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NPI 1073951612 · Fort Madison, IA · Optometrist
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Derek Vogelpohl is a optometrist provider located in Fort Madison, Iowa. This profile covers 11 Medicare and 8 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 | Derek Vogelpohl |
| Address | 1001 Avenue H Ste 2 |
| City | Fort Madison |
| State | IA |
| ZIP | 52627 |
| Taxonomy | Optometrist |
| NPI Enumerated | June 5, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $89.2K |
| Medicaid | $49.5K |
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 |
|---|---|---|---|---|
| 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… | 530 | $80 | $41K |
| 92012 | For 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… | 350 | $60 | $19.7K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 110 | $80 | $9.1K |
| 92083 | The 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… | 190 | $40 | $7.8K |
| 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. | 190 | $30 | $4.8K |
| 92133 | The 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… | 200 | $20 | $4.7K |
| 92202 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 90 | $10 | $860 |
| 92002 | The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program. | 10 | $50 | $560 |
| 92250 | Code 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,… | 20 | $20 | $380 |
| 92020 | The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and… | 10 | $20 | $230 |
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
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 510 | $50 | $27K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 210 | $70 | $13.5K |
| V2020 | Frames, purchases | 310 | $20 | $6K |
| 92015 | The 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. | 660 | $1 | $1.3K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 110 | $10 | $650 |
| 92228 | The patient undergoes retinal imaging on one or both eyes in a location other than the reviewing provider’s location. The provider interprets the images remotely and prepares a report. The imaging… | 20 | $30 | $410 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 60 | $10 | $310 |
| V2756 | Eye glass case | 10 | $1 | $10 |
How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Iowa median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 23 | 30 | 200 | $90 | $49.2K |
| 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… | 165 | 450 | 290 | $60 | $42.8K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 143 | 350 | 140 | $80 | $39.5K |
| V2020 | Frames, purchases | 238 | 420 | 420 | $20 | $22.3K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 4 | 10 | 80 | $30 | $6.9K |
| 92015 | The 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. | 145 | 420 | 310 | $10 | $5.8K |
| V2756 | Eye glass case | 225 | 240 | 290 | $1 | $720 |
| 92228 | The patient undergoes retinal imaging on one or both eyes in a location other than the reviewing provider’s location. The provider interprets the images remotely and prepares a report. The imaging… | 1 | 10 | 20 | $30 | $410 |
Other providers in the same ZIP code as Derek Vogelpohl, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Fort Madison C.s.d. | IA | Local Education Agency (LEA) | $0 | $1.1M |
| Lee County Auditor | IA | Public Health or Welfare Agency | $0 | $963.9K |
| Mark Reynolds | IA | Ophthalmology Physician | $952.3K | $0 |
| Hy-vee Inc | IA | Community/Retail Pharmacy | $180.6K | $32.3K |
| Walgreen Co | IA | Pharmacy | $100K | $5.8K |
| Heather Perry | IA | Foot & Ankle Surgery Podiatrist | $104.3K | $0 |
| Nelson Pharmacy Consulting Services, Plc | IA | Community/Retail Pharmacy | $89.5K | $1.3K |
| Ruth Barosy | IA | Family Medicine Physician | $86.1K | $0 |
| Mark Saathoff | IA | Podiatrist | $73.3K | $11.9K |
| Kyle Gibson | IA | Physician Assistant | $62.1K | $0 |
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