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    OpenPayerNPI Medicare & MedicaidRachael Jacoby
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    Rachael Jacoby — Billing Profile & Reimbursement Data

    NPI 1265659213 · Salt Lake City, UT · Ophthalmology Physician

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    Rachael Jacoby is a ophthalmology physician provider located in Salt Lake City, Utah. This profile covers 7 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
    OrganizationRachael Jacoby
    Address65 Mario Capecchi Dr
    CitySalt Lake City
    StateUT
    ZIP84132
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 19, 2007

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

    Payer SourceTotal Paid
    Medicare$137K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.860$70$61.3K
    99214The 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…540$70$35.8K
    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.1,300$20$23.4K
    99213The 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…160$50$7.8K
    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…110$40$3.9K
    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…50$50$2.4K
    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$2.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    670281760440$90$61.7K
    92014248330140$70$16.6K
    992141764,08080$80$11.6K
    921341525070$30$7.6K
    992137803,68060$50$6.4K
    920124816060$50$5.9K
    922503919060$20$2.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dean Health Systems, IncWIAllergy & Immunology Physician$0$26.3M
    Joel HerringUTRetina Specialist (Ophthalmology) Physician$5.6M$23.7K
    Ronald HobbsAZOphthalmology Physician$4.1M$0
    University Of Utah Adult ServicesUTOphthalmology Physician$0$3.1M
    University Of Utah Pediatric ServicesUTPediatrics Physician$0$3.1M
    Dean Health Systems, Inc.WIAmbulatory Surgical Clinic/Center$2M$856.3K
    Infinity Healthcare Physicians, S.c.WIEmergency Medicine Physician$0$2.5M
    Dean Health Systems, Inc.WIAmbulatory Surgical Clinic/Center$1.8M$750K
    Victoria KnudsenUTRetina Specialist (Ophthalmology) Physician$2.4M$0
    Benjamin ThomasFLOphthalmology Physician$2.4M$360

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of UtahUTGeneral Acute Care Hospital$0$221.3M
    University Of Utah Adult ServicesUTEmergency Medicine Physician$0$6.9M
    University Of Utah Adult ServicesUTDiagnostic Radiology Physician$0$4M
    University Of Utah Adult ServicesUTInternal Medicine Physician$0$3.5M
    University Of Utah Adult ServicesUTAnesthesiology Physician$0$3M
    Dermatology Division University Of Utah Medical CenterUTDermatology Physician$0$1.4M
    University Of Utah Specialty ServicesUTMaternal & Fetal Medicine Physician$0$1.4M
    University Of Utah Adult ServicesUTCardiovascular Disease Physician$0$1.2M
    University Of Utah Specialty ServicesUTPhysical Medicine & Rehabilitation Physician$0$1.1M
    University Of Utah Adult ServicesUTAnatomic Pathology & Clinical Pathology Physician$0$1.1M

    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. Utah Distribution
    Rachael Jacoby — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah