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    OpenPayerNPI Medicare & MedicaidTracy Ray
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    Tracy Ray — Billing Profile & Reimbursement Data

    NPI 1073688206 · Loris, SC · Optometrist

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    Tracy Ray is a optometrist provider located in Loris, South Carolina. This profile covers 10 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)

    FieldValue
    Entity TypeIndividual
    OrganizationTracy Ray
    Address3911 Main St
    CityLoris
    StateSC
    ZIP29569
    TaxonomyOptometrist
    NPI EnumeratedNovember 22, 2006

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

    Payer SourceTotal Paid
    Medicare$122.7K
    Medicaid$11.7K

    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.

    10 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…570$80$45.8K
    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…600$60$36.5K
    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…15,850$1$15.8K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.140$90$12.9K
    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.120$30$3.4K
    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…140$20$3.3K
    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…70$40$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,…80$30$2K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…10$50$650
    99212The 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,…10$30$440

    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
    669841270210$170$141.3K
    9201498540160$80$24.3K
    992135187,690100$60$10.8K
    9213416440090$30$9.6K
    920044645040$90$5.6K
    9208317640060$40$4.1K
    9225019642070$20$3.5K
    9213312440070$20$3.1K
    992121,6331,82030$30$2.5K
    9920230438020$40$1.5K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal270$20$5.4K
    S0621Routine ophthalmological examination including refraction; established patient50$70$3.3K
    92370The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye.270$10$1.9K
    S0620Routine ophthalmological examination including refraction; new patient10$70$890
    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.10$10$170

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. South Carolina median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal198350400$20$21.6K
    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.456470370$10$20.8K
    S0620Routine ophthalmological examination including refraction; new patient610160$80$15.4K
    S0621Routine ophthalmological examination including refraction; established patient31070$70$7.5K
    92370The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye.410220$10$2.9K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clemson Eye, PASCOphthalmology Physician$0$5.5M
    Sreenivasa BasavanthappaILRetina Specialist (Ophthalmology) Physician$3.2M$14.2K
    Nick MclaneSCOphthalmology Physician$1.9M$0
    Krishi PeddadaSCOphthalmology Physician$1.3M$0
    Rishi SinghalGARetina Specialist (Ophthalmology) Physician$668.8K$0
    Harvard RiddleSCOphthalmology Physician$547K$0
    Tomasz WiraszkaGARetina Specialist (Ophthalmology) Physician$533.4K$11.9K
    Samuel MontgomerySCOphthalmology Physician$543.3K$1.5K
    Brian JohnsonSCOphthalmology Physician$539.3K$0
    Samuel SeltzerSCOphthalmology Physician$462.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mcleod Loris Seacoast HospitalSCGeneral Acute Care Hospital$0$24.8M
    Seashore PediatricsSCPediatrics Physician$0$15.8M
    Little River Medical Center, Inc.SCFederally Qualified Health Center (FQHC)$0$3.6M
    Timothy MillsSCFamily Medicine Physician$257.8K$0
    Ashley WilsonSCPhysician Assistant$218.5K$0
    Melissa MiaraSCPulmonary Disease Physician$128.1K$0
    Brian ThackerSCFamily Medicine Physician$125.2K$0
    Leonard SchwartzSCInternal Medicine Physician$100K$0
    Susan StuberSCAnatomic Pathology & Clinical Pathology Physician$75.1K$0
    Carla HamiltonSCCertified Registered Nurse Anesthetist$47.6K$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. South Carolina Distribution
    Tracy Ray — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina
    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Tracy Ray — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina