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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMichael Magee
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    Michael Magee — Billing Profile & Reimbursement Data

    NPI 1134120868 · Kingsport, TN · Retina Specialist (Ophthalmology) Physician

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    Michael Magee is a retina specialist (ophthalmology) physician provider located in Kingsport, Tennessee. This profile covers 19 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 Magee
    Address2412 N John B Dennis Hwy
    CityKingsport
    StateTN
    ZIP37660
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedAugust 3, 2005

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

    Payer SourceTotal Paid
    Medicare$458.1K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg200$680$138.3K
    J2778Injection, ranibizumab, 0.1 mg640$170$109.7K
    J2777Injection, faricimab‑svoa, 0.1 mg2,340$30$63.2K
    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.440$80$34.2K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…30$820$24.5K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.690$30$17.1K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…20$790$15.8K
    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…120$120$14.2K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…120$100$12.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.70$100$7.5K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01786280790$680$769.8K
    J2777505015,060$30$592.1K
    J277830401,340$180$370.2K
    6702858801,130$90$98.5K
    67042124020$1,020$34.5K
    67108143020$970$29.2K
    92014472810120$80$19.2K
    J90356370140$50$17.1K
    992149,50811,370120$80$16.6K
    921345960060$30$8.2K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scott & White Memorial HospitalTXGeneral Acute Care Hospital$0$55.1M
    Scott & White ClinicTXInternal Medicine Physician$0$45.6M
    Acclaim Physician Group, IncTXInternal Medicine Physician$0$30.9M
    Robyn OlneyTXAnatomic Pathology & Clinical Pathology Physician$7.7M$0
    James MillerTNRetina Specialist (Ophthalmology) Physician$3.9M$0
    Devon GhodasraTNRetina Specialist (Ophthalmology) Physician$3.6M$0
    Nicholas AndersonTNRetina Specialist (Ophthalmology) Physician$3M$0
    Rohan ShahTNRetina Specialist (Ophthalmology) Physician$2.9M$0
    Scott BarbTNOphthalmology Physician$2.8M$0
    Robert ShulerTNRetina Specialist (Ophthalmology) Physician$2.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Holston Medical Group PCTNFamily Medicine Physician$0$37M
    Wellmont Medical Associates IncTNPulmonary Disease Physician$0$27.8M
    Wellmont Health SystemTNGeneral Acute Care Hospital$0$17.6M
    Mountain States Health AllianceTNGeneral Acute Care Hospital$0$15.5M
    Watauga Dental Center, PLLCTNGeneral Practice Dentistry$0$8M
    LovinginhomecareincTNIn Home Supportive Care Agency$0$5.3M
    Harville Orthodontics PLLCTNOrthodontics and Dentofacial Orthopedics Dentistry$0$4.7M
    Sbh-kingsportTNPsychiatric Hospital$0$4M
    Thompson Delivery Services LLCTNNon-emergency Medical Transport (VAN)$0$3.2M
    Wellmont Cardiology ServicesTNCardiovascular Disease Physician$0$3.1M

    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. Tennessee Distribution
    Michael Magee — 0 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee