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    OpenPayerNPI Medicare & MedicaidBenjamin Redman
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    Benjamin Redman — Billing Profile & Reimbursement Data

    NPI 1326274036 · Woodruff, WI · Optometrist

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    Benjamin Redman is a optometrist provider located in Woodruff, Wisconsin. This profile covers 19 Medicare and 3 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)

    FieldValue
    Entity TypeIndividual
    OrganizationBenjamin Redman
    Address1020 3rd Ave
    CityWoodruff
    StateWI
    ZIP54568
    TaxonomyOptometrist
    NPI EnumeratedJune 9, 2009

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

    Payer SourceTotal Paid
    Medicare$237.7K
    Medicaid$66.2K

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…730$80$55.8K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.350$160$54.8K
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.30$1,060$29.7K
    99214The 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…300$90$26.6K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…780$20$18K
    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…280$60$16.4K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.290$30$8.1K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.100$80$7.5K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…140$40$5.5K
    68801In this procedure, the provider dilates the lacrimal punctum, an opening that drains tears from the conjunctival sac into the lacrimal duct in the eye. He may or may not perform an irrigation of the…40$90$3.6K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984112310350$50$66.4K
    6577821030$1,020$28.5K
    9201413720120$70$12.9K
    992148769,80080$70$9.2K
    6876113040$130$8.3K
    9201214016050$60$5.1K
    921347960060$30$4.7K
    992134889,38060$50$4.7K
    920046252030$80$3.9K
    992041,6923,39030$100$3.7K

    Showing 1–10 of 19

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,150$40$48.1K
    92015The 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.1,700$10$15.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.60$40$2.5K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…95410210$30$40.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.225340150$40$21.6K
    92015The 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.90480190$10$12.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michel GelinasWIOphthalmology Physician$299.7K$0
    Eduardo BustamanteWIOphthalmology Physician$186.9K$0
    Jessamyn KovacsWIOptometrist$98.3K$8.8K
    Kirby RedmanWIOptometrist$56.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Howard Young Medical Center, Inc.WIGeneral Acute Care Hospital$0$2.9M
    Compassus Aah Of Wisconsin Ii, LLCWICommunity Based Hospice Care Agency$0$1.7M
    Ministry Home Care, LLC.WICommunity Based Hospice Care Agency$0$1.7M
    Sa Limberg, IncWISocial Worker$0$1.3M
    Northwoods Surgery Center, LLCWIAmbulatory Surgical Clinic/Center$253.6K$0
    Mary Joy BortonWIPhysical Therapist$68.3K$0
    Maria TillmanWIEmergency Medicine Physician$29.5K$0
    David KoskiWICritical Care Medicine (Anesthesiology) Physician$24.8K$0
    Robert BirkWIPhysician Assistant$19K$0
    Lisa AlbaneseWIPhysical Medicine & Rehabilitation Physician$9.8K$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. Wisconsin Distribution
    Benjamin Redman — 5 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Benjamin Redman — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin