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    OpenPayerNPI Medicare & MedicaidMichael Allingham
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    Michael Allingham — Billing Profile & Reimbursement Data

    NPI 1285878124 · Durham, NC · Retina Specialist (Ophthalmology) Physician

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    Michael Allingham is a retina specialist (ophthalmology) physician provider located in Durham, North Carolina. This profile covers 13 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
    OrganizationMichael Allingham
    Address2301 Erwin Rd
    CityDurham
    StateNC
    ZIP27710
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 22, 2009

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

    Payer SourceTotal Paid
    Medicare$1.7M
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,750$680$1.2M
    J2777Injection, faricimab‑svoa, 0.1 mg6,840$30$198.4K
    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.970$90$87.9K
    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…770$80$63.7K
    J2778Injection, ranibizumab, 0.1 mg350$180$61.8K
    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.1,230$30$34.4K
    J9035Injection, bevacizumab, 10 mg150$60$8.3K
    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,…270$30$6.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.50$100$5.3K
    92202The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…460$10$5K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017830100950$690$881K
    J2777477012,990$30$503.7K
    J27783450620$180$202.2K
    6702850120780$90$80K
    9201449880110$80$17.7K
    J90354390140$50$13.4K
    92235357060$100$8.7K
    921345379070$30$7.5K
    9200417862030$90$4.6K
    9208357677050$40$3.7K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Private Diagnostic Clinic, PLLCNCGeneral Practice Physician$0$46.5M
    Duke University Health System, Inc.NCGeneral Acute Care Hospital$0$44.4M
    Duke Health Integrated Practice, Inc.NCGeneral Practice Physician$0$36.3M
    Balboa Nephrology Medical Group, Inc.CANephrology Physician$0$25.9M
    Duke University Health System, Inc.NCGeneral Acute Care Hospital$0$11.6M
    Duke University Affiliated Physicians, Inc.NCEmergency Medicine Physician$0$11.6M
    Duke University Health System, Inc.NCParenteral & Enteral Nutrition Supplies (DME)$0$8.3M
    Duke University Health System IncNCGeneral Acute Care Hospital$0$7.9M
    Duke University Health System, Inc.NCInternal Medicine Physician$0$7.6M
    Tamer MahmoudMIRetina Specialist (Ophthalmology) Physician$2.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan CookNCDermatology Physician$1.6M$0
    Tywana DonaldsonNCNurse Practitioner$1.4M$0
    Pretesh PatelNCRadiation Oncology Physician$668.8K$0
    Pedro VargasNCDiagnostic Radiology Physician$439.5K$0
    Michael RehornNCStudent in an Organized Health Care Education/Training Program$369.4K$0
    Christopher BrownNCOrthopaedic Surgery Physician$360.8K$0
    Sunit VekariaNCDiagnostic Radiology Physician$358.3K$0
    Priyatham MettuNCOphthalmology Physician$332.6K$0
    Christopher BoehlkeNCOphthalmology Physician$314.3K$0
    Leon HerndonNCOphthalmology Physician$264K$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. North Carolina Distribution
    Michael Allingham — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina