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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRoy Lehman
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    Roy Lehman — Billing Profile & Reimbursement Data

    NPI 1124314067 · Sherman, TX · Ophthalmology Physician

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    Roy Lehman is a ophthalmology physician provider located in Sherman, Texas. This profile covers 31 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
    OrganizationRoy Lehman
    Address1625 N Us Highway 75
    CitySherman
    StateTX
    ZIP75090
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 20, 2011

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

    Payer SourceTotal Paid
    Medicare$697.6K
    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.

    31 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg230$690$161.2K
    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…380$350$133K
    J2777Injection, faricimab‑svoa, 0.1 mg4,140$30$120.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.220$220$47.1K
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.30$960$28K
    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…210$110$22.2K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…40$600$21.7K
    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…330$60$20.6K
    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.240$80$18.8K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…700$20$12.5K

    Showing 1–10 of 31

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    31 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178166210610$690$694.9K
    J27771081407,470$30$479.2K
    66984144990100$560$113.9K
    67028199290510$90$73K
    657786110030$1,040$63.3K
    669915710030$1,510$55.7K
    158235712030$530$27.5K
    66174234030$690$26.3K
    6698217927020$650$23.4K
    920141,1262,700100$80$21K

    Showing 1–10 of 31

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andrew BossenTXOphthalmology Physician$1M$0
    Matthew PhillipsOKOphthalmology Physician$871.6K$0
    William PlaucheTXOphthalmology Physician$631.2K$0
    Jeffrey HarrisTXOptometrist$201K$0
    Timothy FincherTXOphthalmology Physician$41.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aoc Tx, LLCTXHome Health Agency$0$708M
    Quality Home Health Care, Inc.TXHome Health Agency$0$12.8M
    Advanced Laboratory Services LLCTXClinical Medical Laboratory$441.4K$736.6K
    Nikhil JoshiTXInterventional Cardiology Physician$973.7K$0
    Vijay KhetpalTXOphthalmology Physician$945.4K$0
    North Texas Surgery Center, LLCTXAmbulatory Surgical Clinic/Center$883.6K$0
    Aditi SwamiTXInfectious Disease Physician$627.3K$0
    Sreenadha VattamTXInterventional Pain Medicine Physician$530.4K$0
    Clint MossTXDermatology Physician$528.4K$0
    Deborah FisherTXPain Medicine (Physical Medicine & Rehabilitation) Physician$453.4K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Roy Lehman — 2 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas