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    OpenPayerNPI Medicare & MedicaidDebra Griner
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    Debra Griner — Billing Profile & Reimbursement Data

    NPI 1861460289 · Casper, WY · Family Nurse Practitioner

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    Debra Griner is a family nurse practitioner provider located in Casper, Wyoming. This profile covers 42 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
    OrganizationDebra Griner
    Address3632 American Way
    CityCasper
    StateWY
    ZIP82604
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedMarch 10, 2006

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

    Payer SourceTotal Paid
    Medicare$622.8K
    Medicaid$0

    Key Findings

    DEBRA GRINER is effectively a Medicare-only billing profile: total Medicare revenue on file is $622.8K and there is no Medicaid billing on file. This makes the provider's payer mix single-payer in practice and means Medicare policy or coverage changes would materially affect overall revenue.

    Revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 83.2% of this provider's total Medicare revenue. Those three are J9271 ($266.6K, 42.6%), J0897 ($193.8K, 31.0%), and 99214 ($60.2K, 9.6%), so two high-cost injectables plus one E&M code drive the bulk of dollars.

    The code mix indicates an infusion- and oncology-oriented service line with ancillary anemia management: high-revenue biologic/oncology agents J9271 (pembrolizumab) and J0897 (denosumab) dominate, supported by chemotherapy administration codes (96413, 96417) and infusion administration codes (96365, 96366). Presence of J1439 (ferric carboxymaltose) and lab codes such as 82728 (ferritin) and 85025 (CBC) further suggests routine IV iron and lab monitoring are part of the clinical workflow.

    Competitive standing is mixed across specific services: J0897 ranks #1114 of 10057 (89th percentile) but is labeled in the peer data as "typical, unremarkable volume for this code," indicating above-average placement yet not flagged as an outlier; J9271 ranks #1597 of 1841 (12th percentile) and is also described as "typical, unremarkable volume for this code," showing modest national share for pembrolizumab; by contrast, 99214 ranks #25597 of 479517 (95th percentile) and is labeled "notably above typical national volume for this code," indicating materially higher E&M activity versus national peers.

    Operational throughput is evident in claims counts and routine labs: the profile shows 10.2K claims for J0897 and 6.2K claims for J9271 along with 29.3K claims for J1439, and 708 claims for 99214; frequent specimen and blood-draw activity appears in 36415 (663 claims), 85025 (481 claims), and related lab panels. These volumes point to sustained infusion sessions and accompanying point-of-care testing rather than episodic office-only visits.

    NPI tenure is long-established: the NPI was enumerated on 2006-03-10 (~20 years ago), suggesting an established practice history which could correlate with stable referral patterns or longstanding site operations. This longevity supports the observed recurring infusion and lab volumes rather than a newly entered service line.

    The business and revenue profile implies concentrated exposure to drug pricing and Medicare coverage for two biologic agents and to Medicare E&M trends: with J9271 and J0897 accounting for a combined 73.6% of Medicare revenue and no Medicaid revenue to diversify payers, changes in reimbursement, utilization management, or formularies for these agents would have outsized effect on total revenue. Payer and provider analysts should monitor utilization of these specific codes and the labeled statistical standing in peer data when assessing contract negotiations or audit focus.

    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.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg6,200$40$266.6K
    J0897Injection, denosumab, 1 mg10,200$20$193.8K
    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…710$90$60.2K
    J1439Injection, ferric carboxymaltose, 1 mg29,250$1$29.3K
    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…350$50$19K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…110$90$9.7K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.230$40$9.5K
    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.540$10$5.4K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.660$10$5.3K
    96367The provider administers an additional intravenous infusion or infusions, after an initial infusion, of a different medication or substance for a period up to one hour to prevent, treat, or diagnose…200$20$3.9K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927141012,500$40$528K
    J08973501,800$20$51.1K
    J143921029,250$1$23.9K
    96413410150$100$22.9K
    9921434780100$80$14.8K
    96365510220$50$13.4K
    99213109850110$60$9.9K
    96367310180$20$7.8K
    9920416834030$110$5K
    9641741070$50$4.9K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Wyoming Medical Center IncWYGeneral Acute Care Hospital$0$4.4M
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    John BormesSDOphthalmology Physician$2.6M$0
    John PurvianceWYRadiation Oncology Physician$2.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Chris SaterWYChild Intellectual and/or Developmental Disabilities Respite Care$0$1M
    Wyoming Oral & Maxillofacial Surgery P. C.WYOral and Maxillofacial Surgery (Dentist)$0$997.7K
    A Plus Community Services LLCWYCase Management Agency$0$852.6K
    Affinity Case Management LLCWYCase Management Agency$0$826K
    Gwendi RietzWYLicensed Practical Nurse$0$778.3K
    Denise MurphyWYCase Manager/Care Coordinator$0$749.1K
    Penny ScholzWYCase Manager/Care Coordinator$0$594.4K
    Apria Healthcare LLCWYDurable Medical Equipment & Medical Supplies$0$259.4K
    Debra OhnstadWYCase Management Registered Nurse$0$244.5K
    Leslie JuarezWYCase Management Agency$0$211.8K

    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. Wyoming Distribution
    Debra Griner — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming