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    Pauline Bland — Billing Profile & Reimbursement Data

    NPI 1184009847 · Clinton, IA · Optometrist

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    Pauline Bland is a optometrist provider located in Clinton, Iowa. This profile covers 10 Medicare and 8 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)

    FieldValue
    Entity TypeIndividual
    OrganizationPauline Bland
    Address1015 13th Ave N
    CityClinton
    StateIA
    ZIP52732
    TaxonomyOptometrist
    NPI EnumeratedJuly 23, 2015

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

    Payer SourceTotal Paid
    Medicare$83.7K
    Medicaid$61.9K

    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.

    10 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…480$70$35.6K
    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…430$60$25.1K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.90$80$7.4K
    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.180$30$4.8K
    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…160$20$3.5K
    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…80$40$3.1K
    83516The lab analyst performs the technical immunoassay test involving several steps to detect and measure an analyte of a noninfectious nature. The results show as positive or negative, or in…220$10$2.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…30$30$1.1K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.20$20$410
    76514The provider uses conventional contact B scan imaging to measure the thickness of the cornea in one or both eyes.30$10$240

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9201485500200$70$19.8K
    992133084,740100$50$8K
    9213411445080$30$6.8K
    920044441040$80$3.9K
    9208312239050$40$3.1K
    83516520120$10$2.1K
    992126651,24040$30$2.1K
    921336241050$20$1.9K
    92285336030$10$1.1K
    76514277020$10$270

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    8 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…410$60$23.9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.250$90$22.4K
    V2020Frames, purchases550$20$12.6K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.1,210$1$1.2K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens50$20$900
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens30$20$560
    V2756Eye glass case270$1$270
    V2784Lens, polycarbonate or equal, any index, per lens50$1$50

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Iowa providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Iowa median

    8 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…190450290$60$42.8K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.130350140$80$39.5K
    V2020Frames, purchases176420420$20$22.3K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens220270150$20$9.2K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens13322080$20$7.1K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.83420310$10$5.8K
    V2784Lens, polycarbonate or equal, any index, per lens5270160$10$3.5K
    V2756Eye glass case125240290$1$720

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Matthew RauenIAOphthalmology Physician$566.6K$0
    Navaneet ChailerborisuthILOphthalmology Physician$385.6K$7K
    Aimee ColanderIAOptometrist$27K$289.9K
    Brenna KitzmannILOptometrist$75.7K$115.8K
    Alyssa AndersonILOptometrist$47.3K$63.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Skyline Center IncIACommunity/Behavioral Health Agency$0$24.4M
    Mercy Medical Center-clinton, IncIAGeneral Acute Care Hospital$0$14.3M
    Comprehensive Rehab IncorporatedIARehabilitation Clinic/Center$0$9M
    Bridgeview Community Mental Health CenterIAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.5M
    Arch, IncIAIntellectual Disabilities Intermediate Care Facility$0$7M
    Mercy Specialty ClinicIAFamily Medicine Physician$0$6.6M
    Pathway Living Center, Inc.IACommunity/Behavioral Health Agency$0$6.2M
    City Of ClintonIAAmbulance$276.7K$4.6M
    Community Health Care IncIAFederally Qualified Health Center (FQHC)$0$3.7M
    Clinton Community School DistrictIALocal Education Agency (LEA)$0$3.2M

    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. Iowa Distribution
    Pauline Bland — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa
    Medicaid Revenue by Year vs. Iowa Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Iowa Distribution
    Pauline Bland — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Iowa