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NPI 1063658003 · Lexington, KY · Retina Specialist (Ophthalmology) Physician
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Claire Fraser is a retina specialist (ophthalmology) physician provider located in Lexington, Kentucky. This profile covers 11 Medicare and 5 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 | Claire Fraser |
| Address | 110 Conn Ter Ste 550 |
| City | Lexington |
| State | KY |
| ZIP | 40508 |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| NPI Enumerated | December 22, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $540.9K |
| Medicaid | $172K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 8,880 | $30 | $257.5K |
| J0178 | Injection, aflibercept, 1 mg | 210 | $690 | $146K |
| 67028 | The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye. | 500 | $90 | $42.7K |
| 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. | 1,020 | $30 | $27.4K |
| 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… | 320 | $60 | $19.2K |
| 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… | 200 | $90 | $17.8K |
| J3590 | Unclassified biologics | 290 | $50 | $12.9K |
| 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… | 50 | $120 | $5.9K |
| 92014 | An 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… | 60 | $90 | $5.1K |
| 99212 | The 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,… | 130 | $40 | $4.5K |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 30 | 40 | 870 | $690 | $858.5K |
| J2777 | 18 | 30 | 11,040 | $30 | $399.1K |
| 67028 | 29 | 50 | 650 | $90 | $72.9K |
| J3590 | 13 | 40 | 160 | $60 | $17K |
| 99214 | 2,225 | 7,230 | 110 | $70 | $14.1K |
| 92014 | 267 | 420 | 90 | $80 | $14K |
| 99213 | 820 | 7,250 | 80 | $50 | $7.7K |
| 92134 | 27 | 410 | 50 | $30 | $6.3K |
| 99204 | 986 | 3,200 | 30 | $100 | $4.8K |
| 99203 | 1,310 | 2,380 | 30 | $70 | $2.9K |
Showing 1–10 of 11
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 67028 | The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye. | 700 | $130 | $89.9K |
| 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. | 1,980 | $20 | $45.6K |
| J3590 | Unclassified biologics | 420 | $60 | $25.1K |
| 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… | 310 | $30 | $7.9K |
| 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… | 90 | $40 | $3.4K |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 2,272 | 3,340 | 1,020 | $30 | $296K |
| 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… | 1,947 | 2,460 | 580 | $40 | $245K |
| 67028 | The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye. | 12 | 30 | 350 | $70 | $165.3K |
| 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. | 8 | 70 | 210 | $20 | $29.2K |
| J3590 | Unclassified biologics | 7 | 20 | 130 | $10 | $7K |
Other providers in the same ZIP code as Claire Fraser, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Walker House Inc | KY | Community/Behavioral Health Agency | $0 | $6.4M |
| Bluegrass Bracing Inc | KY | Durable Medical Equipment & Medical Supplies | $0 | $4.8M |
| Carlos Serna | KY | Case Manager/Care Coordinator | $0 | $4.3M |
| Simple Solutions LLC | KY | Clinical Social Worker | $0 | $3.7M |
| Hope Center Services, LLC | KY | Professional Counselor | $0 | $3.1M |
| Peter Blackburn | KY | Retina Specialist (Ophthalmology) Physician | $1M | $251.2K |
| Stuart Cowley | KY | Pain Medicine (Anesthesiology) Physician | $501.4K | $138.1K |
| John Franklin | KY | Pediatric Ophthalmology and Strabismus Specialist Physician Physician | $8.8K | $282K |
| Paul Pearson | KY | Retina Specialist (Ophthalmology) Physician | $198.8K | $57.2K |
| Eric Higgins | KY | Retina Specialist (Ophthalmology) Physician | $236.9K | $1.2K |
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