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    OpenPayerNPI Medicare & MedicaidBrandon Baartman
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    Brandon Baartman — Billing Profile & Reimbursement Data

    NPI 1124464664 · Omaha, NE · Ophthalmology Physician

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    Brandon Baartman is a ophthalmology physician provider located in Omaha, Nebraska. This profile covers 9 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
    OrganizationBrandon Baartman
    Address4909 S 118th St
    CityOmaha
    StateNE
    ZIP68137
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 10, 2013

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

    Payer SourceTotal Paid
    Medicare$619K
    Medicaid$0

    Key Findings

    BRANDON BAARTMAN is an ophthalmology physician in Omaha, NE with an NPI enumerated on 2013-05-10 (~13 years ago). His lifetime Medicare revenue is $619K and there is no Medicaid billing on file, indicating Medicare is effectively his sole public-payer source in the available data.

    Revenue is highly concentrated: the platform precomputed that the top 3 Medicare codes by revenue account for 80.9% of this provider’s total Medicare revenue. The single largest code is 66984, which alone represents $397.7K (64.1% of Medicare revenue), followed by 65756 at $54.6K (8.8%) and 66821 at $49K (7.9%).

    The code mix and volumes point to a procedure-centric cataract and anterior segment practice. High-volume cataract extraction and IOL implantation activity is evident from 66984 (1.2K claims, $330 avg paid/claim, $397.7K revenue) and related codes 66991 and 66982, while 92136 (1.4K claims, $28 avg paid/claim, $38.6K revenue) shows very large biometry volumes consistent with routine pre- or intra-operative IOL power calculations.

    Competitive standing varies by service line: 92136 is labeled an "extreme outlier, far above typical national volume" and ranks #33 of 8731 providers, indicating exceptionally high national volume for biometry. Corneal transplant code 65756 ranks #20 of 567 (96th percentile; notably above typical national volume), suggesting above-typical corneal surgery activity, while 66984 ranks #1769 of 15965 (89th percentile; typical, unremarkable volume) — high but within expected ranges for cataract surgeons.

    Presence of specialized anterior-segment procedures beyond routine cataract care is notable: 65756 (complete corneal transplant) has 63 claims and $54.6K revenue and ranks high nationally, implying this provider offers corneal surgery services in addition to cataract operations. By contrast, glaucoma-related endoscopic cyclophotocoagulation with lens insertion (66988) appears low-volume (18 claims, $7.4K, rank #96 of 115, 11th percentile), indicating limited activity in that specific glaucoma procedure.

    Non-procedural evaluation-and-management revenue is minimal: 99204 accounts for 18 claims and $2.2K (0.4% of Medicare revenue) and ranks #168319 of 227068 (23rd percentile). This pattern—high procedural revenue combined with low E/M billing—is consistent with a surgery-focused practice that bills primarily for procedural services rather than extended office visits.

    Payer-mix risk should be noted: with $619K in Medicare revenue and no Medicaid billing on file, the provider is effectively single-payer reliant on Medicare for public-payor volume. That concentration increases sensitivity to Medicare reimbursement policies and coverage changes compared with peers who have mixed public-payer exposure.

    Although total Medicare revenue of $619K is modest in absolute terms compared with large regional surgical groups, procedural volumes for key codes are substantial (e.g., 1.2K claims for 66984 and 1.4K claims for 92136), indicating a practice that drives throughput-focused surgical care. The profile therefore combines modest overall Medicare revenue with specialty concentration in high-volume cataract/IOL workflows and selected corneal surgery.

    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.

    9 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…1,210$330$397.6K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.60$870$54.6K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.180$280$49K
    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…1,380$30$38.6K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…80$420$32.4K
    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$24.8K
    65400In this procedure, the provider excises a thin layer from the surface of the cornea, the front portion of the eye that focuses light on the lens, to remove a mass, scar tissue, or other lesion,…30$440$13.2K
    66988The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves.20$410$7.4K
    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…20$120$2.2K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984220050$450$75.5K
    6699123030$1,410$56.4K
    6575611030$1,200$43K
    66982195040$570$30.1K
    66821198080$210$23K
    6698811020$970$17.4K
    6540011020$420$9.2K
    92136260230$30$8.1K
    992049721,32030$100$5.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John BerdahlSDOphthalmology Physician$664K$0
    Russell SwanMTOphthalmology Physician$560K$0
    Michael GreenwoodNDOphthalmology Physician$530.7K$0
    Vance ThompsonSDOphthalmology Physician$514.1K$0
    Deborah RistvedtMNOphthalmology Physician$507.8K$0
    John StephensFLOphthalmology Physician$443K$0
    Spenser MortonNEOphthalmology Physician$375.7K$0
    Cullen RyburnCOOphthalmology Physician$312.8K$0
    Daniel TerveenSDOphthalmology Physician$303.2K$0
    Brent KramerSDOphthalmology Physician$207.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sakrx, LLCNEDurable Medical Equipment & Medical Supplies$554.5K$9.6M
    Connected Roots Care CenterNEMedically Fragile Infants and Children Day Care$0$7.7M
    Procare3, Inc.NERehabilitation Practitioner$0$4M
    Kohlls Pharmacy & Homecare IncNEDurable Medical Equipment & Medical Supplies$0$2.8M
    Omaha Treatment Center, LLCNEMethadone Clinic$66.3K$2.1M
    Oneworld Community Health Centers, Inc.NECommunity Health Clinic/Center$0$1.7M
    Vance Thompson Vision Surgery Center Ne, LLCNEAmbulatory Surgical Clinic/Center$1.7M$0
    Option Care Enterprises, Inc.NEHome Infusion Therapy Pharmacy$0$1.5M
    Total Respiratory And Rehab IncNEDurable Medical Equipment & Medical Supplies$0$1.2M
    Adultspan PCNEMental Health Counselor$0$705.2K

    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. Nebraska Distribution
    Brandon Baartman — 4 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska