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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHeather Potter
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    Heather Potter — Billing Profile & Reimbursement Data

    NPI 1013983584 · Madison, WI · Ophthalmology Physician

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    Heather Potter is a ophthalmology physician provider located in Madison, Wisconsin. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationHeather Potter
    Address2880 University Ave
    CityMadison
    StateWI
    ZIP53705
    TaxonomyOphthalmology Physician
    NPI EnumeratedFebruary 24, 2006

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

    Payer SourceTotal Paid
    Medicare$173.8K
    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.

    21 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…230$400$93.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.60$230$14.3K
    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…200$70$14.1K
    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…190$40$8.2K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.70$110$7.8K
    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…160$50$7.8K
    99204The provider sees a new 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 provider…90$80$7.4K
    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…290$20$6.4K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…130$30$3.5K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…110$20$2.3K

    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
    66984179310350$50$66.4K
    88305259300460$40$44.8K
    668216118040$100$13K
    92014300720120$70$12.9K
    992141,7969,80080$70$9.2K
    6876183040$130$8.3K
    8834226227090$40$6.9K
    9213420960060$30$4.7K
    992131,0139,38060$50$4.7K
    9213638170130$20$4.6K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Wisconsin Hospitals And Clinics AuthorityWIGeneral Acute Care Hospital$0$120M
    University Of Wisconsin Medical Foundation, IncWIMulti-Specialty Clinic/Center$0$15.2M
    St. Joseph's Health Services, Inc.WICritical Access Hospital$0$3.9M
    Anil Rama RaoAZAnatomic Pathology & Clinical Pathology Physician$1.3M$0
    Philip BrunettiAKOphthalmology Physician$1.1M$0
    Noemi BrunnerWIDiagnostic Radiology Physician$35.1K$739.2K
    Nevein IbrahimILDiagnostic Radiology Physician$668.4K$0
    Michael IpCAOphthalmology Physician$635.3K$0
    Gordon CrabtreeWIOphthalmology Physician$618.1K$2.2K
    Justin GottliebWIOphthalmology Physician$506K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Catalyst, IncWIHome Health Agency$0$3.5M
    Andrew HendrickWIOphthalmology Physician$503.9K$0
    Mihai MititeluWIOphthalmology Physician$366.1K$140
    Alexandra McmurrayWIChild & Adolescent Psychiatry Physician$102.8K$183.3K
    Kenneth HerrmannWIPsychiatry Physician$44K$187.8K
    John FlobergWIRadiation Oncology Physician$222.7K$0
    Michael AltaweelWIOphthalmology Physician$200.4K$0
    Walgreen CoWIPharmacy$184.2K$11.8K
    Wisconsin Cvs Pharmacy LLCWICommunity/Retail Pharmacy$157.5K$3.9K
    Jennifer EvertonWIInternal Medicine Physician$149.7K$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. Wisconsin Distribution
    Heather Potter — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin