Loading...
NPI 1265484737 · Whiteville, NC · Optometrist
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Thomas Kirby is a optometrist provider located in Whiteville, North Carolina. This profile covers 12 Medicare and 12 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Thomas Kirby |
| Address | 2183 James B White Hwy N |
| City | Whiteville |
| State | NC |
| ZIP | 28472 |
| Taxonomy | Optometrist |
| NPI Enumerated | May 16, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $259.9K |
| Medicare | $74.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 490 | $60 | $28.4K |
| 92250 | Code 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,… | 400 | $20 | $9.5K |
| 68761 | The 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. | 110 | $80 | $9.3K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 80 | $80 | $6.6K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 80 | $70 | $5.1K |
| 92134 | The 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. | 160 | $30 | $4.3K |
| 92083 | The 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… | 80 | $40 | $3.6K |
| 92133 | The 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… | 120 | $20 | $2.9K |
| 66984 | The 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… | 30 | $70 | $2.4K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 10 | $100 | $1.2K |
Showing 1–10 of 12
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 492 | 580 | 230 | $70 | $73.7K |
| 99214 | 10,837 | 18,060 | 110 | $80 | $15.1K |
| 68761 | 8 | 60 | 30 | $90 | $9.1K |
| 92134 | 239 | 790 | 70 | $30 | $7.5K |
| 99213 | 682 | 16,320 | 70 | $50 | $7.1K |
| 99204 | 7,714 | 8,430 | 30 | $110 | $4.8K |
| 92083 | 242 | 770 | 50 | $40 | $3.7K |
| 92250 | 70 | 850 | 80 | $20 | $3.5K |
| 99203 | 877 | 5,450 | 30 | $70 | $3.1K |
| 92133 | 195 | 760 | 60 | $20 | $2.5K |
Showing 1–10 of 12
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 1,440 | $90 | $122.1K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1,390 | $70 | $101.5K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 370 | $40 | $14.3K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 520 | $20 | $10.4K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 120 | $40 | $4.7K |
| 92370 | The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye. | 650 | $10 | $4.6K |
| 92250 | Code 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,… | 130 | $20 | $2K |
| 1036F | N/A | 1,360 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 1,420 | $0 | $0 |
| G8785 | Blood pressure reading not documented, reason not given | 460 | $0 | $0 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 3,445 | 4,400 | 960 | $60 | $271.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,436 | 4,130 | 670 | $50 | $219.9K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 126 | 540 | 350 | $70 | $86.4K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 89 | 560 | 350 | $90 | $81.2K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 341 | 580 | 800 | $20 | $33.2K |
| 92370 | The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye. | 330 | 590 | 860 | $10 | $13.4K |
| 92250 | Code 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,… | 72 | 140 | 130 | $10 | $8.4K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 67 | 390 | 230 | $1 | $490 |
| G8785 | Blood pressure reading not documented, reason not given | 5 | 10 | 20 | $1 | $10 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 16 | 120 | 140 | $1 | $10 |
Showing 1–10 of 12
Other providers in the same ZIP code as Thomas Kirby, ranked by combined Medicare and Medicaid revenue.
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.