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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBrenda Roy
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    Brenda Roy — Billing Profile & Reimbursement Data

    NPI 1891728655 · Caribou, ME · Specialist

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    Brenda Roy is a specialist provider located in Caribou, Maine. This profile covers 39 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
    OrganizationBrenda Roy
    Address163 Van Buren Rd
    CityCaribou
    StateME
    ZIP04736
    TaxonomySpecialist
    NPI EnumeratedJuly 7, 2006

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

    Payer SourceTotal Paid
    Medicare$44.1K
    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.120$60$7.3K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…170$40$6.1K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…170$30$4.7K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.120$30$3.3K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.60$50$3K
    71260In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material.70$40$2.9K
    71275In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a…40$60$2.1K
    71045In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby…330$10$2K
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.40$50$1.7K
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…30$50$1.4K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    7417754120110$70$8.4K
    770674514080$40$8.2K
    770634514070$30$5.3K
    704504990140$30$5.1K
    741764111050$60$3.7K
    712755711040$60$2.8K
    712508411070$40$2.8K
    93880729030$60$2.7K
    712603611050$40$2.6K
    72125457050$30$2.1K

    Showing 1–10 of 39

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pines Health ServicesMEFamily Medicine Physician$0$3M
    City Of CaribouMEGeneral Acute Care Hospital$0$3M
    Arlene SussmanMNDiagnostic Radiology Physician$242.3K$29.9K
    Eugene KimMNDiagnostic Radiology Physician$248.2K$16.1K
    Michael GrantMNDiagnostic Radiology Physician$240.8K$2.5K
    Scott SullivanCTDiagnostic Radiology Physician$219K$0
    Nicholas WilsonMNDiagnostic Radiology Physician$145.6K$67K
    Joseph RozellMNDiagnostic Radiology Physician$208K$70
    Elise HotalingMNDiagnostic Radiology Physician$171.1K$23.7K
    Robert SmithVTDiagnostic Radiology Physician$154K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aroostook Home Health ServicesMEHome Health Agency$0$15.8M
    Pines Health ServicesMEInternal Medicine Physician$0$7.6M
    Pines Health ServicesMEObstetrics & Gynecology Physician$0$7.1M
    City Of CaribouMELand Ambulance$312.2K$1.6M
    Lincare Inc.MEDurable Medical Equipment & Medical Supplies$0$1.5M
    Healing Hearts LLCMEMental Health Counselor$0$1M
    County Physical Therapy, LLCMEPhysical Therapist$0$802.4K
    Your Journey, LLCMECommunity/Behavioral Health Agency$0$676.2K
    David ConnerMEFamily Medicine Physician$45.4K$579.4K
    Craig K. Small O.d. Family Eye CareMEOptometrist$0$522.7K

    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. Maine Distribution
    Brenda Roy — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine