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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Torres
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    Mark Torres — Billing Profile & Reimbursement Data

    NPI 1255399457 · Sandpoint, ID · Ophthalmology Physician

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    Mark Torres is a ophthalmology physician provider located in Sandpoint, Idaho. This profile covers 12 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
    OrganizationMark Torres
    Address423 N 3rd Ave Ste 110
    CitySandpoint
    StateID
    ZIP83864
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 4, 2006

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

    Payer SourceTotal Paid
    Medicare$85.4K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…100$370$36.2K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.50$230$10.9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.120$90$10.6K
    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…150$60$8K
    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…100$70$7.1K
    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,…160$20$3.7K
    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.120$30$3.2K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…100$30$3.2K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.30$40$1.5K
    99152The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, in a patient five years of age or…50$10$410

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669845015040$520$76K
    66821366060$200$18.3K
    92014135230120$70$15.5K
    920122970100$60$10.2K
    921346119060$30$5.9K
    921363650170$20$5.1K
    920041818030$80$4.4K
    922502617070$20$2.1K
    9213312016040$20$1.6K
    92025131030$20$1.1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bonner General Hospital Inc.IDCritical Access Hospital$0$1.6M
    Samuel UzabelFLHospice and Palliative Medicine (Emergency Medicine) Physician$582K$0
    Shaun JoshiIDNephrology Physician$523.4K$0
    Bonner General Hospital IncIDUrgent Care Clinic/Center$0$517.6K
    Sherwin FosterIDNephrology Physician$356.3K$0
    Michael EiflingTXClinical Cardiac Electrophysiology Physician$316.4K$0
    Devin CaywoodIDDiagnostic Radiology Physician$276.4K$0
    Matthew MclaughlinIDUrology Physician$274.2K$0
    Dean KubaczIDFamily Medicine Physician$268.8K$0
    Luke GraukeIDDiagnostic Radiology Physician$265.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Boundary Regional Community Health Center, Inc.IDFederally Qualified Health Center (FQHC)$0$7M
    Panhandle Special Needs, Inc.IDDevelopmentally Disabled Services Day Training Agency$0$4.6M
    Idaho Pain Clinic PLLCIDPain Medicine (Anesthesiology) Physician$0$2.2M
    North Idaho Children's Mental Health, PLLC.IDClinical Social Worker$0$2.2M
    Boundary Regional Community Health Center, Inc.IDFederally Qualified Health Center (FQHC)$0$1.3M
    Journey Pediatric TherapyIDRehabilitation Clinic/Center$0$1.2M
    Bonner County EmsIDAmbulance$440.9K$721.9K
    Lake Pend Oreille School District #84IDLocal Education Agency (LEA)$0$1M
    Panhandle Support Services, LLCIDCase Management Agency$0$945.5K
    Advanced Care Northwest LLCIDNon-emergency Medical Transport (VAN)$0$739.5K

    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. Idaho Distribution
    Mark Torres — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho