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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDeborah Sherman
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    Deborah Sherman — Billing Profile & Reimbursement Data

    NPI 1275674590 · Nashville, TN · Ophthalmology Physician

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    Deborah Sherman is a ophthalmology physician provider located in Nashville, Tennessee. 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
    OrganizationDeborah Sherman
    Address28 White Bridge Pike Ste 205
    CityNashville
    StateTN
    ZIP37205
    TaxonomyOphthalmology Physician
    NPI EnumeratedFebruary 9, 2007

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

    Payer SourceTotal Paid
    Medicare$95.3K
    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
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…60$590$33.7K
    99204The 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…110$100$10.5K
    64612In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.100$110$10K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…20$630$9.4K
    67950Canthoplasty (median or lateral) is often referred to as a corner eye lift or eye tendon surgery. The ophthalmologist uses this technique to strengthen the lateral canthal tendon or orbicularis…30$260$8.5K
    99203The 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…90$70$6.9K
    67900The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the…20$260$4.4K
    67810The provider takes a sample of a suspicious area on the skin of the eyelid or its edges. He submits the specimen to a laboratory for analysis to determine its nature.30$110$3.5K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.230$10$3.2K
    68840This procedure is the probing of the lacrimal canaliculi with or without irrigation.30$110$2.9K

    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
    15823236050$490$33K
    67904324040$510$30.2K
    67900162030$360$17K
    9921410,96811,370120$80$16.6K
    6795051030$410$14.7K
    992139,61511,03080$50$8K
    6461232050$110$6.8K
    992045935,49030$100$5.3K
    6781041030$120$3.7K
    6884061030$110$3.6K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark MelsonTNOphthalmology Physician$77.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Old Harding Pediatric AssociatesTNPediatrics Physician$0$7.3M
    Saint Thomas West HospitalTNGeneral Acute Care Hospital$0$7.1M
    Adams & Seaton Pediatric DentistryTNPediatric Dentistry$0$3.7M
    Kent ShihTNHematology & Oncology Physician$2.2M$0
    Joshua MondscheinTNRadiation Oncology Physician$2.1M$0
    Saint Thomas Campus Surgicare LPTNAmbulatory Surgical Clinic/Center$1.3M$0
    Elizabeth LyonsTNRheumatology Physician$1.2M$0
    Colt McclainTNAnatomic Pathology & Clinical Pathology Physician$962.9K$0
    Imaging Alliance Nashville Pet LLCTNRadiology Clinic/Center$456.7K$255.5K
    Gregg ShepardTNHematology & Oncology Physician$653K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Deborah Sherman — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee