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    OpenPayerNPI Medicare & MedicaidWarren Stumbo
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    Warren Stumbo — Billing Profile & Reimbursement Data

    NPI 1336274596 · Hindman, KY · Family Medicine Physician

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    Warren Stumbo is a family medicine physician provider located in Hindman, Kentucky. This profile covers 12 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
    OrganizationWarren Stumbo
    Address566 Highway 899
    CityHindman
    StateKY
    ZIP41822
    TaxonomyFamily Medicine Physician
    NPI EnumeratedFebruary 21, 2007

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

    Payer SourceTotal Paid
    Medicare$36.6K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…360$60$22.1K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…40$90$3.6K
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…40$90$3.5K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…30$90$2.4K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…30$60$1.7K
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…40$40$1.5K
    87635Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…10$50$700
    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…40$10$480
    72100The technician takes 2 or 3 views of the vertebrae in the lumbar region which is the lower part of the spine and the sacrum, the area that connects the spine to the pelvis. Lumbosacral spine X–rays…20$20$360
    70210The provider performs X–ray examination of paranasal sinuses for the assessment of sinusitis.10$20$210

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992331,5131,80080$90$14.1K
    992324122,860100$60$11.6K
    992395791,01050$80$7.1K
    992228022,07030$90$4.5K
    71045260290410$10$3.7K
    9923143791040$40$3.1K
    9923829858030$60$2.7K
    8763512716030$50$2.1K
    7210027536030$20$870
    7021031020$20$410

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Randy FanousCADiagnostic Radiology Physician$339.6K$911.3K
    David FleszarFLDiagnostic Radiology Physician$754K$0
    Matthew HrastichMODiagnostic Radiology Physician$134.1K$399.7K
    Crysela SmithTXDiagnostic Radiology Physician$249.7K$0
    Michael AntonWVDiagnostic Radiology Physician$241.7K$0
    Scott AkinALDiagnostic Radiology Physician$189K$52.6K
    Adam EvansOHDiagnostic Radiology Physician$223.2K$0
    Nathan BenningtonOHDiagnostic Radiology Physician$215.3K$0
    Augustus KeyKYDiagnostic Radiology Physician$212.2K$0
    Robert RoachOHDiagnostic Radiology Physician$202.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alternative Outlook, LLCKYCommunity/Behavioral Health Agency$0$13M
    Treasured Friends LLCKYCommunity/Behavioral Health Agency$0$11.1M
    Samantha LeeKYFamily Nurse Practitioner$86.5K$0
    Kevin DavisKYMedical Physician Assistant$9.4K$58.7K

    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. Kentucky Distribution
    Warren Stumbo — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky