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    OpenPayerNPI Medicare & MedicaidLora Welch
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    Lora Welch — Billing Profile & Reimbursement Data

    NPI 1679579379 · Louisville, KY · Nurse Practitioner

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    Lora Welch is a nurse practitioner provider located in Louisville, Kentucky. This profile covers 6 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLora Welch
    Address2120 Payne St
    CityLouisville
    StateKY
    ZIP40206
    TaxonomyNurse Practitioner
    NPI EnumeratedJune 27, 2005

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

    Payer SourceTotal Paid
    Medicare$80.8K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…490$70$31.6K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…210$100$20.1K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…330$50$15K
    99316The provider sees a patient for nursing facility discharge management requiring more than 30 minutes.160$80$12.2K
    99315The provider sees a patient for nursing facility discharge management requiring 30 minutes or less.30$50$1.4K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…10$30$330

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309107470170$70$24.3K
    99308127450130$50$14K
    993101015050$100$9.3K
    9930716216080$30$4.7K
    9931639030$90$3.3K
    99315135020$60$1.7K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…20$0$0
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…90$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Kentucky median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…159230360$20$50.3K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…257280490$10$31.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ryan PickellINInternal Medicine Physician$1.1M$0
    Marwan MustaklemINInternal Medicine Physician$480.3K$0
    Chatel BeckINFamily Nurse Practitioner$300.8K$0
    Leon ButlerKYInternal Medicine Physician$216.7K$0
    Emily MooreKYFamily Nurse Practitioner$180.5K$0
    Heather PickettINPrimary Care Nurse Practitioner$122.8K$0
    Mia StoweINNurse Practitioner$119K$0
    Patricia BrowningINAdult Health Nurse Practitioner$103.1K$0
    Meagan CoreyMDGerontology Nurse Practitioner$100.5K$0
    Heather GibbensINPrimary Care Nurse Practitioner$93.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Open Doors, LLCKYCommunity/Behavioral Health Agency$0$40M
    Home Of The InnocentsKYPediatric Skilled Nursing Facility$0$7.4M
    Commonwealth Nursing Solutions, LLCKYIn Home Supportive Care Agency$0$4.9M
    Louis HeuserKYPublic Health & General Preventive Medicine Physician$1.7M$0
    Guruprasad PattarKYOphthalmology Physician$391.2K$0
    Brennan GreeneKYOphthalmology Physician$374K$0
    Robert ZaxKYMOHS-Micrographic Surgery Physician$336.5K$0
    John MeyerKYOphthalmology Physician$259.8K$0
    Mark CassolKYOphthalmology Physician$155.3K$460
    Victoria YatsuknenkoKYPhysician Assistant$125.8K$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. Kentucky Distribution
    Lora Welch — 1 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    Lora Welch — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky