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

    NPI 1083762918 · Kahului, HI · Ophthalmology Physician

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    John Dick is a ophthalmology physician provider located in Kahului, Hawaii. This profile covers 20 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
    OrganizationJohn Dick
    Address23 Paa St
    CityKahului
    StateHI
    ZIP96732
    TaxonomyOphthalmology Physician
    NPI EnumeratedJanuary 8, 2007

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

    Payer SourceTotal Paid
    Medicare$391.9K
    Medicaid$0

    Key Findings

    This provider is effectively a single-payer Medicare practice: lifetime Medicare revenue is $391.9K and there is no Medicaid billing on file, indicating Medicare accounts for virtually all reported public-payer activity for this NPI. Analysts should treat the profile as Medicare-dominant when assessing payer mix and public reimbursement exposure.

    Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 62.5% of the provider's total Medicare revenue, signaling dependence on a small set of services for the majority of Medicare receipts. This concentration amplifies the financial impact of utilization changes or reimbursement shifts affecting those specific codes.

    Clinical/service-line implications point to a retina/medical ophthalmology focus: the top revenue codes include 92014 (comprehensive established ophthalmologic exam), J0178 (aflibercept injection), and J2777 (faricimab-svoa injection), which together drive a majority of revenue and indicate a mix of diagnostic exams and intravitreal anti-VEGF/anti–VEGFR biologic therapy. The presence of high-volume retinal imaging and visual field testing codes (e.g., 92134, 92082, 92250) further supports a practice oriented toward retinal disease management and diagnostics.

    Competitive standing is mixed across codes: the provider ranks in the 97th percentile nationally for 92014 and in the 95th percentile for 92250, indicating notably above-typical national volume for comprehensive established exams and fundus photography. Conversely, its injection codes show modest national standing: J0178 ranks near the 10th percentile and J2777 near the 4th percentile of national injectors, suggesting routine but not high-volume use of these specific biologic agents compared with peers.

    Procedure-level outliers and service intensity: the provider is an extreme outlier for 92082 (99th percentile), reporting far above typical national volume for intermediate visual field testing. This suggests a high throughput of visual field services relative to peers and may reflect either a specialized glaucoma/visual field workload or clinic workflow that emphasizes automated perimetry.

    Service mix shows both diagnostic and therapeutic components: high utilization of imaging codes (92134 at the 88th percentile, 92133 at the 90th percentile, and 92242/92235 fluorescein/angiography services) combined with frequent visual field and fundus photography suggests an integrated diagnostic workflow that supports ongoing medical retina management and monitoring. This combination aligns with recurring visit patterns inherent in intravitreal therapy and chronic retinal disease surveillance.

    Operational implications for payers and network planners: because three codes account for 62.5% of Medicare revenue and injections plus imaging dominate the top line, changes in coverage, prior authorization, or site-of-service policy for anti-VEGF/anti–VEGFR agents and retinal imaging could materially affect the provider's Medicare revenue. Payers should consider monitoring utilization and preauthorization patterns for J0178 and J2777 alongside high-volume diagnostic testing such as 92082.

    Tenure and establishment: the NPI was enumerated on 2007-01-08 (~19 years ago), indicating long-standing Medicare participation. This duration supports interpreting observed patterns as established practice behavior rather than a transient short-term billing profile.

    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.

    20 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…1,150$90$102.3K
    J0178Injection, aflibercept, 1 mg130$680$89.1K
    J2777Injection, faricimab‑svoa, 0.1 mg2,160$30$54K
    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.570$30$18.3K
    92242The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…80$210$16.8K
    92082The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation.460$40$16K
    67028The 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.160$90$14.6K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…110$120$13.1K
    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,…500$30$13.1K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.80$110$9.3K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781320330$680$350.4K
    J277712104,140$30$173.8K
    670281520390$90$44.1K
    92273102070$110$22.9K
    920149220120$90$22.5K
    9224231080$210$14.4K
    9201273150110$60$13.1K
    J79991110100$70$12.8K
    66821235030$260$11.6K
    9223541030$110$11K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Farhad SafiFLOphthalmology Physician$2.9M$0
    Wendell DanforthHIOphthalmology Physician$974.5K$0
    Kellen KashiwaHIOptometrist$784.8K$0
    Peter Hurlbut-millerHIRetina Specialist (Ophthalmology) Physician$509.4K$0
    Retina Institute Of Hawaii LLCHIOphthalmology Physician$0$346.7K
    Center For Sight LLCHIOphthalmology Physician$0$157.7K
    Thomas RedensLAOphthalmology Physician$83.4K$13K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Americare Hawaii, IncorporatedHIIn Home Supportive Care Agency$0$4.7M
    Aloha House, Inc.HIMental Health Counselor$0$4.5M
    Hale MahaoluHIHome Delivered Meals$0$3.7M
    Americare Hawaii, LLCHIHome Health Agency$0$3.2M
    Maui Cardiology, Ltd.HICardiovascular Disease Physician$0$2.3M
    Gammie Homecare, Inc.HIDurable Medical Equipment & Medical Supplies$0$1.8M
    Pedodontic Associates IncHIPediatric Dentistry$0$1.4M
    Pediatric Therapies HawaiiHIPediatric Physical Therapist$0$1.4M
    Aloha Dermatology And Laser Center LLCHIDermatology Physician$0$1.3M
    Anamcara Care Hawaii IncHIIn Home Supportive Care Agency$0$1.3M

    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. Hawaii Distribution
    John Dick — 1 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii