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    OpenPayerNPI Medicare & MedicaidMichael Phillips
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    Michael Phillips — Billing Profile & Reimbursement Data

    NPI 1124077490 · Greenville, SC · Ophthalmology Physician

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    Michael Phillips is a ophthalmology physician provider located in Greenville, South Carolina. This profile covers 13 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
    OrganizationMichael Phillips
    Address10 Enterprise Blvd
    CityGreenville
    StateSC
    ZIP29615
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 6, 2006

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

    Payer SourceTotal Paid
    Medicare$211.9K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…270$350$95.7K
    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…330$80$25.2K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…50$470$24.4K
    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…220$100$22.4K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.80$210$15.9K
    76519The provider uses A scan ultrasound echography to measure the axial length of the eye and determine the intraocular lens, or IOL calculation prior to cataract surgery.320$40$11.7K
    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…110$60$6K
    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…70$40$2.7K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.30$80$2.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…70$30$2.4K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984104270210$170$141.3K
    668218417070$100$25.3K
    66982135030$630$23.9K
    992142,3117,860160$80$23.2K
    992133,5937,690100$60$10.8K
    9213428040090$30$9.6K
    76519310120$30$7K
    68761244040$90$7K
    992041194,52040$110$6.4K
    9208318040060$40$4.1K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health University Medical GroupSCFamily Medicine Physician$0$171.7M
    Prisma Health Medical Group-midlandsSCMulti-Specialty Clinic/Center$0$77.6M
    Prisma Health University Medical GroupSCDevelopmental - Behavioral Pediatrics Physician$0$16M
    Prisma Health-upstateSCGeneral Acute Care Hospital$0$8.3M
    Prisma Health University Medical GroupSCDiagnostic Radiology Physician$0$7.5M
    Prisma Health University Medical GroupSCFamily Medicine Physician$0$4.7M
    Columbia Eye Surg Center IncSCOphthalmologic Surgery Clinic/Center$3.5M$1.2K
    Adam PflugrathSCRetina Specialist (Ophthalmology) Physician$3.1M$0
    Prisma Health-upstateSCGeneral Acute Care Hospital$0$2.4M
    Manuel De PinaSCFamily Medicine Physician$2.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Childrens Medical CenterSCSpecialist$0$17.1M
    Agapi Behavioral ConsultantsSCBehavior Analyst$0$15M
    St Francis Hospital, Inc.SCGeneral Acute Care Hospital$0$13M
    Eastside Pediatric Dentistry PASCPediatric Dentistry$0$10M
    Magnolia Medical Group IncSCPhysical Therapist$0$9.9M
    Greenville Health CorporationSCDurable Medical Equipment & Medical Supplies$0$8.9M
    D&s Community Services Sc, LLCSCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$8.3M
    Bloom Behavioral Therapy LLCSCMental Health Counselor$0$7.5M
    Prisma Health-upstateSCGeneral Acute Care Hospital$0$6.4M
    Clemson Eye, PASCOphthalmology Physician$0$5.5M

    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. South Carolina Distribution
    Michael Phillips — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina