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NPI 1023229762 · Missoula, MT · Ophthalmology Physician
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Chad Nedrud is a ophthalmology physician provider located in Missoula, Montana. This profile covers 16 Medicare and 4 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Chad Nedrud |
| Address | 700 W Kent Ave |
| City | Missoula |
| State | MT |
| ZIP | 59801 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | May 24, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $384.5K |
| Medicaid | $0 |
CHAD NEDRUD has generated $384.5K in lifetime Medicare revenue and $0 in Medicaid revenue, indicating an effectively single-payer (Medicare-focused) billing profile in the available data. The absence of Medicaid revenue suggests this clinician either does not treat Medicaid patients, does not bill Medicaid directly, or has negligible Medicaid activity relative to Medicare. This concentration should be treated as a payer-mix observation rather than an inference about patient mix or access without additional data.
Revenue concentration is high: the precomputed top 3 Medicare codes account for 72.6% of the provider's total Medicare revenue, signaling dependence on a small set of procedures. Specifically, cataract extraction with intraocular lens insertion (66984) alone represents $183.2K (47.7% of Medicare revenue), making cataract surgery the dominant service line supporting this clinician's Medicare revenue. This concentration has operational implications: revenue volatility could be sensitive to changes in reimbursement or surgical volume for these key codes.
The top revenue-driving codes point to a surgical ophthalmology practice with strong cataract and related anterior-segment procedure volume. The leading codes — 66984 (cataract extraction with IOL), 99214 (established office E/M), and 66821 (YAG capsulotomy for posterior capsular opacification) — together reflect a workflow mixing operative cataract care with substantial in-office follow-up and laser-based treatment of post-cataract complications. The presence of corneal transplant code 65756 further indicates capability for more complex anterior-segment procedures, reinforcing a specialty surgical profile rather than a general optometry practice.
Competitive standing by national Medicare ranks is mixed: 66984 ranks in the 80th percentile nationally (rank #3230/15965), indicating typical-to-above-typical volume for cataract surgery but not dominance among cataract surgeons nationally. 99214 ranks in the 94th percentile (#29819/479517), a notably high national standing for office E/M volume, which suggests this provider sees a relatively large established-patient outpatient panel compared with peers. Conversely, several diagnostic imaging and ancillary codes (for example 92136, 92134, 92133) sit in typical percentile ranges, consistent with routine supportive testing rather than outsized volume.
Several codes are flagged as statistical outliers by the source labels and bear operational significance. 99204 is listed as an "extreme outlier, far above typical national volume" (99th percentile) for new-patient moderate-complexity visits, suggesting an unusually high number of billed new-patient consultations for that CPT among national peers; this may reflect referral patterns, regional access dynamics, or how new-patient visits are coded. Similarly, 92071 (application of soft contact lens for ocular surface disease) ranks at the 98th percentile and is described as an "extreme outlier, far above typical national volume," indicating a specialty service line offered at notably greater frequency than peers.
Procedure mix and unit economics: high-volume surgical code 66984 shows an average paid-per-claim of $430 across 426 claims, while office E/M code 99214 averages $84 across 657 claims; the dataset shows a typical pattern where a smaller number of higher-paid surgical claims account for a majority of revenue while higher-count, lower-paid office visits provide steady ancillary revenue. The presence of mid-to-high average paid-per-claim values for corneal transplant 65756 ($918 avg) and YAG capsulotomy 66821 ($285 avg) further supports a practice capturing higher-reimbursement anterior-segment surgical work in addition to routine visits and diagnostics.
Tenure: the provider NPI was enumerated on 2007-05-24 (approximately 19 years ago), indicating long-term presence in the Medicare billing environment. This tenure, combined with concentrated cataract surgical revenue, is consistent with an established ophthalmic surgeon who has maintained a sustained operative and clinic workload over time. Longitudinal analysis (not shown here) would help confirm whether current volumes represent a stable pattern or more recent shifts in service mix.
Operational risks and opportunities: high reliance on a few cataract-related codes (top 3 = 72.6% of Medicare revenue) creates both vulnerability and focus; small changes in cataract surgical volume, reimbursement, or referral networks could materially affect revenue. At the same time, strong national percentiles for 99214 and some procedure codes indicate capacity to support referral-driven surgical throughput, which could be leveraged for service-line growth or partnership discussions. Given zero reported Medicaid revenue, opportunities to expand payer mix may exist if strategic or local market factors allow taking Medicaid patients.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The 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… | 430 | $430 | $183.2K |
| 99214 | The 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… | 660 | $80 | $55.2K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 140 | $290 | $40.8K |
| 99204 | The 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… | 280 | $120 | $32.3K |
| 65756 | During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium. | 30 | $920 | $22.9K |
| 92136 | The 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… | 450 | $30 | $13.1K |
| 99213 | The 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… | 140 | $60 | $8.4K |
| 65400 | In this procedure, the provider excises a thin layer from the surface of the cornea, the front portion of the eye that focuses light on the lens, to remove a mass, scar tissue, or other lesion,… | 20 | $480 | $7.7K |
| 92134 | The 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. | 270 | $30 | $7.6K |
| 92071 | The provider applies soft contact lens on the cornea to treat ocular surface disease. | 170 | $30 | $4.3K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 11 | 120 | 50 | $490 | $78.1K |
| 92014 | 165 | 170 | 190 | $80 | $22.7K |
| 65756 | 1 | 10 | 20 | $1,180 | $22.3K |
| 66821 | 10 | 70 | 50 | $220 | $18.3K |
| 99214 | 66 | 1,810 | 100 | $70 | $12.4K |
| 92136 | 4 | 30 | 270 | $30 | $8.9K |
| 65400 | 4 | 10 | 20 | $440 | $8K |
| 92134 | 33 | 160 | 100 | $30 | $7.8K |
| 99213 | 553 | 1,730 | 90 | $50 | $7.2K |
| 99204 | 6 | 780 | 30 | $100 | $4.8K |
Showing 1–10 of 16
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 1036F | N/A | 110 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 240 | $0 | $0 |
| G8785 | Blood pressure reading not documented, reason not given | 120 | $0 | $0 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 110 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 1036F | N/A | 15 | 30 | 290 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 16 | 30 | 240 | $0 | $0 |
| G8785 | Blood pressure reading not documented, reason not given | 13 | 20 | 280 | $0 | $0 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 14 | 20 | 350 | $0 | $0 |
Other providers in the same ZIP code as Chad Nedrud, ranked by combined Medicare and Medicaid revenue.
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