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    OpenPayerNPI Medicare & MedicaidLauren Gormley
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    Lauren Gormley — Billing Profile & Reimbursement Data

    NPI 1225221575 · Lutherville Timonium, MD · Low Vision Rehabilitation Optometrist

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    Lauren Gormley is a low vision rehabilitation optometrist provider located in Lutherville Timonium, Maryland. This profile covers 9 Medicare and 10 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
    OrganizationLauren Gormley
    Address1209 York Rd
    CityLutherville Timonium
    StateMD
    ZIP21093
    TaxonomyLow Vision Rehabilitation Optometrist
    NPI EnumeratedAugust 21, 2007

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

    Payer SourceTotal Paid
    Medicare$84.5K
    Medicaid$37.1K

    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.

    9 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$90$36.8K
    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…420$70$28.6K
    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$100$10.4K
    67999Use 67999 to report procedures on the eyelids that do not have a specific code.20$150$3.5K
    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.10$120$1.6K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.30$60$1.6K
    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.40$30$1.1K
    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…20$30$430
    92082The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation.10$40$410

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014202620210$90$44K
    92134363490110$30$17.3K
    9201252360100$70$14.4K
    68761688030$150$11.2K
    920048747050$100$7.2K
    92133415450110$30$5.1K
    92002186020$70$3.1K
    6799911010$150$2.4K
    92082192020$30$940

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    V2020Frames, purchases880$10$9.6K
    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…460$20$9.2K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens480$10$4.8K
    S0621Routine ophthalmological examination including refraction; established patient170$30$4.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.170$20$4K
    V2784Lens, polycarbonate or equal, any index, per lens590$1$2.4K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal80$30$2.3K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens70$10$400
    V2104Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens10$20$220
    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.580$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Maryland median

    10 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…212430440$40$59.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.223370280$50$37.4K
    V2020Frames, purchases183400750$20$32K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens57140300$20$28.1K
    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.125300350$10$18.9K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens281350500$10$15K
    S0621Routine ophthalmological examination including refraction; established patient3170120$40$11.9K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal5890170$10$7.3K
    V2104Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens3640160$10$6.1K
    V2784Lens, polycarbonate or equal, any index, per lens133340430$1$5.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Katzen Medical Associates, PCMDOphthalmology Physician$0$5.6M
    Michael GrodinMDOphthalmology Physician$2.2M$0
    Olga ShifMDOphthalmology Physician$1.8M$0
    Joseph HarlanMDOphthalmology Physician$1.5M$0
    Joshua SteinerPAOphthalmology Physician$1.4M$860
    Bradford SgrignoliPARetina Specialist (Ophthalmology) Physician$669.8K$15.9K
    Angelique Pillar TopalogluCAOphthalmology Physician$442.2K$0
    Donna BoothMDSpecialist$410.2K$0
    Amy ZimmermanMDOphthalmology Physician$402.6K$0
    Jonathan KatzMDGlaucoma Specialist (Ophthalmology) Physician$402.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mosaic Community Services, Inc.MDRehabilitation Clinic/Center$0$21.1M
    Maxim Healthcare Services, Inc.MDHome Health Agency$0$18.4M
    Stella Maris Inc.MDCommunity Based Hospice Care Agency$0$16.9M
    Glass Health Programs, Inc.MDSubstance Use Disorder Rehabilitation Clinic/Center$479.3K$8.7M
    William SharfmanMDMedical Oncology Physician$9.1M$0
    Mosaic Community Services, Inc.MDAdult Mental Health Clinic/Center$0$7.1M
    Windrush Behavioral Health, LLCMDSpecialist$0$7M
    Psych Associates Of Maryland LLCMDPsychologist$0$5.8M
    Richard HusligMDHematology & Oncology Physician$4.9M$0
    Learning And Therapy Corner, LLCMDSpeech-Language Pathologist$0$4.2M

    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. Maryland Distribution
    Lauren Gormley — 1 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland
    Medicaid Revenue by Year vs. Maryland Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Lauren Gormley — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland