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    OpenPayerNPI Medicare & MedicaidHenry Bumgardner
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    Henry Bumgardner — Billing Profile & Reimbursement Data

    NPI 1114039583 · Wichita, KS · Optometrist

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    Henry Bumgardner is a optometrist provider located in Wichita, Kansas. This profile covers 10 Medicare and 10 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
    OrganizationHenry Bumgardner
    Address2205 S Seneca St
    CityWichita
    StateKS
    ZIP67213
    TaxonomyOptometrist
    NPI EnumeratedAugust 31, 2006

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

    Payer SourceTotal Paid
    Medicaid$182.1K
    Medicare$52.2K

    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…280$80$23.4K
    92012For 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…150$60$9.2K
    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…110$40$4.4K
    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,…150$30$3.8K
    92283The provider uses an optical instrument, such as a Nagel anomaloscope, that uses long wavelengths of yellow–green light, which a patient adjusts, to match a predetermined ratio of red to green light;…100$40$3.6K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…30$100$3.1K
    92132The provider performs computerized diagnostic imaging of the anterior segment (front part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.90$20$2.1K
    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…30$60$1.6K
    76512The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures.20$40$720
    76514The provider uses conventional contact B scan imaging to measure the thickness of the cornea in one or both eyes.90$10$720

    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
    6698421530040$430$67.4K
    92014181530180$70$18.5K
    920127824070$60$8.6K
    992041,1121,93040$100$6K
    9225010836090$20$3.3K
    920836739040$40$2.9K
    76512173020$30$2.8K
    9228321050$40$2.6K
    9213231080$20$1.7K
    76514109020$10$330

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    V2020Frames, purchases1,690$40$69.4K
    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…820$70$56.2K
    V2760Scratch resistant coating, per lens1,600$20$24.1K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens400$40$14.9K
    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.1,770$10$10.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.50$90$4.7K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens30$40$1.1K
    92012For 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…10$40$500
    2026FThe ophthalmology or optometry provider uses other eye imaging to validate 7 standard field stereoscopic retinal photo results in a patient with diabetic retinopathy. He reviews and documents the…40$0$0
    2033FThe ophthalmology or optometry provider uses other eye imaging to validate 7 standard field stereoscopic retinal photos results in a patient without diabetic retinopathy. He reviews and documents the…40$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kansas median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V2020Frames, purchases62330320$40$62.7K
    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…62250180$60$60.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.11120070$90$37.6K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens54160170$30$34.6K
    92012For 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…152160120$50$30K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens116150110$40$30K
    V2760Scratch resistant coating, per lens16120230$20$14.3K
    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.74390350$10$8.6K
    2026FThe ophthalmology or optometry provider uses other eye imaging to validate 7 standard field stereoscopic retinal photo results in a patient with diabetic retinopathy. He reviews and documents the…21040$0$0
    2033FThe ophthalmology or optometry provider uses other eye imaging to validate 7 standard field stereoscopic retinal photos results in a patient without diabetic retinopathy. He reviews and documents the…21040$0$0

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert BoyleKSOptometrist$19.5K$34.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of SedgwickKSLand Ambulance$4.1M$10.9M
    Envision Industries IncKSDevelopmentally Disabled Services Day Training Agency$0$3.8M
    Gracemed Health Clinic, IncKSFederally Qualified Health Center (FQHC)$0$1.9M
    Kci Usa, Inc.KSDurable Medical Equipment & Medical Supplies$0$1M
    Ashley BlasiKSOptometrist$89.5K$0
    Jeffrey YarrowKSOptometrist$80K$0
    Drew HeideKSOptometrist$47.4K$0
    Ryan EmrickKSOptometrist$27.5K$13.5K
    Chadwin FlemingKSOptometrist$22.7K$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. Kansas Distribution
    Henry Bumgardner — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas
    Medicaid Revenue by Year vs. Kansas Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Henry Bumgardner — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas