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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBret Spier
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    Bret Spier — Billing Profile & Reimbursement Data

    NPI 1710935309 · Bloomington, IN · Gastroenterology Physician

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    Bret Spier is a gastroenterology physician provider located in Bloomington, Indiana. 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
    OrganizationBret Spier
    Address550 S Landmark Ave
    CityBloomington
    StateIN
    ZIP47403
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 5, 2006

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

    Payer SourceTotal Paid
    Medicare$120.1K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…270$190$53.2K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.220$60$12.5K
    G0105Colorectal cancer screening; colonoscopy on individual at high risk40$160$6.9K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…60$100$5.6K
    43270An esophagogastroduodenoscopy (EGD) is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope passed through the mouth. During the EGD, the provider passes guidewires…30$150$4.6K
    45380The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…60$70$4.2K
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…10$340$4K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.60$70$3.9K
    43237The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; he also inserts an ultrasound transducer through the scope to examine these same…30$120$3.4K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$160$3.3K

    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
    453851937060$260$26.5K
    992148,47410,540110$80$15.5K
    992323,2043,97090$60$11.8K
    G01055922030$250$10.2K
    432392333070$100$8.8K
    4327021020$320$8.6K
    4538010834040$140$8.6K
    43274233020$300$8.1K
    992137,11710,82080$50$7.6K
    G01217818020$250$6.4K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Indiana University Health Southern Indiana Physicians, LLCINMulti-Specialty Clinic/Center$0$69.5M
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M
    Indiana University Health Ball Memorial Physicians, Inc.INFamily Medicine Physician$0$26M
    University Otolaryngology Associates, Inc.INOtolaryngology Physician$0$7.3M
    University Dermatology, Inc.INDermatology Physician$0$6.2M
    Alexander ZemtsovINDermatology Physician$831.4K$0
    Matthew OrtonINRadiation Oncology Physician$782.4K$0
    Neil EstabrookINRadiation Oncology Physician$769.3K$0
    Kacy RogersINNurse Practitioner$643.1K$0
    Sara HolmstromRIPediatric Emergency Medicine (Emergency Medicine) Physician$0$607.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Centerstone Of Indiana, Inc.INMental Health Clinic/Center (Including Community Mental Health Center)$0$318.8M
    Southern Indiana Pediatrics, LLCINPediatrics Physician$0$10.7M
    Limestone Health, LLCINMethadone Clinic$116.1K$9M
    Prime Healthcare Services - Monroe LLCINGeneral Acute Care Hospital$0$5.7M
    Hands At Home, LLCINHome Health Agency$0$4.1M
    Bloomington Pediatric Dentistry L.L.C.INPediatric Dentistry$0$3.1M
    Integ Health System, P.C.INAmbulatory Surgical Clinic/Center$1.8M$403.1K
    Joseph MackeyINOphthalmology Physician$2M$0
    Southern Indiana Surgery Center, LLCINAmbulatory Surgical Clinic/Center$1.4M$516.1K
    Warren ChangINOphthalmology Physician$1.5M$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. Indiana Distribution
    Bret Spier — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana