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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMary Clemons
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    Mary Clemons — Billing Profile & Reimbursement Data

    NPI 1326281874 · Shreveport, LA · Ophthalmology Physician

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    Mary Clemons is a ophthalmology physician provider located in Shreveport, Louisiana. This profile covers 19 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
    OrganizationMary Clemons
    Address471 Ashley Ridge Blvd
    CityShreveport
    StateLA
    ZIP71106
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 14, 2009

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

    Payer SourceTotal Paid
    Medicare$129.4K
    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.

    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…570$70$42.4K
    92012For 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…500$60$28K
    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…30$560$13.9K
    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…170$40$6.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.70$80$5.7K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…220$20$4.9K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.20$210$4.3K
    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…10$280$3.9K
    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.140$30$3.5K
    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.10$200$2.8K

    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
    15823132030$510$24.5K
    9201475470170$80$23.9K
    6682114317040$220$16.5K
    9201233350100$60$11.7K
    6790081020$390$11K
    6881061030$130$7.8K
    9213412836070$20$7.4K
    6784091030$200$7.3K
    9200412638050$90$5.5K
    9225015834070$20$3.7K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John CarmodyLAOphthalmology Physician$221.4K$0
    Carol ClemonsLAOphthalmology Physician$218.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatria Healthcare, LLCLAMedically Fragile Infants and Children Day Care$0$9.8M
    Laser & Cataract Center Of Shreveport LLCLAAmbulatory Surgical Clinic/Center$2.2M$231K
    Jeffrey GossleeLARetina Specialist (Ophthalmology) Physician$2.3M$4.5K
    Steven HeardLADermatology Physician$1.4M$0
    Red River Surgery Center LLCLAAmbulatory Surgical Clinic/Center$1.2M$0
    Bryan VekoviusLASpecialist$625.1K$1.5K
    Claude BundrickLAOphthalmology Physician$373.5K$0
    Pat BassLAInternal Medicine Physician$355.3K$0
    Ann GuyLAOphthalmology Physician$333.3K$0
    Anne BryanLADermatology Physician$323.7K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Louisiana Distribution
    Mary Clemons — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana