Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidKrystle O'dowd
    Ask Trek AI about this page

    Krystle O'dowd — Billing Profile & Reimbursement Data

    NPI 1922767631 · Bartlesville, OK · Nurse Practitioner

    Customize your policy alerts

    Sign up for Krystle O'dowd — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Krystle O'dowd is a nurse practitioner provider located in Bartlesville, Oklahoma. This profile covers 6 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKrystle O'dowd
    Address6006 Se Adams Blvd
    CityBartlesville
    StateOK
    ZIP74006
    TaxonomyNurse Practitioner
    NPI EnumeratedDecember 9, 2021

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

    Payer SourceTotal Paid
    Medicare$187.4K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…2,270$70$150K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…240$100$22.5K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.130$80$10.6K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…40$50$1.8K
    99315The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.20$50$880
    99497The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30…20$50$770

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9930920270170$70$42.7K
    99308209270180$50$26.5K
    99310269090$100$26K
    9949724731050$60$4.8K
    9931645030$90$4.2K
    99315284030$50$2.7K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Krystle O'dowd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St. John Physicians, Inc.OKInternal Medicine Physician$0$17.7M
    Jane Phillips Memorial Medical Center, Inc.OKGeneral Acute Care Hospital$0$6.8M
    St John Urgent Care Clinics IncOKUrgent Care Clinic/Center$0$5.1M
    Hassan AbouhouliOKPulmonary Disease Physician$1.4M$0
    Khalid AlyOKInternal Medicine Physician$718.2K$0
    Anderson MehrleOKCardiovascular Disease Physician$486.1K$0
    Vishal AggarwalOKInternal Medicine Physician$436.6K$0
    Donald SimmonsTXFamily Medicine Physician$408.6K$0
    Samantha KippsOKFamily Nurse Practitioner$388.4K$0
    Richard HolsoppleOKEmergency Medicine Physician$376.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Krystle O'dowd, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Children's Therapeutic Strategies, PLLCOKCommunity/Behavioral Health Agency$0$3.5M
    Washington County Elder Care, IncOKCase Management Agency$0$3.3M
    Spring Dental BartlesvilleOKGeneral Practice Dentistry$0$2.1M
    Nicole CuppOKFoot & Ankle Surgery Podiatrist$413.9K$481.9K
    Triad Surgery Center LLCOKAmbulatory Surgical Clinic/Center$638.3K$20.2K
    Christopher ManusOKHematology & Oncology Physician$624.4K$0
    Elizabeth HenleyOKPhysical Therapist$342.5K$0
    Mark ErhardtOKFamily Medicine Physician$289.1K$0
    Scott CochranOKOrthopaedic Surgery Physician$191.6K$0
    Kori SauerOKDermatology Physician$140.1K$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. Oklahoma Distribution
    Krystle O'dowd — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma