1$10
    3079FNo Summary found for this code188250310$1$10
    1126FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.66130230$1$10
    1125FThe provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient experiences pain.73130270$1$10
    1159FNo Summary found for this code137250710$1$1
    3075FNo Summary found for this code139190200$1$1

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    David ZelmanNYDiagnostic Radiology Physician$580.2K$563.4K
    Artin AharonianMDDiagnostic Radiology Physician$1M$0
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Ammar TahaWIDiagnostic Radiology Physician$410.5K$380K
    Neil AnandMNDiagnostic Radiology Physician$529.9K$58.1K
    Ryan Jean-baptisteCADiagnostic Radiology Physician$517K$47K
    Abbas ChamsuddinILDiagnostic Radiology Physician$368.8K$114.2K
    Bryan GlaenzerKYVascular & Interventional Radiology Physician$329.4K$520
    Noman MalikGADiagnostic Radiology Physician$326.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Healthcare System, IncKYGeneral Acute Care Hospital$0$72.6M
    Mercy Health-lourdes Hospital LLCKYGeneral Acute Care Hospital$0$61.9M
    Baptist Health Medical Group IncKYFamily Medicine Physician$0$21.9M
    Mercy Health Physicians Kentucky LLCKYFamily Medicine Physician$0$11.9M
    Ambulatory Surgery Center LLCKYAmbulatory Surgical Clinic/Center$771.4K$8.7M
    Joseph BlackmonKYMOHS-Micrographic Surgery Physician$6.9M$0
    John Colgan Jr.KYPediatric Dentistry$0$5.6M
    Mercy Health Physicians Kentucky Specialty Care LLCKYSurgery Physician$0$4.7M
    Justin ColganKYPediatric Dentistry$0$4.6M
    Paducah Ophthalmology Asc LLCKYAmbulatory Surgical Clinic/Center$1.3M$467.8K

    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. Kentucky Distribution
    Jeffrey Riney — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Jeffrey Riney — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky