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

    NPI 1306124599 · West Fargo, ND · Ophthalmology Physician

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    Michael Greenwood is a ophthalmology physician provider located in West Fargo, North Dakota. This profile covers 10 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 Greenwood
    Address354 23rd Ave E
    CityWest Fargo
    StateND
    ZIP58078
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 22, 2011

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

    Payer SourceTotal Paid
    Medicare$530.7K
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in our dataset: Total Medicare revenue is $530.7K while there is no Medicaid billing on file, indicating Medicare dominates clinical reimbursement and payer mix for this NPI. The absence of Medicaid billing suggests analyses of in‑state public payer competition or access will not be informative for this entity.

    Revenue is highly concentrated in a narrow set of cataract‑related procedures: the top three Medicare codes (66984, 66821, 66982) account for 77.4% of the provider's total Medicare revenue. Those three codes individually contributed $269K (50.7%), $90.5K (17.0%), and $51.2K (9.6%) respectively, signaling a practice driven by cataract surgery and immediate postoperative management.

    The procedural mix points to a surgical ophthalmology practice focused on cataract operations and lens care: 66984 (standard extracapsular cataract extraction with IOL) and 66982 (complex extracapsular extraction with IOL) are the top revenue drivers, and 66821 (laser posterior capsulotomy) is the second largest revenue contributor. High utilization of biometry (92136: 927 claims, $28 avg paid/claim, $26K revenue, 4.9%) supports the view that preoperative IOL calculations and cataract workflows are core services.

    Competitive standing across cataract codes is above median but not market‑dominating: 66984 ranks #2255 of 15965 nationally (86th percentile) and is described as typical/unremarkable volume; 66821 ranks #563 of 10087 (94th percentile) and 66982 ranks #289 of 4580 (94th percentile), both indicating higher‑than‑average procedural volumes relative to national peers without signaling exclusive market dominance.

    The provider offers higher‑complexity anterior segment services beyond routine cataract care: 65756 (full corneal transplant) generated $35.9K (6.8% of Medicare revenue) and ranks #69 of 567 (87th percentile), reflecting meaningful corneal surgery capability in addition to lens procedures. This diversification into corneal transplant activity positions the practice to manage more complex anterior segment pathology.

    There is evidence of glaucoma‑related procedures but with mixed volume: 66991 (IOL insertion with aqueous drainage device) produced $23.1K (4.3%) and ranks #286 of 1445 (80th percentile), whereas canaloplasty/MIGS code 66174 produced $6.7K (1.3%) and ranks in the low‑20s percentile nationally, and 65855 ranks in the 4th percentile. These patterns suggest the provider performs some glaucoma procedures, concentrated in certain device/combined surgery codes, but is not broadly high‑volume across all glaucoma interventions.

    92136 stands out as a statistical outlier in diagnostic throughput: it ranks #132 of 8731 nationally (98th percentile) and is labeled an "extreme outlier, far above typical national volume," with 927 claims and $26K revenue. That unusually high utilization of biometry supports the interpretation of high cataract surgical throughput and repeated preoperative measurements relative to peers.

    The NPI tenure indicates long‑standing Medicare participation: the provider was enumerated 2011‑07‑22 (~15 years ago). Combined with lifetime Medicare revenue of $530.7K, this suggests a modest‑sized, established ophthalmology practice with a surgical cataract and corneal focus rather than a large multispecialty or high‑volume national center.

    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.

    10 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…790$340$269K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.270$340$90.5K
    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…110$460$51.2K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.40$900$35.9K
    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…930$30$26K
    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…50$430$23.1K
    65400In this procedure, the provider excises a thin layer from the surface of the cornea, the front portion of the eye that focuses light on the lens, to remove a mass, scar tissue, or other lesion,…30$460$13.7K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.20$540$11.3K
    66174The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.20$340$6.7K
    65855In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.10$260$3.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984610050$350$61.2K
    6699121030$1,320$50.1K
    6575611030$1,130$34K
    6582031020$1,020$30.7K
    6698222040$590$29.4K
    6682143080$230$27.3K
    6617421020$810$17.1K
    6540011030$500$14.5K
    92136230240$30$8.3K
    6585581020$130$3.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John BerdahlSDOphthalmology Physician$664K$0
    Brandon BaartmanNEOphthalmology Physician$619K$0
    Russell SwanMTOphthalmology Physician$560K$0
    Vance ThompsonSDOphthalmology Physician$514.1K$0
    Deborah RistvedtMNOphthalmology Physician$507.8K$0
    John StephensFLOphthalmology Physician$443K$0
    Spenser MortonNEOphthalmology Physician$375.7K$0
    Cullen RyburnCOOphthalmology Physician$312.8K$0
    Daniel TerveenSDOphthalmology Physician$303.2K$0
    Brent KramerSDOphthalmology Physician$207.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sanford Medical Center FargoNDFamily Medicine Physician$0$75.9M
    North Dakota Autism Center, IncNDCommunity/Behavioral Health Agency$0$5.7M
    West Fargo Public School District 6NDHome Health Registered Nurse$0$2.6M
    Fm Endoscopy Center LLCNDAmbulatory Surgical Clinic/Center$2.5M$0
    Innovis Health, LLCNDMulti-Specialty Clinic/Center$0$235K
    Alex WohlNDPhysical Therapist$222.1K$0
    Optimal Chiropractic PLLCNDChiropractor$0$221K
    Kci Usa, Inc.NDDurable Medical Equipment & Medical Supplies$0$185.9K
    Innovis Health LLCNDFamily Medicine Physician$0$157.3K
    Matthew FriederichsNDSports Medicine (Orthopaedic Surgery) Physician$126K$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 Dakota Distribution
    Michael Greenwood — 2 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota