Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidGregory Halbur
    Ask Trek AI about this page

    Gregory Halbur — Billing Profile & Reimbursement Data

    NPI 1780624205 · Sioux City, IA · Family Medicine Physician

    Customize your policy alerts

    Sign up for Gregory Halbur — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Gregory Halbur is a family medicine physician provider located in Sioux City, Iowa. This profile covers 21 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationGregory Halbur
    Address3520 Singing Hills Blvd
    CitySioux City
    StateIA
    ZIP51106
    TaxonomyFamily Medicine Physician
    NPI EnumeratedJune 7, 2006

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

    Payer SourceTotal Paid
    Medicare$160K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…800$80$61.9K
    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…600$50$32.5K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit210$120$25K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…50$200$9.4K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…90$80$6.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.740$10$5.9K
    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,…80$40$3.2K
    G0008Administration of influenza virus vaccine100$30$3K
    G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit20$150$2.8K
    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).…270$10$2.7K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9069427657090$80$14.7K
    992141604,690100$70$14.4K
    G04391371,15080$120$12.1K
    992131424,740100$50$8K
    99496711020$190$4.4K
    G00084761,42060$30$3.7K
    G043815537020$150$3.1K
    364151021,450130$10$2.4K
    992122621,24040$30$2.1K
    8502535577070$10$1.8K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Iowa Physicians Clinic Medical FoundationIAGeneral Practice Physician$0$102.7M
    The Robert Young Center For Community Mental HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$12.8M
    The Robert Young Center For Community Mental HealthILSubstance Use Disorder Rehabilitation Clinic/Center$0$9.5M
    The Robert Young Center For Community Mental HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$7.1M
    St. Luke's Methodist HospitalIACardiovascular Disease Physician$0$3.9M
    Chad LaurichSDVascular Surgery Physician$3.2M$0
    Allen Memorial Hospital CorporationIAWomen's Health Nurse Practitioner$0$2.1M
    Mercy Medical ServicesIAInternal Medicine Physician$0$2M
    Trinity Regional Medical CenterIARural Health Clinic/Center$0$1.8M
    Trinity Regional Medical CenterIARural Health Clinic/Center$0$1.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mid-step Services, Inc.IADevelopmentally Disabled Services Day Training Agency$0$51.5M
    Michael WadzinskiIAOphthalmology Physician$4.8M$0
    Northwest Aea 12IALocal Education Agency (LEA)$0$2.1M
    Qualicenters Sioux City, LLCIAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.5M
    Prairie Pediatrics & Adolescent Clinic, P.C.IAPediatric Cardiology Physician$0$1M
    Daniel L Kaler Dds PCIAOrthodontics and Dentofacial Orthopedics Dentistry$0$907K
    Heather LongvalIAFamily Medicine Physician$381.1K$0
    Bryce RobisonIAFamily Medicine Physician$267.4K$0
    Delna LeeIAFamily Medicine Physician$225K$0
    Michael JenningsIAFamily Medicine Physician$188.3K$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. Iowa Distribution
    Gregory Halbur — 2 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa