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NPI 1215995832 · Apo, AE · Optometrist
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Shawn Galbraith is a optometrist provider located in Apo, Armed Forces Europe. This profile covers 6 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Shawn Galbraith |
| Address | Lrmc Cmr 402 Box 1778 |
| City | Apo |
| State | AE (Armed Forces Europe) |
| ZIP | 09180 |
| Taxonomy | Optometrist |
| NPI Enumerated | May 3, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $6.9K |
| Medicaid | $0 |
This provider has very limited lifetime Medicare billing ($6.9K) and no Medicaid revenue reported ($0), making its public payer activity effectively single-payer and low-scale; the dataset indicates a small footprint in fee-for-service billing rather than a broad multi-payer practice. The NPI was enumerated on 2006-05-03 (~20 years ago), so the provider has been established for around two decades despite the modest lifetime Medicare receipts.
Revenue is highly concentrated in a very small set of services: the top 3 Medicare codes account for 76.7% of the provider's total Medicare revenue, with 99214 contributing $2.2K (32.7%), 66984 contributing $1.9K (28.2%), and 99204 contributing $1.1K (15.7%). This concentration implies that a few service types – mid/upper-level E/M visits and one major procedural code – drive the vast majority of reported Medicare income.
The code mix combines evaluation-and-management visits (99214, 99204, 99212) with procedural and imaging entries (notably 66984 for intraocular lens insertion, 92250 fundus photography, and 92134 retinal imaging). That pattern suggests the provider bills both office-based clinical care and ophthalmic procedures/imaging, indicating a hybrid scope of practice that includes diagnostic imaging and involvement in cataract surgical care at low volume.
Top-code operational detail: 99214 shows 28 claims at $80 avg paid/claim and $2.2K revenue, 66984 shows 23 claims at $84 avg paid/claim and $1.9K revenue, and 99204 shows 16 claims at $67 avg paid/claim and $1.1K revenue. The absolute claim counts and average payments are modest, consistent with the provider's small overall Medicare revenue base.
Competitive standing against national Medicare peers is modest across the leading codes: 99214 ranks in the 15th percentile nationally (described as typical, unremarkable volume), 66984 ranks in the 10th percentile (typical, unremarkable volume), and 99204 ranks in the 18th percentile (typical, unremarkable volume). Even the imaging code 92134 ranks in the 3th percentile nationally and is described as typical, unremarkable volume, signaling the provider is not a high-volume or dominant player for these services.
The presence of 66984 (cataract extraction with lens insertion) on the billing list indicates some involvement with cataract surgical services; however, with only 23 claims and a national rank at the 10th percentile, any surgical activity appears limited in scale. This suggests surgical procedures are not a major revenue stream in absolute dollars despite representing a sizeable share of this provider's small Medicare revenue.
Zero Medicaid revenue implies the provider either does not participate in state Medicaid programs or has not submitted Medicaid-billable services during the reporting period, which will affect payer-mix analyses and network access considerations; contracting and utilization assessments should treat this entity as essentially Medicare-focused based on the available data.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 30 | $80 | $2.2K |
| 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… | 20 | $80 | $1.9K |
| 99204 | The provider sees a new 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 provider… | 20 | $70 | $1.1K |
| 99212 | The 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,… | 20 | $40 | $660 |
| 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,… | 30 | $20 | $570 |
| 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. | 10 | $30 | $360 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92015 | The 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. | 80 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Armed Forces Europe providers billing the same CPT/HCPCS codes. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.
Full comparison — all codes billed, vs. Armed Forces Europe median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 92015 | The 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 | 10 | 50 | $1 | $120 |
Other providers in the same ZIP code as Shawn Galbraith, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Jude Momodu | AE (Armed Forces Europe) | Family Medicine Physician | $42.8K | $86.6K |
| Matthew Brice | AE (Armed Forces Europe) | Emergency Medicine Physician | $60.1K | $0 |
| Steve Louvet | AE (Armed Forces Europe) | Emergency Medicine Physician | $11.6K | $40.3K |
| Katherine Cooper | AE (Armed Forces Europe) | Occupational Therapist | $48.9K | $0 |
| Eric Dahl | AE (Armed Forces Europe) | General Practice Physician | $44.8K | $0 |
| Michael Sanzari | AE (Armed Forces Europe) | Orthodontics and Dentofacial Orthopedics Dentistry | $0 | $43.9K |
| Washeema Jones | AE (Armed Forces Europe) | Acute Care Nurse Practitioner | $29.6K | $0 |
| Gregory Phillips | AE (Armed Forces Europe) | Neurology Physician | $22.7K | $0 |
| Nicole Fee | AE (Armed Forces Europe) | Optometrist | $15.4K | $3.5K |
| Carlina Madelaire | AE (Armed Forces Europe) | Anatomic Pathology & Clinical Pathology Physician | $12.6K | $0 |
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