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    OpenPayerNPI Medicare & MedicaidJohn Hagele
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    John Hagele — Billing Profile & Reimbursement Data

    NPI 1134200629 · Grass Valley, CA · Ophthalmology Physician

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    John Hagele is a ophthalmology physician provider located in Grass Valley, California. This profile covers 14 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
    OrganizationJohn Hagele
    Address400 Sierra College Dr
    CityGrass Valley
    StateCA
    ZIP95945
    TaxonomyOphthalmology Physician
    NPI EnumeratedOctober 18, 2006

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

    Payer SourceTotal Paid
    Medicare$448.5K
    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.

    14 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…420$430$178.1K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…1,120$90$98.4K
    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…750$60$48.3K
    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…50$560$28.9K
    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.780$30$20.1K
    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…380$50$17.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.60$270$15.2K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…530$30$13.8K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.110$100$10.7K
    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…20$580$10.4K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669841261,25090$690$122.8K
    669913818030$1,940$77.7K
    6698238951030$800$32K
    920141672,890110$100$28.7K
    920122041,620150$70$23.6K
    9921430,28037,970120$90$23.2K
    6682136595040$270$18.4K
    9921325,68934,66080$70$13.2K
    921341,4272,15090$30$12.6K
    920044561,95050$110$9.7K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Glenda AgustinCAInternal Medicine Physician$1.3M$6.7K
    Dawei ZhengCAFamily Medicine Physician$918.2K$0
    Kuldip GillCAGeriatric Medicine (Internal Medicine) Physician$807.6K$0
    Matthew MuellenhoffCAProcedural Dermatology Physician$736.5K$0
    Christina QuachCAFamily Nurse Practitioner$661.1K$0
    Deyi ZhengCAFamily Medicine Physician$612.2K$0
    Rona SilkissCAOphthalmology Physician$506.5K$0
    Ramandeep GuraiCAPhysical Medicine & Rehabilitation Physician$445K$0
    Gregory SmithCAInternal Medicine Physician$433K$0
    Michael MccormickCAAllergy Physician$412.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of NevadaCAMental Health Clinic/Center (Including Community Mental Health Center)$0$88.3M
    Chapa-de Indian Health Program, Inc.CAFederally Qualified Health Center (FQHC)$0$84.6M
    Western Sierra Medical Clinic, Inc.CAFederally Qualified Health Center (FQHC)$0$27.8M
    Sierra Nevada Memorial-miners HospitalCAGeneral Acute Care Hospital$0$23M
    Grass Valley Outpatient Surgery Center LPCAAmbulatory Surgical Clinic/Center$426.1K$1.6M
    Sierra Endoscopy Center, LLCCAAmbulatory Surgical Clinic/Center$1.1M$577.9K
    Sierra Ambulatory Surgery CenterCAAmbulatory Surgical Clinic/Center$1.2M$0
    Jon PritchettCAFamily Medicine Physician$1M$0
    Anna WilsonCADiagnostic Radiology Physician$762K$59.2K
    David CampbellCAHematology & Oncology Physician$432K$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. California Distribution
    John Hagele — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California