Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDouglas Mcgraw
    Ask Trek AI about this page

    Douglas Mcgraw — Billing Profile & Reimbursement Data

    NPI 1033430293 · Marysville, CA · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Douglas Mcgraw — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Douglas Mcgraw is a ophthalmology physician provider located in Marysville, California. This profile covers 29 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDouglas Mcgraw
    Address320 H St Ste 4
    CityMarysville
    StateCA
    ZIP95901
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 22, 2010

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

    Payer SourceTotal Paid
    Medicare$1.4M
    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg5,760$30$155.5K
    66174The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.470$320$149.7K
    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…400$360$143K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…220$560$123.8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.380$270$102.3K
    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…180$570$100.2K
    J0178Injection, aflibercept, 1 mg140$690$98.5K
    66989The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction using complex techniques and devices. The provider also inserts one or more anterior…100$680$69K
    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…690$100$67.2K
    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…720$70$49.9K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178262310570$690$647.1K
    J277713620010,740$30$459.5K
    669841341,25090$690$122.8K
    66991118030$1,940$77.7K
    67028282470420$100$71.8K
    6698912030$2,030$65K
    658203411020$1,150$42.5K
    66174114030$860$37.1K
    J7999160240130$140$34.9K
    66982851030$800$32K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peach Tree HealthcareCAFederally Qualified Health Center (FQHC)$0$44.9M
    Peach Tree HealthcareCAFederally Qualified Health Center (FQHC)$0$26.4M
    Bradley HamarCAOptometrist$2.3M$0
    Baljit SohalCAOptometrist$2.3M$10.5K
    Brian HaugenCAOphthalmology Physician$798.6K$0
    Justin TreatCAOptometrist$730.2K$0
    Jonathan MennucciCAOptometrist$712.7K$0
    Philip SmithWIOphthalmology Physician$672.3K$0
    Joel BarthelowCAOphthalmology Physician$523.7K$45.5K
    Justin HoltCAOptometrist$517K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rideout Memorial HospitalCAGeneral Acute Care Hospital$0$48.4M
    Harmony Health Medical Clinic And Family Resource CenterCAFederally Qualified Health Center (FQHC)$0$23.8M
    Rajinder SinghCAClinical Cardiac Electrophysiology Physician$380.2K$0
    Jaskaranpreet SahotaCAEmergency Medical Services (Emergency Medicine) Physician$87.9K$0
    David EllysonCAChiropractor$76.6K$0
    Robert SerafinCAAnesthesiology Physician$60.4K$0
    Jose HernandezCAPhysician Assistant$57.9K$0
    Angela TorresCACertified Registered Nurse Anesthetist$53.1K$0
    Jancy JohnCACertified Registered Nurse Anesthetist$39.2K$0
    James SundetCACertified Registered Nurse Anesthetist$33K$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. California Distribution
    Douglas Mcgraw — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California