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    v1.0.28
    OpenPayerNPI Medicare & MedicaidIrene Koplinka-loehr
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    Irene Koplinka-loehr — Billing Profile & Reimbursement Data

    NPI 1407275126 · Winooski, VT · Family Medicine Physician

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    Irene Koplinka-loehr is a family medicine physician provider located in Winooski, Vermont. This profile covers 10 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
    OrganizationIrene Koplinka-loehr
    Address32 Malletts Bay Ave
    CityWinooski
    StateVT
    ZIP05404
    TaxonomyFamily Medicine Physician
    NPI EnumeratedApril 9, 2014

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

    Payer SourceTotal Paid
    Medicare$2.4K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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).…50$10$510
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.40$10$490
    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.30$10$330
    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…20$20$260
    80305The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…20$10$230
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…20$10$140
    87086Culture, bacterial; quantitative, colony count, urine.20$10$140
    82043The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable…20$10$130
    80048The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…20$10$120
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…30$1$50

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053477040$10$810
    800614810040$10$690
    84443375030$20$650
    830369323040$10$520
    80305162030$10$390
    80048395030$10$360
    85027203030$10$310
    8204331020$10$120
    8708611010$10$110
    810035914020$1$70

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Irene Koplinka-loehr, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Centers Of Burlington IncVTFederally Qualified Health Center (FQHC)$0$39.8M
    The Dental Center At Community Health Center Of BurlingtonVTDental Clinic/Center$0$6.7M
    Community Health Centers Of Burlington IncVTFamily Medicine Physician$0$787.5K
    Harris StrokoffVTPsychiatry Physician$18.3K$174.2K
    Adam KuninVTCardiovascular Disease Physician$34.1K$0
    David MooneyVTPsychiatry Physician$28.9K$0
    Jacob ShawVTFamily Medicine Physician$4.1K$12.1K
    Tina Brownley-stevensonVTFamily Nurse Practitioner$13.6K$0
    Caitlin JacobsVTFamily Nurse Practitioner$13.3K$0
    Wayne WarnkenVTFamily Medicine Physician$11.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Irene Koplinka-loehr, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vermont Dental CareVTGeneral Practice Dentistry$0$1.8M
    Angelique SchultzVTAddiction (Substance Use Disorder) Psychologist$0$774.7K
    David GauthierVTMental Health Counselor$0$704.1K
    Matthew BijurVTAddiction (Substance Use Disorder) Counselor$0$207.5K
    Timberlane Physical Therapy IncVTPhysical Therapist$0$172.3K
    Cheyenne FowlerVTNurse Practitioner$57K$0
    Jennifer SimpsonVTPhysical Therapist$35.2K$0
    Christine StaatsVTFamily Medicine Physician$32.3K$0
    Ibrahim AbubakarVTStudent in an Organized Health Care Education/Training Program$22.8K$0
    Kelly RybickiVTChiropractor$21.9K$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. Vermont Distribution
    Irene Koplinka-loehr — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont