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    OpenPayerNPI Medicare & MedicaidJaclyn Robak
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    Jaclyn Robak — Billing Profile & Reimbursement Data

    NPI 1023417144 · Christiansted, VI · Optometrist

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    Jaclyn Robak is a optometrist provider located in Christiansted, U.S. Virgin Islands. This profile covers 10 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
    OrganizationJaclyn Robak
    Address4500 Sion Farm
    CityChristiansted
    StateVI
    ZIP00820
    TaxonomyOptometrist
    NPI EnumeratedAugust 14, 2014

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

    Payer SourceTotal Paid
    Medicare$29.4K
    Medicaid$0

    Key Findings

    The provider’s Medicare revenue is concentrated in core ophthalmic evaluation and management services: 92014 (established comprehensive eye exam), 92004 (new patient comprehensive exam) and 99213 (established E/M) together account for 74.0% of Medicare revenue. These codes and their descriptions indicate the practice is oriented toward ambulatory comprehensive eye care and routine E/M encounters rather than procedural or surgical subspecialty services.

    Revenue scale is modest: total Medicare revenue is $29.4K and there is no Medicaid billing on file (none). The absence of any Medicaid claims makes this provider effectively single-payer (Medicare) in the available datasets, which limits insights about Medicaid-facing volume or safety-net activity.

    Volume dynamics show established comprehensive exams dominate patient encounters: 92014 appears on 204 claims with an average paid per claim of $61 and contributes $12.4K (42.4% of Medicare revenue). New-patient comprehensive exams (92004) and routine E/M visits (99213) also produce material volume (71 claims at $78 avg for $5.5K and 76 claims at $49 avg for $3.7K, respectively), confirming most revenue comes from exam/E&M throughput rather than high-cost procedures.

    Competitive standing versus national Medicare peers is generally modest to typical. 92014 ranks #12919 of 35415 providers (63th percentile) and is labeled a typical, unremarkable volume; 92004 ranks #6820 of 26467 (74th percentile) and is likewise described as typical, unremarkable; 99213 sits near the median at the 50th percentile and is also characterized as typical, unremarkable — together these suggest the provider is not a dominant national presence for these services but operates at expected regional/national levels.

    The practice offers diagnostic imaging and testing but at lower revenue contribution levels: 92250 (fundus photography) shows 81 claims with $20 avg paid/claim and $1.6K revenue (5.5%), 92083 (visual field) has 36 claims and $1.3K revenue (4.5%), 92133 and 92134 (optical imaging) contribute $931 (3.2%) and $806 (2.7%) respectively. These ancillary codes indicate in-office diagnostic capability that supports the core exam/E&M workflow, but none of these imaging codes dominate the revenue mix.

    Several codes are low-volume outliers for this provider, reflecting occasional use of specific tests: 76514 (corneal thickness/ultrasound) shows 13 claims with $5 avg paid/claim and just $65 revenue (0.2%) and ranks in the lower national percentiles. The pattern suggests selective or infrequent use of some specialty diagnostics rather than regular, high-volume utilization.

    The provider’s billing profile shows a balanced mix of new and established comprehensive exams—92014 comprises the largest single share at $12.4K (42.4%), 92004 contributes $5.5K (18.9%), and 99213 contributes $3.7K (12.7%)—indicating a steady flow of both new and returning patients centered on comprehensive eye care. Given that the top three codes are explicitly precomputed to account for 74.0% of Medicare revenue, reliance on these exam/E&M codes represents a clear operational focus.

    NPI enumeration on 2014-08-14 (~12 years ago) indicates the provider has an established billing history in Medicare. This tenure supports interpreting the observed typical national percentiles as stable practice patterns rather than transient or startup activity.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…200$60$12.4K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.70$80$5.5K
    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…80$50$3.7K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…80$20$1.6K
    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…30$50$1.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…50$30$1.4K
    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…40$40$1.3K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…50$20$930
    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.30$30$810
    76514The provider uses conventional contact B scan imaging to measure the thickness of the cornea in one or both eyes.10$10$70

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014210120$70$9.2K
    992134580100$50$7.6K
    9208341090$40$5.3K
    9201241070$40$4.5K
    9213431030$30$3.3K
    9200411030$80$3.3K
    9213331050$20$2.1K
    9921261040$30$1.8K
    9225021050$20$1.6K
    7651431020$10$300

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Croix Vision Center IncVIOptometrist$0$3.6M
    Ria LutchmeesinghVIOptometrist$53K$0
    Carl MaschauerVIOptometrist$10.8K$0
    Julie WolfVIOptometrist$1.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    One Dental Practice LLCVIDentist$0$3.2M
    Governor Juan F. Luis Hospital & Medical CenterVIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3M
    Js Therapies, LLCVIOccupational Therapist$0$2.9M
    Healthquest, LLC.VIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.4M
    Department Of Health, Ems StxVILand Ambulance$0$2.2M
    Lindsy Wagner LLCVIClinical Social Worker$0$2.2M
    Ophthalmology Consultants, PCVIOphthalmology Physician$0$2.1M
    Acute Alternative Medical GroupVIEmergency Medical Services (Emergency Medicine) Physician$0$1.9M
    Pediatric Care Center LLCVIPediatrics Physician$0$1.7M
    Island Dental Specialties Dba ToothworksVIEndodontics$0$1.5M

    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. U.S. Virgin Islands Distribution
    Jaclyn Robak — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands