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NPI 1225039993 · Charlotte, NC · Optometrist
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Paula Newsome is a optometrist provider located in Charlotte, North Carolina. This profile covers 10 Medicare and 5 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 | Paula Newsome |
| Address | 1016 S Church St |
| City | Charlotte |
| State | NC |
| ZIP | 28203 |
| Taxonomy | Optometrist |
| NPI Enumerated | August 3, 2005 |
| NPI Deactivated | March 22, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $47.5K |
| Medicaid | $26.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 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… | 160 | $90 | $13.5K |
| 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… | 140 | $90 | $13.2K |
| 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… | 110 | $40 | $4.4K |
| 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,… | 160 | $30 | $4.1K |
| 92283 | The provider uses an optical instrument, such as a Nagel anomaloscope, that uses long wavelengths of yellow–green light, which a patient adjusts, to match a predetermined ratio of red to green light;… | 110 | $30 | $3.5K |
| 92286 | In this procedure, the provider examines the structures in the anterior, or front, segment of the eye. He identifies abnormalities in the vasculature, such as those associated with neoplasia. He then… | 110 | $30 | $2.9K |
| 92284 | The provider performs a diagnostic test to evaluate how the patient's eyes adjust to changes in light and darkness. This test measures the function of retinal photoreceptors and may include… | 110 | $30 | $2.8K |
| 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… | 80 | $20 | $1.6K |
| 95930 | The provider performs visual evoked potential testing that measures the electrical activity of the brain in response to a visual stimulus; however, this test is not used for VEP for glaucoma.… | 30 | $50 | $1.6K |
| 76514 | The provider uses conventional contact B scan imaging to measure the thickness of the cornea in one or both eyes. | 50 | $10 | $400 |
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
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 200 | $100 | $19.7K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 50 | $80 | $4.2K |
| 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 | $2K |
| 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 | $40 | $460 |
| 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… | 10 | $30 | $330 |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 4,074 | 4,400 | 960 | $60 | $271.3K |
| 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… | 14 | 20 | 100 | $70 | $119.5K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 428 | 540 | 350 | $70 | $86.4K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 341 | 560 | 350 | $90 | $81.2K |
| 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. | 73 | 80 | 770 | $10 | $21.5K |
Other providers in the same ZIP code as Paula Newsome, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Carolinas Medical Center | NC | General Acute Care Hospital | $0 | $178.2M |
| Cross River Nc | NC | Behavior Analyst | $0 | $34.8M |
| Carolinas Medical Center | NC | Ambulance | $0 | $17M |
| Boris Krivitsky | NC | Hospice and Palliative Medicine (Internal Medicine) Physician | $1.3M | $0 |
| Michael Morgan | NC | Rheumatology Physician | $352.2K | $0 |
| Euphemia Mu | NC | MOHS-Micrographic Surgery Physician | $335K | $0 |
| Matthew Leonard | NC | Emergency Medicine Physician | $191.6K | $0 |
| Thanigaiarsu Thiyagarajan | NC | Internal Medicine Physician | $191.3K | $0 |
| Puneet Aggarwal | NC | Physical Medicine & Rehabilitation Physician | $175.1K | $0 |
| Muhammad Rashad | NC | Pulmonary Disease Physician | $161.9K | $0 |
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