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    OpenPayerNPI Medicare & MedicaidJames Mcmanus
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    James Mcmanus — Billing Profile & Reimbursement Data

    NPI 1174514053 · Melbourne, FL · Ophthalmology Physician

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    James Mcmanus is a ophthalmology physician provider located in Melbourne, Florida. This profile covers 22 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
    OrganizationJames Mcmanus
    Address1995 W Nasa Blvd
    CityMelbourne
    StateFL
    ZIP32904
    TaxonomyOphthalmology Physician
    NPI EnumeratedOctober 31, 2005

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

    Payer SourceTotal Paid
    Medicare$568.4K
    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.

    22 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…1,420$80$119.2K
    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…250$400$102.6K
    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.450$160$71.8K
    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…640$70$42.2K
    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…740$40$31K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.120$230$27.8K
    92250Code 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,…980$30$25.6K
    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.950$30$25.6K
    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…350$60$22K
    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…30$560$18.6K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984224940100$570$125.5K
    92014922,180160$80$28.5K
    6698212529030$660$27.7K
    9921413,49432,760140$90$25K
    6682118774060$230$24.1K
    687614240070$90$17.5K
    920122791,170110$60$16.7K
    992132,02430,01080$60$12K
    921342031,610110$30$11.9K
    6585510023040$160$9.3K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hetal VaishnavFLOphthalmology Physician$2M$0
    Gary GanibanFLOphthalmology Physician$1.7M$0
    Jason DarlingtonFLOphthalmology Physician$1M$0
    Eric StrautFLOptometrist$516.9K$0
    Staci WaltersFLOptometrist$291.2K$0
    Kandee CoppalaFLCertified Registered Nurse Anesthetist$132.2K$0
    Bonita RamboFLCertified Registered Nurse Anesthetist$67.7K$0
    Shauna KohlerWYCertified Registered Nurse Anesthetist$34.5K$0
    Alan MeekinsKYCertified Registered Nurse Anesthetist$27.9K$0
    Omar PerezAKCertified Registered Nurse Anesthetist$10.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Florida Pediatric Group PAFLPediatrics Physician$0$7.7M
    Medicomp IncFLPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$137.8K$1.8M
    Brian DunfeeFLVascular & Interventional Radiology Physician$1M$0
    Nicholas GiordanoFLPain Medicine (Physical Medicine & Rehabilitation) Physician$739.5K$720
    Eye Institute Surgery Center, LLCFLAmbulatory Surgical Clinic/Center$645.5K$0
    Prodromos BorborogluFLUrology Physician$514.7K$0
    Bradley GrantFLDermatology Physician$509.4K$0
    Apollo Surgery Center LLCFLAmbulatory Surgical Clinic/Center$350.3K$11.6K
    Christopher ThaverFLFamily Medicine Physician$300.5K$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. Florida Distribution
    James Mcmanus — 5 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida