Peter Simone — Billing Profile & Reimbursement Data
NPI 1144630468 · Omaha, NE · Ophthalmology Physician
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Peter Simone is a ophthalmology physician provider located in Omaha, Nebraska. 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.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Peter Simone |
| Address | 16820 Frances St Ste 100 |
| City | Omaha |
| State | NE |
| ZIP | 68130 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | May 8, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $196.8K |
| 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 Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The 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… | 190 | $400 | $77.8K |
| 92014 | An 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… | 380 | $70 | $27.4K |
| 99214 | The 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… | 300 | $80 | $23.1K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 70 | $230 | $16.6K |
| 99213 | The 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… | 170 | $60 | $9.1K |
| 66982 | The 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 | $530 | $8.5K |
| 92136 | The 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… | 250 | $30 | $6.9K |
| 64708 | In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on a major peripheral nerve in an arm or leg, and at a location other than… | 30 | $180 | $6K |
| 92083 | The 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… | 150 | $40 | $5.8K |
| 64727 | The provider excises scar tissue from within and between the nerve fibers in the protective nerve sheath using an operating microscope and microsurgical techniques. This procedure may be done during… | 30 | $130 | $4.3K |
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.
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Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 49 | 200 | 50 | $450 | $75.5K |
| 66982 | 40 | 50 | 40 | $570 | $30.1K |
| 66821 | 41 | 80 | 80 | $210 | $23K |
| 92014 | 66 | 270 | 170 | $70 | $20K |
| 99214 | 672 | 3,210 | 110 | $70 | $14.9K |
| 64708 | 3 | 10 | 60 | $180 | $12K |
| 64727 | 3 | 10 | 60 | $130 | $8.3K |
| 92136 | 26 | 60 | 230 | $30 | $8.1K |
| 99213 | 921 | 3,220 | 90 | $50 | $7.9K |
| 92134 | 62 | 260 | 60 | $30 | $6.1K |
Showing 1–10 of 19
Nearby Providers
Other providers in the same ZIP code as Peter Simone, ranked by combined Medicare and Medicaid revenue.
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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