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    OpenPayerNPI Medicare & MedicaidAlan Cantrell
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    Alan Cantrell — Billing Profile & Reimbursement Data

    NPI 1083996169 · Fpo, AE · Optometrist

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    Alan Cantrell is a optometrist provider located in Fpo, Armed Forces Europe. This profile covers 0 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAlan Cantrell
    AddressPsc 819 Box 18
    CityFpo
    StateAE (Armed Forces Europe)
    ZIP09645
    TaxonomyOptometrist
    NPI EnumeratedSeptember 14, 2011

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

    Payer SourceTotal Paid
    Medicaid$7.4K
    Medicare$0

    Key Findings

    ALAN CANTRELL is listed as an Optometrist and has an NPI enumerated on 2011-09-14 (~15 years ago), indicating long-standing enrollment in the federal provider registry which supports analysis of an established solo clinical practice. The tenure suggests available historical presence but not necessarily scale of billing activity in Medicare or Medicaid.

    This provider reports no Medicare billing on file (Total Medicare revenue: none) and a modest Medicaid footprint (Total Medicaid revenue: $7.4K), meaning payer mix is effectively single-payer Medicaid for the period covered. Analysts should treat this profile as a small-scale Medicaid-only billing presence rather than a dual-payer practice.

    Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, and in fact all reported Medicaid revenue is captured by a single CPT code. This degree of concentration means the provider's Medicaid revenue is driven entirely by a very narrow set of services.

    The single dominant code is 92014 (comprehensive eye examination for an established patient), which accounts for $7.4K in revenue from 122 claims at $61 avg paid/claim. This code mix is consistent with a routine optometry practice focused on established-patient comprehensive eye exams rather than procedure-heavy ophthalmology or multispecialty services.

    Competitive standing on the state Medicaid dataset is limited to a single-record comparison: 92014 ranks #1 of 1 providers in-state (0th percentile; no state peer volume comparison available). That ranking indicates this provider is the sole in-state reporter for that code in the available data, so comparative performance against state peers is not measurable from this dataset.

    From a risk and operational perspective, having 100.0% of Medicaid revenue tied to 92014 creates revenue sensitivity to changes in patient volume or reimbursement for that single CPT. Any shift in visit frequency, eligibility, or reimbursement policy for comprehensive established exams would have an outsized effect on the provider's Medicaid revenue.

    For payers and network analysts, the absolute scale of Medicaid activity ($7.4K, 122 claims) identifies this provider as a modest-volume participant whose Medicaid revenue contribution is limited; it is unlikely to be a major contracting or utilization driver within the state Medicaid program. This profile suggests limited leverage in network negotiations and minimal impact on broader utilization patterns.

    Operationally, the billing pattern—122 claims for 92014 with no other Medicaid codes reported—suggests a practice workflow centered on routine comprehensive exams for established patients rather than a diversity of clinical procedures or ancillary billable services. Analysts evaluating access or capacity should consider that reported Medicaid activity may underrepresent overall patient care if the provider serves commercial or uninsured populations not reflected in this dataset.

    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.

    1 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…120$60$7.4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Armed Forces Europe providers billing the same CPT/HCPCS codes. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

    Full comparison — all codes billed, vs. Armed Forces Europe median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…110120$60$7.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ky Doctors Of Optometry, PLLCKYEyewear Supplier$0$4.3M
    Tri-state Doctors OfKYEyewear Supplier$0$4.1M
    Ky Doctors Of Optometry, PLLCKYEyewear Supplier$0$3.8M
    Ky Doctors Of Optometry, PLLCKYEyewear Supplier$0$3.6M
    Dr. Mark Lynn & Associates, PLLCTNOptometrist$0$3.2M
    Ky Doctors Of Optometry, PLLCKYEyewear Supplier$0$2.9M
    Ky Doctors Of Optometry, PLLCKYEyewear Supplier$0$2.8M
    Ronald FaryILOptometrist$167.3K$349.7K
    Adam MuellerKYOptometrist$141.5K$277.7K
    Joseph SummersTNOptometrist$51.4K$345.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Guillermo NavarroAE (Armed Forces Europe)Emergency Medicine Physician$25.8K$0
    William SeldeAE (Armed Forces Europe)Emergency Medicine Physician$17.2K$0
    Corey ShawAE (Armed Forces Europe)Diagnostic Radiology Physician$13.5K$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.

    Medicaid Revenue by Year vs. Armed Forces Europe Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Armed Forces Europe Distribution
    Alan Cantrell — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe