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    OpenPayerNPI Medicare & MedicaidKnoxville Ophthalmology Asc, LLC
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    Knoxville Ophthalmology Asc, LLC — Billing Profile & Reimbursement Data

    NPI 1013997915 · Knoxville, TN · Ambulatory Surgical Clinic/Center

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    Knoxville Ophthalmology Asc, LLC is a ambulatory surgical clinic/center provider located in Knoxville, Tennessee. This profile covers 9 Medicare and 1 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)

    FieldValue
    Entity TypeOrganization
    OrganizationKnoxville Ophthalmology Asc, LLC
    Address1124 E Weisgarber Rd Ste 110
    CityKnoxville
    StateTN
    ZIP37909
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 18, 2006

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

    Payer SourceTotal Paid
    Medicare$937K
    Medicaid$31.7K

    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.

    9 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…910$720$655K
    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…110$710$77.2K
    V2785Processing, preserving and transporting corneal tissue20$4,200$75.6K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.350$160$56.9K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…60$440$26.6K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.20$1,330$23.9K
    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…40$450$18.6K
    65855In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.30$80$2.4K
    66761The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of…20$80$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V278591020$3,460$124.7K
    66984116450170$120$89.5K
    15823216050$490$33K
    65756122020$1,170$30.5K
    67904184040$510$30.2K
    66982611030$620$24.9K
    668212123060$120$20.8K
    65855234030$130$5.3K
    6676131020$140$2.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 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…270$120$31.7K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Tennessee median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3170250$110$96.9K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Knoxville Ophthalmology Asc, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark DavenportTNAnesthesiology Physician$58.5K$0

    Nearby Providers

    Other providers in the same ZIP code as Knoxville Ophthalmology Asc, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Omni Community Health, Inc.TNCommunity/Behavioral Health Agency$0$77.7M
    Summit Medical Group, PLLCTNInternal Medicine Physician$0$44.5M
    Allergy Associates, P.A.TNSpecialist$0$26.5M
    Knoxville Pediatric Dentistry, PLLCTNGeneral Practice Dentistry$0$11.2M
    The Florence Crittenton Agency IncTNCommunity/Behavioral Health Agency$0$10.7M
    Bsp Enterprises, LLCTNIn Home Supportive Care Agency$0$8M
    Associated Pain Specialists, PCTNPain Medicine Physician$0$6.8M
    Jeremiah BivinsTNAllergy & Immunology Physician$419.4K$4.6M
    Westbrook Medical Center, PLLCTNFamily Medicine Physician$0$4M
    James MillerTNRetina Specialist (Ophthalmology) Physician$3.9M$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. Tennessee Distribution
    Knoxville Ophthalmology Asc, LLC — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee
    Medicaid Revenue by Year vs. Tennessee Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Tennessee Distribution
    Knoxville Ophthalmology Asc, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee