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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Wheeler
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    David Wheeler — Billing Profile & Reimbursement Data

    NPI 1255383121 · Tigard, OR · Ophthalmology Physician

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    David Wheeler is a ophthalmology physician provider located in Tigard, Oregon. This profile covers 6 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Wheeler
    Address9735 Sw Shady Lane
    CityTigard
    StateOR
    ZIP97223
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 17, 2006

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

    Payer SourceTotal Paid
    Medicare$29.2K
    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67311The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is…20$420$8K
    92060The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…150$50$7.4K
    67314A strabismus repair is performed to realign the eye muscle.  The physician has to either perform a recession (weakening) or resection (strengthening) of the muscles in order to correct the patient's…20$250$4.5K
    67335In this add on procedure, the provider places adjustable sutures on the extraocular muscle that the provider is performing a separately reportable strabismus repair on. The provider performs this…20$160$3.4K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.50$70$3.1K
    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…40$60$2.8K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    6 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6731111020$420$8K
    920129617050$60$7.2K
    6731411020$250$4.5K
    9206023030$40$2.3K
    6733511010$150$2.2K
    9200222020$50$1000

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eyecare Associates PCOROphthalmology Physician$0$2.7M
    Child Eye Care Associates, LLCOROphthalmology Physician$0$1.6M
    Tomas LopezORRetina Specialist (Ophthalmology) Physician$789.1K$0
    Parker FaithWAOphthalmology Physician$448.1K$0
    Devin HarrisonWAOphthalmology Physician$429K$0
    Andrew ChenWAOphthalmology Physician$412.4K$0
    Full Spectrum Eye Care, P.s.WAAmbulatory Surgical Clinic/Center$265.8K$0
    Kevin MichelsWAOphthalmic Plastic and Reconstructive Surgery Physician$264.5K$0
    Gregory RichardOROphthalmology Physician$198.6K$0
    Bruce MadsenOROphthalmology Physician$157.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New NarrativeORMental Health Clinic/Center (Including Community Mental Health Center)$0$46.9M
    Children's Nursing Specialties, Inc.ORNursing Care Agency$0$18.9M
    Crc Health Oregon, LLCORMethadone Clinic$125.2K$14.5M
    Recovery Works Nw LLCORMulti-Specialty Clinic/Center$0$12.1M
    Neighborhood Health CenterORFederally Qualified Health Center (FQHC)$0$11.3M
    Maxim Healthcare Services, Inc.ORHome Health Agency$0$10.8M
    Sound Health Medical SupplyORDurable Medical Equipment & Medical Supplies$0$9.5M
    Aiden Healthcare LLCORCommunity Based Hospice Care Agency$0$5.9M
    Women's Healthcare Associates, LLCORSpecialist$0$5.6M
    Pacific Footwear Company, Inc.ORCustomized Equipment (DME)$0$4.3M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oregon Distribution
    David Wheeler — 3 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon