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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHale Loofbourrow
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    Hale Loofbourrow — Billing Profile & Reimbursement Data

    NPI 1093121881 · Mount Vernon, WA · Family Medicine Physician

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    Hale Loofbourrow is a family medicine physician provider located in Mount Vernon, Washington. This profile covers 20 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
    OrganizationHale Loofbourrow
    Address2116 E Section St
    CityMount Vernon
    StateWA
    ZIP98274
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJuly 1, 2014

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

    Payer SourceTotal Paid
    Medicare$55.4K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…290$90$26.9K
    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…160$80$12.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$150$5.3K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.160$10$2.1K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.250$10$2K
    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.170$10$1.7K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…50$20$970
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…100$10$860
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…90$10$750
    84443The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…40$20$700

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8440322070$30$20.5K
    9921418310,860100$80$13.6K
    992152184,32040$120$8.4K
    844435348040$20$8K
    80061853050$10$7.2K
    84153714030$20$7K
    800534074050$10$6.9K
    992133009,69060$60$6.5K
    850256267040$10$4.9K
    36415311,92060$10$3.5K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orthoalaska, LLCAKOrthopaedic Surgery Physician$0$5.8M
    John BotsonAKRheumatology Physician$1.8M$0
    Jasmit MinhasWAInternal Medicine Physician$965.4K$0
    Bryan HaughomAKOrthopaedic Surgery Physician$525.6K$0
    Laura LuebkeAKMedical Physician Assistant$428.6K$0
    Ryan RagleAKRheumatology Physician$413.8K$0
    James EuleAKOrthopaedic Surgery of the Spine Physician$400.6K$0
    Mark FlanumAKOrthopaedic Surgery of the Spine Physician$270K$0
    Derrick FogeAKOrthopaedic Surgery of the Spine Physician$268.1K$0
    Thomas PaynterAKOrthopaedic Surgery Physician$260.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Public Hospital Dist No 1 SkagitWAGeneral Acute Care Hospital$0$88.6M
    Public Hospital Dist No 1 SkagitWAGeneral Practice Physician$0$24.7M
    Skagit Pediatrics, LLPWAPediatrics Physician$0$6M
    Eye Associates Surgery Center IncWAAmbulatory Surgical Clinic/Center$839.9K$44.4K
    Proliance Surgeons Inc P SWAAmbulatory Surgical Clinic/Center$793.8K$0
    Stacia SmithWAOrthopaedic Surgery Physician$324.7K$0
    Dawei LuWAOrthopaedic Surgery of the Spine Physician$264.1K$0
    Navdeep DhaliwalWAInternal Medicine Physician$248.8K$12.2K
    Carlindo Da Reitz PereiraWAOphthalmology Physician$230.4K$0
    Michal WhitonWARadiation Oncology Physician$229.5K$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. Washington Distribution
    Hale Loofbourrow — 0 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington