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    OpenPayerNPI Medicare & MedicaidJames Barlow
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    James Barlow — Billing Profile & Reimbursement Data

    NPI 1336559871 · Marysville, WA · Pulmonary Disease Physician

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    James Barlow is a pulmonary disease physician provider located in Marysville, Washington. This profile covers 23 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
    OrganizationJames Barlow
    Address2901 174th St Ne
    CityMarysville
    StateWA
    ZIP98271
    TaxonomyPulmonary Disease Physician
    NPI EnumeratedMay 6, 2014

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

    Payer SourceTotal Paid
    Medicare$116.9K
    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.

    23 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…420$90$38.1K
    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…170$120$20.6K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.130$100$12.5K
    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…90$130$10.8K
    94729In this add on procedure, the provider tests the lungs’ diffusing capacity, the ability to exchange gases, moving oxygen into the bloodstream and letting in carbon dioxide from the bloodstream.170$40$7.3K
    94727The provider performs a pulmonary function test, or PFT, to assess the patient’s lung volumes using gas dilution or washout techniques that compare a known concentration of an inhaled gas with the…170$30$5.6K
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…60$70$4.4K
    94060The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…150$30$4.4K
    99205The provider sees a new 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 provider…20$170$3.2K
    71271The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer.10$140$1.6K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    83880203060$40$22.7K
    9921491710,860100$80$13.6K
    992159574,32040$120$8.4K
    8005339774050$10$6.9K
    906629071,00030$70$5.5K
    992051,1861,82030$150$5.4K
    992041194,75030$110$5.2K
    U000594020$20$4.9K
    8502519967040$10$4.9K
    712508144060$50$4.2K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Optum Care Washington PLLCWAMulti-Specialty Clinic/Center$0$19.5M
    Optum Care Washington PLLCWAAmbulatory Surgical Clinic/Center$1.7M$937.1K
    Rafal SosnowskiILDiagnostic Radiology Physician$1.7M$75.2K
    Richard RobertsTNAnatomic Pathology & Clinical Pathology Physician$1.3M$790
    Zhihong ZhangWAHematology & Oncology Physician$1.1M$0
    Paul McbrideWAAllergy & Immunology Physician$809.9K$0
    Brett BuchmillerWAAllergy & Immunology Physician$728.6K$0
    Xiaowen WangWAHematology & Oncology Physician$714.4K$0
    Peter JiangWAHematology & Oncology Physician$655.5K$0
    Andrew YangWAHematology & Oncology Physician$599.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tulalip Tribes Of Washington Quil Ceda Creek CounselingWAMethadone Clinic$0$22.3M
    Tulalip Tribes Of WashingtonWAGeneral Practice Physician$0$21.6M
    Tulalip Tribes Of WashingtonWASubstance Use Disorder Rehabilitation Clinic/Center$0$15.7M
    Tulalip Tribes Of WashingtonWADentist$0$7.8M
    Snohomish County Fire Protection District 15WALand Ambulance$36.4K$4.2M
    Tulalip Tribes Of WashingtonWAPublic Health & General Preventive Medicine Physician$0$4M
    Vest Seattle, LLCWAPsychiatry Physician$0$3.8M
    Tulalip Tribes Of WashingtonWAPublic Health & General Preventive Medicine Physician$0$3.8M
    Hoang H Dang, Md, PsWAInternal Medicine Physician$0$3.7M
    Vest Seattle, LLCWAPsychiatric Hospital$0$2.5M

    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
    James Barlow — 3 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington