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    OpenPayerNPI Medicare & MedicaidDimitrios Sismanis
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    Dimitrios Sismanis — Billing Profile & Reimbursement Data

    NPI 1295962710 · Richmond, VA · Ophthalmology Physician

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    Dimitrios Sismanis is a ophthalmology physician provider located in Richmond, Virginia. This profile covers 28 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
    OrganizationDimitrios Sismanis
    Address1300 Wilkes Ridge Dr Ste 100
    CityRichmond
    StateVA
    ZIP23233
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 11, 2009

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

    Payer SourceTotal Paid
    Medicare$395.7K
    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.

    28 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…80$600$50.1K
    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…80$580$45.2K
    67966The provider excises damaged or diseased tissue of the eyelid that may include the edges of the lid, the lid’s inner plate, the membrane lining of the lid, or the corner where the lids come together.…80$520$43.1K
    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…340$130$42.7K
    J0585Injection, onabotulinumtoxina, 1 unit6,500$10$32.5K
    99213The provider sees an established 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…490$60$31.3K
    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…370$70$26.4K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.90$200$18.4K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.850$20$14.4K
    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…30$400$12K

    Showing 1–10 of 28

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 28 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    28 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058529606,400$1$51.9K
    1582373050$530$34.5K
    6790442050$580$32.8K
    6796621050$490$28.9K
    15260284020$730$21.1K
    992147,80612,890140$80$21K
    6790051030$460$19.5K
    14301163020$750$19.5K
    14060516030$570$17K
    6832621020$640$10.9K

    Showing 1–10 of 28

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David M Harman Md LLCVAOphthalmology Physician$0$9.6M
    Landon CollingVAOphthalmology Physician$2.8M$190
    Odette CallenderVAOphthalmology Physician$2.2M$0
    Jonathan TillVAOphthalmology Physician$881.2K$0
    Binoy JaniVAOphthalmology Physician$733.8K$0
    Mark MorrisVAOphthalmology Physician$622.6K$0
    John NordlundVAOphthalmology Physician$576.1K$0
    Fredric GrossVAOphthalmology Physician$563.3K$0
    Andrew DavisVAOphthalmology Physician$557.1K$0
    Nancy EiseleVAOphthalmology Physician$508.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    National Seating & Mobility, Inc.VADurable Medical Equipment & Medical Supplies$0$11.5M
    Lucy Transportation IncVANon-emergency Medical Transport (VAN)$0$10M
    Tedla CorporationVANon-emergency Medical Transport (VAN)$0$9.8M
    William GillenVAMOHS-Micrographic Surgery Physician$1.1M$0
    Matthew WallaceVAMOHS-Micrographic Surgery Physician$1M$0
    Andrew MichaelVAOphthalmology Physician$760.3K$0
    Joseph IuornoVAOphthalmology Physician$534.2K$0
    Yaoming GuVAInterventional Pain Medicine Physician$444.9K$0
    Victoria GrossVADermatology Physician$423.6K$0
    Wayne ShaiaVASpecialist$397.1K$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. Virginia Distribution
    Dimitrios Sismanis — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia