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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAdam Prickett
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    Adam Prickett — Billing Profile & Reimbursement Data

    NPI 1114224987 · Arlington Heights, IL · Ophthalmology Physician

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    Adam Prickett is a ophthalmology physician provider located in Arlington Heights, Illinois. This profile covers 24 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
    OrganizationAdam Prickett
    Address1588 N Arlington Heights Rd
    CityArlington Heights
    StateIL
    ZIP60004
    TaxonomyOphthalmology Physician
    NPI EnumeratedFebruary 14, 2011

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

    Payer SourceTotal Paid
    Medicare$538.2K
    Medicaid$0

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established 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…1,270$90$112.9K
    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…220$430$92K
    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…1,030$70$68.9K
    64708In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on a major peripheral nerve in an arm or leg, and at a location other than…200$220$44.2K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.140$270$37.9K
    64727The provider excises scar tissue from within and between the nerve fibers in the protective nerve sheath using an operating microscope and microsurgical techniques. This procedure may be done during…200$160$31.4K
    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,…950$30$25.5K
    67031The provider uses a laser to remove vitreous material that is obstructing a patient’s vision.70$320$23.2K
    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…410$50$18.4K
    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…140$110$15.3K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984338570360$70$97.8K
    64708210200$240$38.6K
    65820375030$940$33.9K
    64727210210$160$32.8K
    9921413618,540110$80$17.1K
    668216437050$70$16.4K
    687611912050$90$10.3K
    6703111030$300$10.3K
    921342111,08080$30$9K
    9921318817,39070$60$8.8K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vikram SetlurILRetina Specialist (Ophthalmology) Physician$2.9M$219.8K
    Senad OsmanovicILOphthalmology Physician$1.6M$1.3M
    Christopher WoodILOphthalmology Physician$461.7K$0
    Jogin JoseILOphthalmology Physician$274.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$9.3M
    Alexian Brothers Center For Mental HealthILMental Health Clinic/Center (Including Community Mental Health Center)$0$8.8M
    Hearing Screening Associates LLCILAudiologist$0$4.4M
    Northwest Home Care, Inc.ILHome Health Agency$0$4.2M
    Cook CountyILPrimary Care Clinic/Center$0$3.8M
    Family Medical Supplies, IncILDurable Medical Equipment & Medical Supplies$0$3.1M
    Omar HassanILOphthalmology Physician$1.1M$0
    Michaela KleinILSurgery Physician$944.5K$0
    Jimmy VargheseILRheumatology Physician$632.9K$12.9K
    Diane FlershemILInternal Medicine Physician$273.6K$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. Illinois Distribution
    Adam Prickett — 7 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois