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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEdward Paul
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    Edward Paul — Billing Profile & Reimbursement Data

    NPI 1043377948 · Wilmington, NC · Optometrist

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    Edward Paul is a optometrist provider located in Wilmington, North Carolina. 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.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationEdward Paul
    Address1613 Military Cutoff Rd Ste 230
    CityWilmington
    StateNC
    ZIP28403
    TaxonomyOptometrist
    NPI EnumeratedJanuary 2, 2007

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

    Payer SourceTotal Paid
    Medicare$112.4K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…410$80$34.7K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…190$150$27.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…160$120$19.4K
    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,…550$30$14.4K
    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…60$100$6.3K
    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.170$30$4.9K
    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…60$70$3.7K
    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…40$20$860
    92060The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…20$50$820
    67820The provider removes deviated or abnormal eyelashes, a condition known as trichiasis. He uses forceps to extract the unwanted lashes that cause eye irritation.10$20$190

    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
    992142,22518,060110$80$15.1K
    992155535,72040$110$7.7K
    9213421679070$30$7.5K
    992139,18616,32070$50$7.1K
    9920582,29020$140$4.9K
    992041,9318,43030$110$4.8K
    922503885080$20$3.5K
    92060455050$40$2.7K
    9213348976060$20$2.5K
    67820667020$10$380

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wilmington Medical Supply IncNCDurable Medical Equipment & Medical Supplies$0$47.8M
    A2z Home Medical Supplies, IncNCDurable Medical Equipment & Medical Supplies$0$47.4M
    Maxim Healthcare Services, Inc.NCHome Health Agency$0$33.8M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$28.3M
    Physician Alliance For Mental Health, LLCNCCommunity/Behavioral Health Agency$0$28M
    Easter Seals Ucp North Carolina & Virgiinia, Inc.NCCommunity/Behavioral Health Agency$0$19.2M
    Bayada Home Health Care, Inc.NCDevelopmental Disabilities Clinic/Center$0$18M
    Therapy Works Of WilmingtonNCSpeech-Language Pathologist$0$12.2M
    Coastline Therapy Group, LLCNCSpeech-Language Pathologist$0$11.8M
    Pd Of Wilmington IncNCIn Home Supportive Care Agency$0$11.4M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Edward Paul — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina