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    OpenPayerNPI Medicare & MedicaidCraig Montgomery
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    Craig Montgomery — Billing Profile & Reimbursement Data

    NPI 1265986392 · Chico, CA · Optometrist

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    Craig Montgomery is a optometrist provider located in Chico, California. This profile covers 16 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
    OrganizationCraig Montgomery
    Address1700 Bruce Rd
    CityChico
    StateCA
    ZIP95928
    TaxonomyOptometrist
    NPI EnumeratedAugust 5, 2016

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

    Payer SourceTotal Paid
    Medicare$457.4K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.130$1,150$144.3K
    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…830$90$72.8K
    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.860$70$58.2K
    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…720$70$48.2K
    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…310$100$32.1K
    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.1,050$20$23.1K
    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.640$30$18.4K
    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;…380$40$15.5K
    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…340$40$14.8K
    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

    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
    65778159040$1,190$104.6K
    920142742,890110$100$28.7K
    920122221,620150$70$23.6K
    687612248070$100$21.3K
    92273129060$110$16.2K
    8386122110280$20$16K
    921343272,15090$30$12.6K
    920043461,95050$110$9.7K
    920832091,96070$50$7K
    9228334070$40$6K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Peach Tree HealthcareCAFederally Qualified Health Center (FQHC)$0$44.9M
    Ampla HealthCAFederally Qualified Health Center (FQHC)$0$38.1M
    Ampla HealthCAFederally Qualified Health Center (FQHC)$0$34M
    Peach Tree HealthcareCAFederally Qualified Health Center (FQHC)$0$30.8M
    Ampla HealthCAFederally Qualified Health Center (FQHC)$0$30.7M
    Peach Tree HealthcareCAFederally Qualified Health Center (FQHC)$0$26.4M
    Ampla HealthCAFederally Qualified Health Center (FQHC)$0$26.3M
    Mehran MoussavianCAInterventional Cardiology Physician$3M$67.3K
    Bradley HamarCAOptometrist$2.3M$0
    Baljit SohalCAOptometrist$2.3M$10.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    First Responder Emergency Medical Services, Inc.CAAmbulance$2.7M$8.3M
    Skyway Surgery Center. LLCCAAmbulatory Surgical Clinic/Center$1.9M$31.6K
    Orthopedic Associates Advanced Surgical And After Care Center LLCCAAmbulatory Surgical Clinic/Center$1.5M$0
    North Valley Surgery Center LLCCAAmbulatory Surgical Clinic/Center$1.3M$160.5K
    Jonathan MennucciCAOptometrist$712.7K$0
    Joel BarthelowCAOphthalmology Physician$523.7K$45.5K
    Phillip JonesCAOrthopaedic Surgery Physician$477.9K$0
    Dylan FranchiCAOptometrist$475K$0
    Michael MerryCAOptometrist$447.9K$0
    Sidney JonesCAOrthopaedic Surgery Physician$428K$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
    Craig Montgomery — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California