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    OpenPayerNPI Medicare & MedicaidJohn Corvese
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    John Corvese — Billing Profile & Reimbursement Data

    NPI 1073613741 · Cranston, RI · Optometrist

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    John Corvese is a optometrist provider located in Cranston, Rhode Island. This profile covers 6 Medicare and 18 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)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Corvese
    Address868 Reservoir Ave
    CityCranston
    StateRI
    ZIP02910
    TaxonomyOptometrist
    NPI EnumeratedSeptember 23, 2006

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

    Payer SourceTotal Paid
    Medicaid$1.4M
    Medicare$29.7K

    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.

    6 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…150$90$14K
    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…110$70$7.5K
    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,…110$30$3.2K
    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…50$50$2.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.10$110$1.6K
    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$30$1.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9201473190120$80$16.3K
    992136341,95070$60$7.4K
    9200410312030$100$4K
    920834513030$40$2.8K
    922503615050$30$2.3K
    921336313040$30$1.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    18 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…7,010$40$273.5K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens5,270$40$184.4K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.7,140$20$171.4K
    V2020Frames, purchases8,010$20$128.1K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal7,030$20$112.4K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.2,180$50$108.8K
    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…2,150$50$98.9K
    S0580Polycarbonate lens (list this code in addition to the basic code for the lens)4,180$20$75.3K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens1,750$30$54.3K
    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,…1,390$30$45.8K

    Showing 1–10 of 18

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Rhode Island median

    18 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…2752,050300$50$72.3K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens8110200$40$44K
    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…3190230$40$35K
    V2020Frames, purchases8180380$20$31K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.7200360$20$23.8K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.2120100$70$22.1K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal6160240$20$21.8K
    S0580Polycarbonate lens (list this code in addition to the basic code for the lens)970520$20$20.4K
    V2784Lens, polycarbonate or equal, any index, per lens1660100$20$19.5K
    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,…780140$30$16.9K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    East Bay Community Action ProgramRIMental Health Clinic/Center (Including Community Mental Health Center)$0$20.5M
    Westminster Eyecare Associates IncRIOptometrist$0$4.9M
    East Bay Community Action ProgramRICommunity/Behavioral Health Agency$0$2.2M
    Sarah GuarascioRIOptometrist$8.3K$2M
    East Bay Community Action ProgramRIDental Clinic/Center$0$2M
    Jasma PatelRIDentist$0$1.9M
    East Bay Community Action ProgramRICommunity Health Clinic/Center$0$1.5M
    Gina DigatiRIAdult Psychiatric/Mental Health Clinical Nurse Specialist$12.3K$817.1K
    Scott ColonnaRIOptometrist$0$718K
    Joseph SingerRIPediatrics Physician$0$547.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joy Home Care Inc.RIHome Health Agency$0$75.4M
    Hope Nursing Home Care, LLCRIHome Health Agency$0$70.6M
    Codac IncRISubstance Use Disorder Rehabilitation Clinic/Center$0$54.3M
    Spurwink RiRIDevelopmentally Disabled Services Day Training Agency$0$39.1M
    Alee Behavioral HealthcareRIBehavior Analyst$0$22M
    Homecare Advantage Inc.RINursing Care Agency$0$12.9M
    Ocean State Dental Group IncRIDentist$0$7.9M
    Home Care Networks, LLCRIHome Health Aide$0$5.7M
    Park Avenue Senior Care, IncRIAdult Day Care Clinic/Center$0$3M
    Cranston Public SchoolsRILocal Education Agency (LEA)$0$2.7M

    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. Rhode Island Distribution
    John Corvese — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island
    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    John Corvese — 5 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island