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    OpenPayerNPI Medicare & MedicaidTyler Lufholm
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    Tyler Lufholm — Billing Profile & Reimbursement Data

    NPI 1609468396 · Emporia, KS · Family Nurse Practitioner

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    Tyler Lufholm is a family nurse practitioner provider located in Emporia, Kansas. This profile covers 20 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
    OrganizationTyler Lufholm
    Address2509 W 18th Ave
    CityEmporia
    StateKS
    ZIP66801
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedFebruary 4, 2021

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

    Payer SourceTotal Paid
    Medicare$140.6K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…700$50$33.7K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.390$50$19.4K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.540$30$15.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…370$30$11.7K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…140$50$7.6K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.40$180$7.5K
    17003In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…1,850$1$7.4K
    17110The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…120$60$7.3K
    17004The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.80$90$7.1K
    15275The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to…40$100$4.2K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    12032277030$180$10.6K
    1110214160160$60$10.6K
    171107919090$60$9.1K
    992131444,33090$50$8.7K
    1700043270110$30$8.6K
    15275173060$90$8K
    17004219040$100$6.2K
    1700337210590$1$4.1K
    992031231,45030$60$3.6K
    11602246030$90$3.5K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David FielekeMODermatology Physician$823.2K$0
    Jeffery GravesKSDermatology Physician$808.1K$0
    Mark FleischmanKSMOHS-Micrographic Surgery Physician$768.7K$0
    John AdamsKSMOHS-Micrographic Surgery Physician$714.8K$0
    Lawrence SamuelsMODermatology Physician$699.5K$0
    Sheldon SebastianMOMOHS-Micrographic Surgery Physician$636.7K$0
    Kathryn LaneILMOHS-Micrographic Surgery Physician$630.9K$0
    Karen NeubauerKSDermatology Physician$524.3K$0
    Nicholas GoldaMOMOHS-Micrographic Surgery Physician$468.3K$0
    James GriffithKSMOHS-Micrographic Surgery Physician$452.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mental Health Center Of East Central Kansas A CorporationKSCommunity/Behavioral Health Agency$0$23.7M
    Quest Services, Inc.KSDevelopmentally Disabled Services Day Training Agency$0$20.4M
    JourneysKSDevelopmentally Disabled Services Day Training Agency$0$15.5M
    Mental Health Center Of East Central Kansas A CorporationKSCommunity/Behavioral Health Agency$0$12M
    Carearc, Inc.KSFederally Qualified Health Center (FQHC)$0$7.1M
    Newman Memorial County HospitalKSRural Health Clinic/Center$0$7M
    AuspisionKSCase Management Agency$0$6.1M
    Hetlinger Developmental Services, Inc.KSCase Management Agency$0$5.3M
    Stepping Stones Unlimited LLCKSCase Management Agency$0$4.5M
    Smith Agency LLCKSDevelopmentally Disabled Services Day Training Agency$0$3.7M

    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. Kansas Distribution
    Tyler Lufholm — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas