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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAndrew Benson
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    Andrew Benson — Billing Profile & Reimbursement Data

    NPI 1235544826 · Denver, CO · Optometrist

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    Andrew Benson is a optometrist provider located in Denver, Colorado. This profile covers 11 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationAndrew Benson
    Address5489 N Xenia St
    CityDenver
    StateCO
    ZIP80238
    TaxonomyOptometrist
    NPI EnumeratedJune 23, 2014

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

    Payer SourceTotal Paid
    Medicare$52.6K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99345The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75…170$140$24K
    99350The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60…50$130$7.1K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…50$120$5.3K
    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,…180$30$4.9K
    99344The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least…30$90$3.2K
    99349The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…30$80$2.5K
    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$160$1.9K
    99310The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…20$120$1.7K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…10$70$910
    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…20$50$870

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309371370220$70$29.6K
    9931024126090$110$21.6K
    993068513070$140$18.2K
    9934920826090$80$16.3K
    993508916060$120$13.6K
    68761445030$130$9.1K
    9934518020$130$2.9K
    9208327537040$40$2.7K
    922507948060$30$2.6K
    9934497020$90$1.9K

    Showing 1–10 of 11

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Autism Behavioral Ventures LLCCOBehavior Analyst$0$3.7M
    James RobinsonORPediatric Dentistry$0$1.4M
    Zachary FauselCOPhysical Medicine & Rehabilitation Physician$178.1K$0
    Cher, LLCCODiagnostic Radiology Physician$56.8K$88.4K
    Ana MillerCOOccupational Therapist$122.2K$0
    Brian FullerCOPain Medicine (Physical Medicine & Rehabilitation) Physician$90.7K$0
    Kathryn ScottCOUrology Physician$76.8K$0
    Garrett MooreCOPrimary Podiatric Medicine Podiatrist$56.7K$0
    Stephen WallaceCOOrthopaedic Foot and Ankle Surgery Physician$48.6K$0
    Samantha HoldenCONeurology Physician$38.6K$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. Colorado Distribution
    Andrew Benson — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado