Loading...
NPI 1154330637 · Newport, AR · Optometrist
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Gavin Mcdowell is a optometrist provider located in Newport, Arkansas. This profile covers 19 Medicare and 6 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 | Gavin Mcdowell |
| Address | 1920 Malcolm Ave |
| City | Newport |
| State | AR |
| ZIP | 72112 |
| Taxonomy | Optometrist |
| NPI Enumerated | August 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $59.8K |
| Medicaid | $6.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 220 | $70 | $15.9K |
| 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… | 270 | $40 | $9.9K |
| 92273 | The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess… | 90 | $80 | $7K |
| 0509T | The provider performs pattern electroretinography (PERG), an electrophysiologic technology to assess the function of both the retina and macula. The retina is tissue at the back of the eye that is… | 90 | $40 | $4K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 40 | $70 | $2.6K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 110 | $20 | $2.4K |
| 92012 | For 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… | 40 | $60 | $2.1K |
| 92020 | The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and… | 100 | $20 | $1.9K |
| 92134 | The 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. | 70 | $30 | $1.9K |
| 92133 | The 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… | 90 | $20 | $1.9K |
Showing 1–10 of 19
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 196 | 210 | 60 | $430 | $90.5K |
| 92014 | 132 | 370 | 150 | $70 | $19.1K |
| 99214 | 3,852 | 4,300 | 130 | $70 | $18.8K |
| 99213 | 3,869 | 4,180 | 100 | $50 | $9.6K |
| 92012 | 138 | 220 | 70 | $50 | $9.3K |
| 92273 | 6 | 20 | 60 | $80 | $6.5K |
| 92004 | 174 | 310 | 40 | $90 | $6.2K |
| 92134 | 153 | 300 | 70 | $30 | $6K |
| 99204 | 1,689 | 2,100 | 40 | $100 | $5.4K |
| 0509T | 1 | 10 | 90 | $40 | $4K |
Showing 1–10 of 19
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 110 | $60 | $5.9K |
| 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… | 190 | $1 | $580 |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 130 | $1 | $130 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 190 | $0 | $0 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 40 | $0 | $0 |
| G8756 | No documentation of blood pressure measurement, reason not given | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 150 | 230 | 260 | $50 | $46.9K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 64 | 110 | 150 | $30 | $19.1K |
| 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… | 13 | 40 | 100 | $30 | $9.9K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 50 | 110 | 160 | $1 | $10 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 39 | 50 | 90 | $0 | $0 |
| G8756 | No documentation of blood pressure measurement, reason not given | 5 | 10 | 470 | $0 | $0 |
Other providers in the same ZIP code as Gavin Mcdowell, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Arkansas Center For Independence, Inc. | AR | Developmentally Disabled Services Day Training Agency | $0 | $12.7M |
| University Of Arkansas For Medical Sciences | AR | Developmental - Behavioral Pediatrics Physician | $0 | $5.2M |
| Birch Tree Communities, Inc. | AR | Community/Behavioral Health Agency | $0 | $4.1M |
| White County Medical Center | AR | Multi-Specialty Clinic/Center | $0 | $1.5M |
| Ralph A Teed Dds,pa | AR | Dentist | $0 | $1.5M |
| White River Ems, Inc. | AR | Land Ambulance | $296.1K | $1M |
| Arcare | AR | Federally Qualified Health Center (FQHC) | $0 | $1.3M |
| Frank Love | AR | Optometrist | $26.8K | $229.5K |
| Matthew Jackson | AR | Family Medicine Physician | $250.7K | $0 |
| Samuel Selasie Mortoti | AR | Cardiovascular Disease Physician | $117.8K | $100.3K |
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.