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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDaniel Townsend
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    Daniel Townsend — Billing Profile & Reimbursement Data

    NPI 1003800749 · Boston, MA · Ophthalmology Physician

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    Daniel Townsend is a ophthalmology physician provider located in Boston, Massachusetts. 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
    OrganizationDaniel Townsend
    Address175 Cambridge St
    CityBoston
    StateMA
    ZIP02114
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 8, 2005

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

    Payer SourceTotal Paid
    Medicare$235.9K
    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
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…80$800$66.2K
    67924During this procedure, the provider performs an extensive repair of an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye, which can lead to excessive tearing and…50$590$31.9K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…430$70$28.1K
    67917During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…50$500$23.8K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.60$220$13.3K
    J0585Injection, onabotulinumtoxina, 1 unit2,300$10$11.5K
    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…120$100$11.5K
    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…160$70$11.2K
    68810The provider probes the nasolacrimal duct to identify a possible obstruction or stricture; he may or may not irrigate the duct.50$130$6.6K
    64612In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.50$130$6.2K

    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
    J0585871006,500$1$60.7K
    920141,0221,070160$90$30.1K
    6790422040$650$27.3K
    992147,13115,410110$80$15.6K
    6792411020$560$14K
    6784063030$200$13.7K
    920126456090$70$12.4K
    6791712020$460$11.1K
    992133,49413,70070$60$8.8K
    64612133050$140$8.3K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The General Hospital CorporationMAGeneral Acute Care Hospital$0$438M
    Community Physicians Of Indiana IncINFamily Medicine Physician$0$185M
    Massachusetts General Physicians Organization IncMADermatology Physician$0$60.2M
    Boston Emergency Physician Foundation, Inc.MAEmergency Medicine Physician$0$24.3M
    Colorado Permanente Medical Group, P.C.COInternal Medicine Physician$0$23.2M
    North End Community Health Committee IncMAPublic Health & General Preventive Medicine Physician$0$11.9M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Torsten WiegandMARetina Specialist (Ophthalmology) Physician$7.6M$0
    Chirag ShahMARetina Specialist (Ophthalmology) Physician$5M$0
    Miriam Englander-paschalis IliosMARetina Specialist (Ophthalmology) Physician$4.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Massachusetts Eye And Ear InfirmaryMAGeneral Acute Care Hospital$0$68.1M
    Bay Cove Human Services, IncMACommunity/Behavioral Health Agency$630.5K$36.4M
    Jewish Family & Children's ServiceMACase Management Agency$0$12.5M
    Commonwealth Of MassachusettsMACase Management Agency$0$10.4M
    Massachusetts Eye And Ear Associates, Inc.MAOphthalmology Physician$0$6.6M
    Jeffrey HeierMARetina Specialist (Ophthalmology) Physician$3.6M$0
    Adam ChinMAOphthalmology Physician$3.4M$870
    Tina ClearyMARetina Specialist (Ophthalmology) Physician$2.8M$0
    Boston Eye Surgery & Laser Center TrustMAAmbulatory Surgical Clinic/Center$2.1M$415.8K
    Marianeli RodriguezMAOphthalmology Physician$2.4M$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. Massachusetts Distribution
    Daniel Townsend — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts