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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKent Adkins
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    Kent Adkins — Billing Profile & Reimbursement Data

    NPI 1962460238 · Saint Louis, MO · Urology Physician

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    Kent Adkins is a urology physician provider located in Saint Louis, Missouri. This profile covers 25 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
    OrganizationKent Adkins
    Address12855 N 40 Dr
    CitySaint Louis
    StateMO
    ZIP63141
    TaxonomyUrology Physician
    NPI EnumeratedMay 3, 2006

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

    Payer SourceTotal Paid
    Medicare$183.1K
    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…700$60$41.3K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg210$140$28.4K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…140$180$25K
    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…200$90$18K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.30$430$11.1K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…20$550$9.8K
    55700Code deleted December 31, 2025.50$170$9.3K
    99203The provider sees a new 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 provider…110$80$9.1K
    99204The provider sees a new 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 provider…60$100$5.9K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.50$110$5.7K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J92171070100$130$17.7K
    5059084020$610$15.2K
    992142,6788,960100$80$13.9K
    520002217080$150$12.8K
    5260182020$690$11.7K
    5223561020$480$7.7K
    992131828,73070$50$7K
    5570058020$200$5.3K
    523328011020$190$4.9K
    992041,0724,36030$100$4.8K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Washington UniversityMOMulti-Specialty Clinic/Center$0$14.8M
    Southern Illinois Healthcare Foundation, Inc.ILFederally Qualified Health Center (FQHC)$0$9.8M
    Washington UniversityMOMulti-Specialty Clinic/Center$0$4M
    Simon BekkerILDiagnostic Radiology Physician$190.3K$602.8K
    Matthew TreasterMOEmergency Medicine Physician$126.7K$655.8K
    Robert HatchettILUrology Physician$620.1K$160.7K
    Nadeem AhmedMOPulmonary Disease Physician$192K$426.2K
    Leann NitzILFamily Nurse Practitioner$524.8K$71.9K
    Daniel RyanILDiagnostic Radiology Physician$172.7K$357.5K
    Charles SmittkampILDiagnostic Radiology Physician$111.1K$344.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Hospitals East CommunitiesMOGeneral Acute Care Hospital$0$56.5M
    Bayada Home Health Care, Inc.MOHome Health Agency$0$41.2M
    Mercy Clinic East CommunitiesMOInternal Medicine Physician$0$22.2M
    Excel Home Care, Inc.MOHome Health Agency$0$19.8M
    Biotech X-ray IncMOPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$5.1M$6M
    Western Anesthesiology Associates, Inc.MOAnesthesiology Physician$0$10.9M
    Team Select Home Care Of Missouri, Inc.MONursing Care Agency$0$10.7M
    Physician Groups LcMOMulti-Specialty Clinic/Center$0$9.8M
    Sensory Solutions, LLCMOOccupational Therapist$0$7.3M
    Excel Home Care, Inc.MOHome Health Agency$0$6.2M

    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. Missouri Distribution
    Kent Adkins — 2 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri