Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Loren Halbrooks (NPI 1780008995)

Loren Halbrooks is a surgical physician assistant provider located in Marietta, Georgia. This profile covers 12 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.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Loren Halbrooks
Address	300 Tower Rd Ne Ste 200
City	Marietta
State	GA
ZIP	30060
Taxonomy	Surgical Physician Assistant
NPI Enumerated	February 7, 2014

Payer Source	Total Paid
Medicare	$26.4K
Medicaid	$0

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	210	$60	$11.8K
73110	The provider takes at least three X–ray images of a patient’s complete wrist to check for any fracture, swelling, or reason of pain in the wrist area.	100	$30	$2.8K
73030	This particular procedure is for a minimum of 2 X–ray views of the complete shoulder.	120	$20	$2.5K
29075	The provider applies a cast encasing the lower arm. A short arm cast treats fractures of the bones in the lower arm and corrects deformities of the hand and wrist.	40	$60	$2.3K
99203	The 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…	30	$70	$1.9K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	30	$50	$1.3K
73130	In this procedure, the provider takes a minimum of three X–ray images of a patient’s hand to check for any fracture, swelling, or reason of pain in the hand.	40	$20	$1K
20526	The provider injects medication into the carpal tunnel to provide short term relief of symptoms of carpal tunnel syndrome, or CTS. CTS is a condition where the patient experiences pain, numbness, and…	10	$60	$840
73080	X–rays of the extremities are performed to assess injury, fracture, arthritis, bone spurs, tumors, or congenital abnormalities. Extremity X–rays include the hand, wrist, arm, foot, ankle, hip, leg,…	40	$20	$740
20600	In this procedure, the provider inserts a needle through the skin of a patient and into a small joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	10	$30	$480

Showing 1–10 of 12

Loren Halbrooks — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	3,126	13,360	80	$60	$9.2K
20610	943	1,320	60	$50	$5.8K
99203	3,012	5,350	30	$70	$3.3K
20550	317	340	30	$40	$1.9K
20526	39	50	20	$70	$1.8K
20600	183	200	30	$30	$1.5K
29075	4	30	20	$60	$1.4K
73030	115	1,120	40	$20	$1K
73130	191	620	30	$20	$780
73110	31	520	20	$20	$760