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    Joseph Laya — Billing Profile & Reimbursement Data

    NPI 1255307724 · Redding, CA · Low Vision Rehabilitation Optometrist

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    Joseph Laya is a low vision rehabilitation optometrist provider located in Redding, California. This profile covers 16 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.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJoseph Laya
    Address1751 Hatrnell Ave
    CityRedding
    StateCA
    ZIP96002
    TaxonomyLow Vision Rehabilitation Optometrist
    NPI EnumeratedFebruary 24, 2006

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

    Payer SourceTotal Paid
    Medicare$497.5K
    Medicaid$310

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.270$1,140$306.6K
    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…710$70$49.4K
    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…440$90$38.6K
    92273The 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…240$100$24.9K
    83861The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye.920$20$20.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.130$90$11.4K
    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.330$30$9.6K
    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…220$40$8.6K
    92283The 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;…200$40$7.6K
    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.80$70$5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6577879040$1,190$104.6K
    920146172,890110$100$28.7K
    920122301,620150$70$23.6K
    6876121648070$100$21.3K
    92273239060$110$16.2K
    8386125110280$20$16K
    921345422,15090$30$12.6K
    920043611,95050$110$9.7K
    920833781,96070$50$7K
    92283134070$40$6K

    Showing 1–10 of 16

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.40$10$300

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.2,2982,630820$10$15.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peach Tree HealthcareCAFederally Qualified Health Center (FQHC)$0$44.9M
    Peach Tree HealthcareCAFederally Qualified Health Center (FQHC)$0$30.8M
    Peach Tree HealthcareCAFederally Qualified Health Center (FQHC)$0$26.4M
    Bradley HamarCAOptometrist$2.3M$0
    Baljit SohalCAOptometrist$2.3M$10.5K
    Douglas McgrawCAOphthalmology Physician$1.4M$0
    Brian HaugenCAOphthalmology Physician$798.6K$0
    Justin TreatCAOptometrist$730.2K$0
    Jonathan MennucciCAOptometrist$712.7K$0
    Philip SmithWIOphthalmology Physician$672.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Redding RancheriaCAFederally Qualified Health Center (FQHC)$0$97.6M
    Lab24, LLCCAClinical Medical Laboratory$774.3K$11.5M
    Bruce SilversteinCAOphthalmology Physician$2.1M$0
    Christopher MyersCAOphthalmology Physician$1.7M$0
    Susan YeagerCAFoot & Ankle Surgery Podiatrist$1.4M$0
    Kelie MercierCAFamily Nurse Practitioner$746.5K$1.9K
    Aegis Treatment Centers, LLCCAMethadone Clinic$657.3K$10.7K
    Dyanesh Bapu RavindranCAHematology & Oncology Physician$320.4K$0
    Dustin LewisCAFamily Nurse Practitioner$286.4K$0
    Michael YoungCAOptometrist$261.3K$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. California Distribution
    Joseph Laya — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    Medicaid Revenue by Year vs. California Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Joseph Laya — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California