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    OpenPayerNPI Medicare & MedicaidEduardo Bustamante
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    Eduardo Bustamante — Billing Profile & Reimbursement Data

    NPI 1154711513 · Woodruff, WI · Ophthalmology Physician

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    Eduardo Bustamante is a ophthalmology physician provider located in Woodruff, Wisconsin. This profile covers 20 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
    OrganizationEduardo Bustamante
    AddressPo Box 1520
    CityWoodruff
    StateWI
    ZIP54568
    TaxonomyOphthalmology Physician
    NPI EnumeratedJanuary 23, 2015

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

    Payer SourceTotal Paid
    Medicare$186.9K
    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…610$80$46.4K
    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…100$400$38.3K
    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…400$60$22.6K
    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.110$110$12.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.50$230$11.1K
    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.350$30$9.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.100$90$8.5K
    83861The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye.370$20$8.1K
    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…170$40$6.6K
    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…70$90$5.9K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984250310350$50$66.4K
    668218418040$100$13K
    9201428720120$70$12.9K
    992145,4139,80080$70$9.2K
    6876163040$130$8.3K
    83861110290$20$5.4K
    92012516050$60$5.1K
    921347460060$30$4.7K
    992134,8759,38060$50$4.7K
    92136107170130$20$4.6K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mchs Hospitals IncWIRural Acute Care Hospital$0$45.3M
    Marshfield Clinic IncWIClinic/Center$526.8K$19.6M
    Mchs Hospitals IncWIGeneral Acute Care Hospital$0$12.4M
    Mchs Hospitals IncWIClinic/Center$0$11.8M
    Lakeview Medical Center Inc Of Rice LakeWIRural Acute Care Hospital$0$10M
    Mchs Hospitals IncWICritical Access Hospital$0$7.4M
    Flambeau Hospital IncWICritical Access Hospital$0$7M
    Mchs Hospitals IncWIGeneral Acute Care Hospital$0$6.4M
    Mchs Hospitals IncWIClinic/Center$0$4.1M
    Mchs Hospitals IncWIRural Acute Care Hospital$0$2.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Howard Young Medical Center, Inc.WIGeneral Acute Care Hospital$0$2.9M
    Compassus Aah Of Wisconsin Ii, LLCWICommunity Based Hospice Care Agency$0$1.7M
    Ministry Home Care, LLC.WICommunity Based Hospice Care Agency$0$1.7M
    Sa Limberg, IncWISocial Worker$0$1.3M
    Benjamin RedmanWIOptometrist$237.7K$66.2K
    Michel GelinasWIOphthalmology Physician$299.7K$0
    Northwoods Surgery Center, LLCWIAmbulatory Surgical Clinic/Center$253.6K$0
    Mary Joy BortonWIPhysical Therapist$68.3K$0
    Kirby RedmanWIOptometrist$56.2K$0
    Maria TillmanWIEmergency Medicine Physician$29.5K$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. Wisconsin Distribution
    Eduardo Bustamante — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin