Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Garland
    Ask Trek AI about this page

    Paul Garland — Billing Profile & Reimbursement Data

    NPI 1295769040 · Panama City, FL · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Paul Garland — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Paul Garland is a ophthalmology physician provider located in Panama City, Florida. This profile covers 23 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPaul Garland
    Address2500 Martin Luther King Jr Blvd
    CityPanama City
    StateFL
    ZIP32405
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 10, 2006

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

    Payer SourceTotal Paid
    Medicare$370K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…330$410$135.4K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…70$560$38.9K
    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…360$80$29.8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.130$220$28.5K
    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…470$60$28.1K
    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…30$610$20.8K
    J0585Injection, onabotulinumtoxina, 1 unit3,100$10$15.5K
    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…20$630$14.5K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…540$20$11.8K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…20$520$10K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984173940100$570$125.5K
    J05852533107,780$1$59.6K
    66991779030$1,510$57.5K
    1582313418050$530$36.1K
    920146562,180160$80$28.5K
    669824129030$660$27.7K
    6682116574060$230$24.1K
    679044310030$550$22.6K
    6876131740070$90$17.5K
    920122151,170110$60$16.7K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sunil GuptaFLRetina Specialist (Ophthalmology) Physician$11.4M$36.1K
    Ahmet OzkokFLOphthalmology Physician$2.1M$193.6K
    Magdalena ShulerFLRetina Specialist (Ophthalmology) Physician$2M$0
    George PetersMAOphthalmology Physician$1.6M$0
    Eye Center Of North Florida, P.A.FLAmbulatory Surgical Clinic/Center$1.2M$52K
    Jeffrey PyneFLOphthalmology Physician$1.2M$330
    David EnfieldAZOphthalmology Physician$223.6K$570
    Bret FisherALOphthalmology Physician$105.4K$0
    Kelly SmithFLOptometrist$64.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bay Hospital, IncFLGeneral Acute Care Hospital$0$19.3M
    Panama City Surgery Center,llcFLAmbulatory Surgical Clinic/Center$1.8M$14.8M
    Panhandle Pediatric Dentistry, PLLCFLPediatric Dentistry$0$14.7M
    The Surgical Center For Excellence, LllpFLAmbulatory Surgical Clinic/Center$18.8K$11.7M
    Rainbow Pediatrics PC LLCFLPediatrics Physician$0$8.3M
    Emerald Coast Pediatrics & AdolescentsFLPediatrics Physician$0$8M
    Life Management Center Of Nw Fl, Inc.FLPsychiatry Physician$0$7.9M
    Hospice Of The Emerald Coast, Inc.FLCommunity Based Hospice Care Agency$0$7.5M
    Amir AghaFLRheumatology Physician$3.6M$0
    Jon WardFLMOHS-Micrographic Surgery Physician$2.1M$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. Florida Distribution
    Paul Garland — 1 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida