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    OpenPayerNPI Medicare & MedicaidJeffery Young
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    Jeffery Young — Billing Profile & Reimbursement Data

    NPI 1063654044 · Burlington, VT · Ophthalmology Physician

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    Jeffery Young is a ophthalmology physician provider located in Burlington, Vermont. This profile covers 14 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
    OrganizationJeffery Young
    Address111 Colchester Ave
    CityBurlington
    StateVT
    ZIP05401
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 6, 2009

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

    Payer SourceTotal Paid
    Medicare$195.5K
    Medicaid$0

    Key Findings

    This clinician’s Medicare billing profile is concentrated in ophthalmology procedural and evaluation services consistent with an ophthalmology physician practice: the top Medicare codes are 92014 (comprehensive established eye exam), 66984 (routine cataract extraction with intraocular lens), and 92012 (intermediate established eye exam), and the top three Medicare codes by revenue account for 68.9% of the provider’s total Medicare revenue, indicating a practice focused on cataract surgery and routine/established eye care follow-up. Total Medicare revenue across the provider’s lifetime is $195.5K, while there is no Medicaid billing on file, so the provider effectively operates as a single-payer (Medicare) biller in the available dataset. The procedural mix—notably 66984 and related cataract codes 66982 and 66821—signals a meaningful surgical service line (cataract surgeries and YAG capsulotomy), while high volumes on evaluation codes 92014 and 92012 reflect ongoing outpatient clinic visits and postoperative care that typically surround an ophthalmic surgical practice. Competitive standing on Medicare is modest to typical for most high-revenue codes: 92014 ranks #2852 of 35415 providers nationally (92nd percentile) which suggests relatively strong national volume for comprehensive established exams, while 66984 ranks #6953 of 15965 providers nationally (56th percentile) showing unremarkable cataract surgical volume compared with peers. Several ancillary diagnostic and testing codes (92134, 92133, 92136, 92083, 92082) appear with mid-range ranks (mostly between the 57th and 84th percentiles), consistent with routine use of retinal imaging, optic nerve imaging, biometry, and visual field testing to support both clinic visits and surgical care rather than a specialty practice focused solely on advanced imaging. Tenure in the Medicare program is long: the NPI was enumerated on 2009-04-06 (~17 years ago), indicating an established presence in the market which aligns with consistent billing for both office visits and cataract procedures over time. Absence of any Medicaid claims in the record is a notable operational characteristic for payers and network analysts: the provider generates $195.5K from Medicare and none from Medicaid in the available data, so Medicaid network strategy or access considerations should treat this clinician as not participating (or not billing) Medicaid during the covered period.

    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.

    14 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…760$80$61.6K
    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…130$410$54.6K
    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…320$60$18.6K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.60$240$13.4K
    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…20$570$10.8K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.110$90$9.3K
    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.200$30$5.4K
    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…140$40$5K
    92136The 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…160$30$4.5K
    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…180$20$4.4K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669841420180$210$121.4K
    66982101030$630$21.3K
    920146100200$80$19.6K
    6682162050$250$13.2K
    92004139050$90$5.9K
    9201235050$60$5.8K
    921361020180$30$5.6K
    92134119050$20$4.3K
    6585561020$170$4.1K
    6876131030$140$3.7K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    University Of Vermont Medical Center IncVTInternal Medicine Physician$0$17.6M
    Northeastern Vermont Regional Hospital, IncVTPrimary Care Clinic/Center$0$2.8M
    James StaffordTXRadiation Oncology Physician$1.5M$0
    University Of Vermont Medical Center IncVTGeneral Acute Care Hospital$0$780.5K
    Paul UngerVTHematology & Oncology Physician$744.6K$0
    University Of Vermont Health Network Specialty Care Transport, LLCVTLand Ambulance$144K$510.7K
    Carlos TorresTXAnatomic Pathology & Clinical Pathology Physician$580.7K$0
    Brian KimVTOphthalmology Physician$488.3K$0
    Glenn GoldmanVTMOHS-Micrographic Surgery Physician$454.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Howard Center IncVTDevelopmentally Disabled Services Day Training Agency$0$332.2M
    Howard Center IncVTAdolescent and Children Mental Health Clinic/Center$0$130.1M
    Vermont Department Of Mental HealthVTAdult Mental Health Clinic/Center$0$105.1M
    Community Health Centers Of Burlington IncVTFederally Qualified Health Center (FQHC)$0$39.8M
    Howard Center IncVTMethadone Clinic$517.9K$35M
    Howard Center IncVTState or Local Public Health Clinic/Center$0$23.4M
    Transition IiVTCase Manager/Care Coordinator$0$17.3M
    The Dental Center At Community Health Center Of BurlingtonVTDental Clinic/Center$0$6.7M
    City Of Burlington VermontVTLand Ambulance$677.2K$4.3M
    Spectrum, Inc.VTAddiction (Substance Use Disorder) Counselor$0$2.4M

    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.

    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. Vermont Distribution
    Jeffery Young — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont