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    OpenPayerNPI Medicare & MedicaidKristin Ribarchik
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    Kristin Ribarchik — Billing Profile & Reimbursement Data

    NPI 1730609603 · St. Thomas, VI · Physical Therapist

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    Kristin Ribarchik is a physical therapist provider located in St. Thomas, U.S. Virgin Islands. This profile covers 5 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
    OrganizationKristin Ribarchik
    Address9053 Estate Thomas
    CitySt. Thomas
    StateVI
    ZIP00802
    TaxonomyPhysical Therapist
    NPI EnumeratedJune 22, 2017

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

    Payer SourceTotal Paid
    Medicare$29.2K
    Medicaid$0

    Key Findings

    Code mix and service line: This provider’s Medicare billing is concentrated in time‑based physical therapy procedures that emphasize functional activities and therapeutic exercise, consistent with hands‑on outpatient physical therapy care. The top three codes are 97530, 97112, and 97110, which correspond to activity‑based functional training, neuromuscular reeducation, and therapeutic exercise respectively, indicating session‑based therapy focused on restoring function and mobility.

    Revenue concentration on a few codes: The top 3 Medicare codes (97530, 97112, 97110) account for 78.6% of this provider's total Medicare revenue, with Total Medicare revenue: $29.2K. Individually those codes generate $8.2K (97530, 28.3%), $8K (97112, 27.6%), and $6.6K (97110, 22.7%), showing heavy dependence on a narrow set of therapy services.

    Payer mix and scale: This provider is effectively single‑payer within the available data—Total Medicaid revenue: none (no Medicaid billing on file)—so Medicare drives the entire observed public‑payer footprint. The absolute Medicare revenue is modest at $29.2K, indicating a small-scale Medicare practice rather than a large institutional therapy provider.

    Competitive standing on primary codes: For 97530 the provider reports 284 claims at $29 avg paid/claim and $8.2K revenue and ranks #35372 of 62717 providers nationally (43th percentile; typical, unremarkable volume for this code). For 97112 the provider reports 365 claims at $22 avg paid/claim and $8K revenue and ranks #25825 of 61940 providers nationally (58th percentile; typical, unremarkable volume for this code). For 97110 the provider reports 368 claims at $18 avg paid/claim and $6.6K revenue and ranks #47338 of 79999 providers nationally (41th percentile; typical, unremarkable volume for this code). These percentiles and rank positions characterize the provider as a modest, typical participant nationally rather than a dominant or high‑volume outlier.

    Service intensity and reimbursement profile: The average paid per claim on the top services is relatively low—$29 for 97530, $22 for 97112, and $18 for 97110—paired with multi‑hundred claim counts (284, 365, 368 respectively), which is consistent with frequent short, 15‑minute therapy units rather than infrequent high‑reimbursement procedures. This pattern suggests throughput of many brief therapeutic units as the primary operational model.

    Secondary codes and distribution: 97116 contributes $5.3K (18.2%) with 279 claims and is ranked #4177 of 11762 providers nationally (64th percentile; typical, unremarkable volume for this code), while 97162 is a small revenue contributor ($945, 3.2%) across 15 claims at $63 avg paid/claim and ranks #28912 of 35551 providers nationally (15th percentile; typical, unremarkable volume for this code). The presence of 97162 indicates occasional higher‑complexity evaluations but at low frequency relative to therapy treatment codes.

    Tenure and market presence: The provider’s NPI was enumerated on 2017-06-22 (~9 years ago), indicating an established presence in Medicare billing over multiple years. Given the modest lifetime Medicare revenue ($29.2K) and concentrated code mix, the provider appears to operate a small, stable therapy practice rather than a rapidly expanding Medicare billing entity.

    Commercial/operational implication: With virtually all public‑payer activity coming from a handful of therapy CPTs and Total Medicaid revenue: none (no Medicaid billing on file), this profile suggests limited exposure to Medicaid populations and a Medicare‑centric caseload. For payers and network planners, this provider would likely represent a low‑volume outpatient physical therapy option with predictable, session‑based service patterns and limited impact on broader network capacity or utilization trends.

    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
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.280$30$8.2K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…370$20$8K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…370$20$6.6K
    97116The provider instructs the patient in the proper ways of practicing various exercises, including climbing stairs, focusing on one or more areas, that assist them in walking comfortably and without…280$20$5.3K
    97162The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…20$60$950

    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
    971101520710$20$16.8K
    97530410180$20$10.5K
    97112210160$20$5.8K
    97116110130$20$2.7K
    9716281030$60$1.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Duanne JonesVIPublic Health Dentistry$0$33.2M
    Vi Government Hospital And Health Facilities CorpVIGeneral Acute Care Hospital$0$23.6M
    The St Thomas East End Medical Center CorporationVIFederal Public Health Clinic/Center$0$12.8M
    Aac-air Ambulance Caribbean Inc.VIAir Ambulance$2M$8.6M
    Vi Relocation Services And Rentals LLCVILand Ambulance$0$6.8M
    Alicia PrenticeVIHome Health Aide$0$3.9M
    Stretcher Plus, LLCVINon-emergency Medical Transport (VAN)$0$2.8M
    Cog Restore, LLCVIRehabilitation Clinic/Center$0$2.1M
    Dept Of Health, Govt Of Vi Ems St ThomasVILand Ambulance$0$1.5M
    Vi Oral Surgery, IncVIOral and Maxillofacial Surgery (Dentist)$0$1.4M

    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. U.S. Virgin Islands Distribution
    Kristin Ribarchik — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands