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NPI 1316958846 · Ponte Vedra Beach, FL · Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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Dawn Duss is a pediatric ophthalmology and strabismus specialist physician physician provider located in Ponte Vedra Beach, Florida. This profile covers 7 Medicare and 5 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 | Dawn Duss |
| Address | 240 Ponte Vedra Park Drive |
| City | Ponte Vedra Beach |
| State | FL |
| ZIP | 32082 |
| Taxonomy | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
| NPI Enumerated | August 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $72.3K |
| Medicare | $34.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established 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… | 100 | $90 | $9.2K |
| 67314 | A strabismus repair is performed to realign the eye muscle. The physician has to either perform a recession (weakening) or resection (strengthening) of the muscles in order to correct the patient's… | 20 | $320 | $7K |
| 67311 | The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is… | 20 | $370 | $6.6K |
| 99204 | The 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… | 40 | $120 | $5.1K |
| 67331 | In this add–on procedure, the provider performs strabismus surgery on a patient who has had an eye injury or previously undergone an eye procedure but not involving the extraocular muscles. This… | 20 | $180 | $3.2K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 60 | $50 | $2.9K |
| 92285 | Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison. | 40 | $10 | $620 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 330 | $140 | $47.8K |
| 99214 | The provider sees an established 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… | 170 | $90 | $15.7K |
| 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 | $110 | $6.6K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 10 | $80 | $1.2K |
| 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. | 280 | $1 | $1.1K |
How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Florida median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established 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… | 4,136 | 6,380 | 430 | $50 | $139.3K |
| 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… | 448 | 980 | 270 | $60 | $85.1K |
| 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… | 173 | 230 | 200 | $30 | $46.3K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 67 | 70 | 600 | $10 | $25.8K |
| 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. | 589 | 1,040 | 390 | $1 | $5.4K |
Other providers in the same ZIP code as Dawn Duss, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Paul Vitulli | FL | Vascular & Interventional Radiology Physician | $473.4K | $0 |
| Bao Yang | FL | Medical Physician Assistant | $189.4K | $360 |
| Melissa Gagliardi | FL | Nurse Practitioner | $153K | $0 |
| Melinda Greenfield | FL | Dermatology Physician | $140.1K | $0 |
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