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NPI 1295794279 · North Royalton, OH · Optometrist
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John Porter is a optometrist provider located in North Royalton, Ohio. This profile covers 12 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | John Porter |
| Address | 12794 Royalton Rd |
| City | North Royalton |
| State | OH |
| ZIP | 44133 |
| Taxonomy | Optometrist |
| NPI Enumerated | March 20, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $61.7K |
| Medicaid | $9.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99309 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider… | 320 | $70 | $22.8K |
| 92014 | An 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… | 160 | $80 | $13.1K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 120 | $100 | $12.2K |
| 92012 | For 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… | 60 | $60 | $3.1K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 20 | $100 | $2.3K |
| 92202 | The 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… | 180 | $10 | $1.9K |
| 99344 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider spends at least… | 20 | $90 | $1.6K |
| 99308 | The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider… | 30 | $50 | $1.4K |
| 99350 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60… | 10 | $130 | $1.4K |
| 92002 | The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program. | 20 | $60 | $1.3K |
Showing 1–10 of 12
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 466 | 1,450 | 180 | $70 | $21.8K |
| 99308 | 1,191 | 1,340 | 150 | $50 | $15.3K |
| 92014 | 480 | 1,390 | 100 | $70 | $12.9K |
| 99349 | 593 | 700 | 80 | $80 | $11.3K |
| 92012 | 160 | 330 | 50 | $60 | $8K |
| 99350 | 257 | 260 | 40 | $110 | $6.5K |
| 92004 | 54 | 920 | 30 | $90 | $3.9K |
| 99307 | 319 | 400 | 60 | $30 | $3.1K |
| 92202 | 19 | 50 | 130 | $10 | $2.5K |
| 99344 | 108 | 180 | 20 | $90 | $2.3K |
Showing 1–10 of 12
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| V2020 | Frames, purchases | 250 | $10 | $3.4K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 450 | $10 | $2.2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 90 | $20 | $1.5K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 40 | $30 | $1.2K |
| 92014 | An 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… | 20 | $20 | $500 |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 30 | $20 | $500 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 10 | $1 | $50 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| V2020 | Frames, purchases | 595 | 920 | 580 | $10 | $92K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 686 | 720 | 370 | $10 | $57.2K |
| 92014 | An 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… | 978 | 1,070 | 390 | $40 | $46.9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 456 | 680 | 300 | $10 | $37.9K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 855 | 1,020 | 290 | $40 | $34.2K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 505 | 580 | 360 | $20 | $21.5K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 634 | 1,200 | 530 | $10 | $19.4K |
Other providers in the same ZIP code as John Porter, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Michael Debs | OH | Internal Medicine Physician | $306.1K | $0 |
| Richard Rowlett | OH | Psychologist | $77.2K | $0 |
| Anthony Elias | OH | Dermatology Physician | $63.9K | $0 |
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