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    OpenPayerNPI Medicare & MedicaidHelen Boerman
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    Helen Boerman — Billing Profile & Reimbursement Data

    NPI 1346375003 · Franklin, TN · Optometrist

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    Helen Boerman is a optometrist provider located in Franklin, Tennessee. This profile covers 12 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
    OrganizationHelen Boerman
    Address3252 Aspen Grv
    CityFranklin
    StateTN
    ZIP37067
    TaxonomyOptometrist
    NPI EnumeratedFebruary 22, 2007

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

    Payer SourceTotal Paid
    Medicare$1.1M
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.1,100$940$1M
    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.170$70$12.6K
    92273The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…140$80$11.8K
    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…140$80$10.9K
    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…180$60$10.2K
    92284The provider performs a diagnostic test to evaluate how the patient's eyes adjust to changes in light and darkness. This test measures the function of retinal photoreceptors and may include…160$30$3.9K
    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,…160$20$3.6K
    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.110$30$2.9K
    95930The provider performs visual evoked potential testing that measures the electrical activity of the brain in response to a visual stimulus; however, this test is not used for VEP for glaucoma.…40$50$1.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.20$60$1K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6577812050$950$166.7K
    92014360810120$80$19.2K
    6876196040$90$8.5K
    9213420260060$30$8.2K
    920127239060$50$6.3K
    9227365030$90$4.8K
    9200446260030$90$4.7K
    9225011356050$20$2.6K
    9213333056050$20$2K
    9593052030$40$1.7K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elise BolstadTNOptometrist$756.9K$0
    Aaron PorterTNOphthalmology Physician$379.4K$0
    Mark KrollKYOphthalmology Physician$218.9K$10.8K
    Christopher EilerIAOptometrist$135.3K$36.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Health Connect America, IncTNCommunity/Behavioral Health Agency$0$285.6M
    Capitol City Residential Healthcare Tn LLCTNDevelopmentally Disabled Services Day Training Agency$0$29.4M
    Summit Bhc New Jersey, LLCTNSubstance Abuse Rehabilitation Facility$0$21.9M
    Miller HelpersTNIn Home Supportive Care Agency$0$15.3M
    Results-ast Jv, LLCTNPhysical Therapist$0$6.9M
    Williamson County Hospital DistrictTNGeneral Acute Care Hospital$0$4.8M
    Skin Solutions Dermatology & Skin Cancer Surgery, P.C.TNSpecialist$0$4.4M
    Dr. Mark Lynn & Associates, PLLCTNOptometrist$0$3.2M
    Ambulatory Surgery Center Of Cool Springs LLCTNAmbulatory Surgical Clinic/Center$2.5M$0
    Chase EscottTNRadiation Oncology Physician$1.3M$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. Tennessee Distribution
    Helen Boerman — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee