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    OpenPayerNPI Medicare & MedicaidBenjamin Phillips
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    Benjamin Phillips — Billing Profile & Reimbursement Data

    NPI 1003808676 · Manitowoc, WI · Ophthalmology Physician

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    Benjamin Phillips is a ophthalmology physician provider located in Manitowoc, Wisconsin. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBenjamin Phillips
    Address1111 Bayshore Dr
    CityManitowoc
    StateWI
    ZIP54220
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 18, 2005

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

    Payer SourceTotal Paid
    Medicare$139.5K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…110$410$46K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…540$70$39.3K
    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…170$60$9.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.90$100$8.5K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.90$100$8.1K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…10$560$7.8K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.240$30$6.7K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…140$30$3.7K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.10$250$3.2K
    J9035Injection, bevacizumab, 10 mg50$50$2.4K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984236310350$50$66.4K
    6702897110310$80$43.7K
    66982768020$490$21.7K
    J90356870110$50$14.5K
    6682117318040$100$13K
    9201438720120$70$12.9K
    920122616050$60$5.1K
    921349360060$30$4.7K
    9213674170130$20$4.6K
    920047552030$80$3.9K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwest Colorado Mental Health Center, IncCOMental Health Clinic/Center (Including Community Mental Health Center)$0$18.2M
    Southwest Colorado Mental Health Center, IncCOMental Health Clinic/Center (Including Community Mental Health Center)$0$13.5M
    Southwest Colorado Mental Health Center, IncCOFederally Qualified Health Center (FQHC)$0$4.5M
    Southwest Colorado Mental Health Center, IncCOFederally Qualified Health Center (FQHC)$0$4.3M
    Baycare Clinic LLPWIEmergency Medicine Physician$0$3.6M
    Jeffrey ShereWIRetina Specialist (Ophthalmology) Physician$1.5M$0
    Wei-chuan WangWIRetina Specialist (Ophthalmology) Physician$1.3M$0
    Jordan TomanWIDiagnostic Radiology Physician$67.3K$261.7K
    Kevin WienkersWIOphthalmology Physician$231.9K$0
    Chad ZehmsWIOrthopaedic Surgery Physician$218.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Manitowoc Co Human Services DeptWICommunity/Behavioral Health Agency$0$18.8M
    Lakeshore Community Health Care, IncWIFederally Qualified Health Center (FQHC)$0$9.2M
    Holy Family Memorial IncWIGeneral Acute Care Hospital$0$5M
    Core Treatment Services, Inc.WICommunity/Behavioral Health Agency$0$4.3M
    Manitowoc Public School DistrictWILocal Education Agency (LEA)$0$2.4M
    Clint RauWIPediatric Dentistry$0$2.2M
    Homecare Health Services IncWIHome Health Agency$0$1.8M
    Kelli HutchensWIDermatopathology (Pathology) Physician$1.7M$23.6K
    Forefront Dermatology, S.c.WIDermatopathology Physician$0$1.6M
    City Of ManitowocWILand Ambulance$417.9K$1M

    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. Wisconsin Distribution
    Benjamin Phillips — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin