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    OpenPayerNPI Medicare & MedicaidPeter Hurlbut-miller
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    Peter Hurlbut-miller — Billing Profile & Reimbursement Data

    NPI 1285695940 · Honolulu, HI · Retina Specialist (Ophthalmology) Physician

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    Peter Hurlbut-miller is a retina specialist (ophthalmology) physician provider located in Honolulu, Hawaii. This profile covers 22 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
    OrganizationPeter Hurlbut-miller
    Address1620 Ala Moana Blvd Ste 500
    CityHonolulu
    StateHI
    ZIP96815
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMarch 31, 2006

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

    Payer SourceTotal Paid
    Medicare$509.4K
    Medicaid$0

    Key Findings

    This provider’s professional billing is effectively single‑payer: total Medicare revenue is $509.4K and there is no Medicaid billing on file, so Medicare constitutes the overwhelming share of reported public payer activity for this NPI. The absence of Medicaid activity suggests limited exposure to state Medicaid contracts or patient populations billed under that program.

    Revenue is heavily concentrated in a small set of services: the precomputed top‑3 Medicare codes account for 67.8% of this provider’s Medicare revenue. The three leading codes are J0178 ($188.8K, 37.0%), 92014 ($105.6K, 20.7%), and J2777 ($51.1K, 10.0%), indicating most dollars stem from a mix of injections and high‑volume office visits.

    The code mix aligns with an office‑based retina practice that delivers intravitreal pharmacotherapy and comprehensive ophthalmic care: J0178 (aflibercept) and J2777 (faricimab) are the primary drug revenue drivers, while 92014 is a high‑volume established patient comprehensive visit (1.3K claims). This pattern is consistent with ongoing treatment regimens for retinal disease where frequent follow‑up visits and repeat injections are routine.

    Competitive standing on key drug codes is mixed: J0178 generates the single largest share of Medicare dollars here but ranks #2366 of 3204 providers nationally (26th percentile), described in the source as a typical, unremarkable volume for this code. By contrast J2777 ranks #1944 of 2039 providers (4th percentile), indicating far lower relative usage of faricimab versus national peers; the practice is not a national leader in newer injectable agents.

    The provider shows above‑typical diagnostic and imaging throughput that supports retina care. Codes like 92014 rank in the 97th percentile (notably above typical national volume), 92250 at the 95th percentile (notably above typical), and 92134 at the 91th percentile (typical, unremarkable volume), while 92082 is an extreme outlier at the 99th percentile; together these indicate strong capacity for OCT, fundus photography, and visual field testing.

    Procedural mix includes office‑based injections and retina procedures beyond drug administration: 67028 (intravitreal injection as an isolated procedure) accounts for $32.2K (6.3% of Medicare revenue) with 393 claims, and angiographic studies such as 92242 and 92235 contribute meaningful diagnostic revenue ($17.1K and $12.2K respectively). This reinforces a clinical model centered on outpatient procedures combined with high diagnostic volume.

    The provider’s tenure is long‑standing: the NPI was enumerated on 2006-03-31 (~20 years ago), indicating an established billing history and continuity in Medicare reporting over multiple policy cycles. Long enrollment may correlate with stable referral patterns and sustained local practice presence in Honolulu.

    Concentration risk and payer concentration are notable operational considerations: with 67.8% of Medicare revenue coming from three codes and no Medicaid billing on file, the practice’s revenue is sensitive to reimbursement changes for key injectable drugs and to fluctuations in Medicare volume. Payers and network planners should view this as a specialized retina practice with limited Medicaid exposure and concentrated drug/visit revenue streams.

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg280$670$188.8K
    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…1,260$80$105.6K
    J2777Injection, faricimab‑svoa, 0.1 mg2,220$20$51.1K
    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.390$80$32.2K
    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.790$30$22.2K
    92242The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…90$200$17.1K
    J7999Compounded drug, not otherwise classified190$70$12.8K
    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,…520$20$12.4K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…120$110$12.2K
    92082The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation.350$30$11K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781020330$680$350.4K
    J277711104,140$30$173.8K
    670281020390$90$44.1K
    9227382070$110$22.9K
    920147220120$90$22.5K
    9224221080$210$14.4K
    9201278150110$60$13.1K
    J7999510100$70$12.8K
    66821215030$260$11.6K
    9223531030$110$11K

    Showing 1–10 of 22

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Peter Hurlbut-miller, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    David FaberUTRetina Specialist (Ophthalmology) Physician$4M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Jack StringhamUTRetina Specialist (Ophthalmology) Physician$3.4M$0
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    Farhad SafiFLOphthalmology Physician$2.9M$0

    Nearby Providers

    Other providers in the same ZIP code as Peter Hurlbut-miller, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Waikiki HealthHIFederally Qualified Health Center (FQHC)$0$22.3M
    Wihc, LLCHIClinical Medical Laboratory$72.5K$8.6M
    Radford Y. Goto, Dmd, LLCHIDental Clinic/Center$0$1.5M
    Hale Maka Ike LLCHIOptometrist$0$920.6K
    Kellen KashiwaHIOptometrist$784.8K$0
    Phillip DuranHIOptometrist$1.6K$628.6K
    Errol HamaratHIPsychologist$0$489.9K
    Rebecca BeardsleyHICounseling Psychologist$0$375.8K
    Center For Sight - West Oahu LLCHIOphthalmology Physician$0$365.6K
    Aaron Kaplan, Ph.d., Inc.HIClinical Psychologist$0$178.8K

    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. Hawaii Distribution
    Peter Hurlbut-miller — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii