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 & MedicaidBen Winkes
    Ask Trek AI about this page

    Ben Winkes — Billing Profile & Reimbursement Data

    NPI 1144372632 · Mount Vernon, WA · Family Medicine Physician

    Customize your policy alerts

    Sign up for Ben Winkes — 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.

    Ben Winkes is a family medicine physician provider located in Mount Vernon, Washington. This profile covers 8 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
    OrganizationBen Winkes
    Address1400 N Laventure Rd
    CityMount Vernon
    StateWA
    ZIP98273
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJanuary 17, 2007

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

    Payer SourceTotal Paid
    Medicare$7.1K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90677This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…10$280$3.9K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…20$50$920
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.50$10$680
    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).…60$10$620
    G0008Administration of influenza virus vaccine20$30$550
    82948The clinician performs a test to measure the amount of glucose in a patient's blood using a reagent strip test method.40$10$220
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.20$10$120
    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…10$10$100

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8006126953050$10$7.2K
    906778121,21020$280$6.8K
    906626681,00030$70$5.5K
    8502563867040$10$4.9K
    364151,7711,92060$10$3.5K
    G00081,4952,28030$30$2.6K
    830363031,15040$10$1.9K
    8294861040$1$550

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sea-mar Community Health CenterWAFederally Qualified Health Center (FQHC)$0$42.4M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$14.9M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$12.1M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$9.4M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$9.3M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$8.7M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$8.6M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$8.6M
    Sea-mar Community Health CenterWAFederally Qualified Health Center (FQHC)$0$8M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$7.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kulshan Pediatric DentistryWAPediatric Dentistry$0$6.7M
    Evergreen Recovery CentersWASubstance Abuse Rehabilitation Facility$0$5.9M
    Jon L. Way Dds, Ms, PLLCWADentist$0$5.6M
    Renal Care Group Northwest, Inc.WAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.5M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$3M
    Sea-mar Community Health CenterWAFederally Qualified Health Center (FQHC)$0$2.5M
    City Of Mount VernonWALand Ambulance$412.8K$1.3M
    Amber FowlerWAMOHS-Micrographic Surgery Physician$503.1K$0
    Aaron YuWADiagnostic Radiology Physician$283.2K$0
    David MourningWAOrthopaedic Surgery of the Spine Physician$137.1K$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. Washington Distribution
    Ben Winkes — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington