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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKarola Loos
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    Karola Loos — Billing Profile & Reimbursement Data

    NPI 1497015069 · Albuquerque, NM · Clinical Social Worker

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    Karola Loos is a clinical social worker provider located in Albuquerque, New Mexico. This profile covers 1 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
    OrganizationKarola Loos
    Address4308 Carlisle Blvd Ne Ste 207
    CityAlbuquerque
    StateNM
    ZIP87107
    TaxonomyClinical Social Worker
    NPI EnumeratedMay 16, 2012

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

    Payer SourceTotal Paid
    Medicare$48.6K
    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90834In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…880$60$48.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9083435070$60$10.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robben R. Gingery, Md, LLCNMGeriatric Psychiatry Physician$0$10.6M
    Lynnette WrightNMAdult Health Nurse Practitioner$143.5K$0
    Maria SpanglerNMPsychiatric/Mental Health Nurse Practitioner$89.6K$43.4K
    Cheryl Jensen-deloia, PsydNMPsychologist$104.3K$0
    Timothy KrenikNMMedical Physician Assistant$97.1K$0
    Robben GingeryNMGeriatric Psychiatry Physician$60.3K$0
    Steven WinkleNVClinical Social Worker$51.2K$0
    Wendee BurnettNMFamily Nurse Practitioner$44.8K$0
    Mary BlankenshipORPsychiatric/Mental Health Nurse Practitioner$43K$0
    Jocelyn FiaschettiNMClinical Social Worker$27.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bernalillo County Health Care CorporationNMLand Ambulance$4.4M$80M
    Alianza Family Services, LLCNMIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$60.9M
    Csi Aviation, Inc.NMAir Ambulance$2.2M$50.9M
    Albuquerque Health ServicesNMMethadone Clinic$195.8K$35.4M
    Native American Professional Parent Resources (nappr), Inc.NMCommunity/Behavioral Health Agency$0$14.6M
    Courageous Transformations, IncNMMethadone Clinic$0$13.6M
    Unm Medically Fragile Case Management ProgramNMCase Management Registered Nurse$0$10.2M
    Functional Aquatics TherapyNMRehabilitation Clinic/Center$0$6M
    Roswell Home Medical IncNMDurable Medical Equipment & Medical Supplies$0$5.5M
    Unm Focus ProgramNMCase Manager/Care Coordinator$0$4.9M

    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. New Mexico Distribution
    Karola Loos — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico