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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSean Smolenyak
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    Sean Smolenyak — Billing Profile & Reimbursement Data

    NPI 1144275439 · Raleigh, NC · Optometrist

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    Sean Smolenyak is a optometrist provider located in Raleigh, North Carolina. 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
    OrganizationSean Smolenyak
    Address8851 Ellstree Ln
    CityRaleigh
    StateNC
    ZIP27617
    TaxonomyOptometrist
    NPI EnumeratedMay 24, 2006

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

    Payer SourceTotal Paid
    Medicare$179.6K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…620$60$37.2K
    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…460$80$34.7K
    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…420$80$34.3K
    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…150$100$14.9K
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.20$970$14.6K
    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.520$30$13.9K
    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.100$80$8.3K
    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…290$20$6.7K
    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…160$40$6.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.50$70$3.4K

    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
    6577891030$960$33.8K
    92014112880110$80$17.7K
    992142,11718,060110$80$15.1K
    68761106030$90$9.1K
    9201225430080$60$8.9K
    921349779070$30$7.5K
    9921343216,32070$50$7.1K
    992042608,43030$110$4.8K
    9200420962030$90$4.6K
    9208311177050$40$3.7K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jitendra SwarupNCOphthalmology Physician$702.6K$0
    Michael KellyNCOphthalmology Physician$378.3K$0
    Eric BurnsNCOptometrist$307.1K$0
    Jennifer CobenNCOphthalmology Physician$304.9K$0
    Peter MitrevNCGlaucoma Specialist (Ophthalmology) Physician$296.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Private Diagnostic Clinic, PLLCNCPediatrics Physician$0$29.7M
    Brier Creek Integrated Pain & Spine PLLCNCMedical Specialty Clinic/Center$0$12.9M
    Triangle Orthopaedics Surgery CenterNCAmbulatory Surgical Clinic/Center$309.9K$500
    Rhett HallowsNCOrthopaedic Surgery Physician$192.5K$0
    Michele RiegelNCSocial Worker$167K$11.8K
    Nikhil JariwalaNCCardiovascular Disease Physician$167.9K$0
    Vikas PatelNCDermatology Physician$85.1K$0
    Jyothi RaoNCEndocrinology, Diabetes & Metabolism Physician$37K$0
    Shubham TyagiNCFamily Nurse Practitioner$33.1K$0
    Laura Hardin-leeNCFamily Medicine Physician$28.7K$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. North Carolina Distribution
    Sean Smolenyak — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina