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    OpenPayerNPI Medicare & MedicaidJeffery Taylor
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    Jeffery Taylor — Billing Profile & Reimbursement Data

    NPI 1356318547 · Paducah, KY · Ophthalmology Physician

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    Jeffery Taylor is a ophthalmology physician provider located in Paducah, Kentucky. This profile covers 24 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
    OrganizationJeffery Taylor
    Address4630 Village Square Dr
    CityPaducah
    StateKY
    ZIP42001
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 7, 2006

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    This provider is effectively a single-payer Medicare practice: Total Medicare revenue is $1.6M while there is none below — this provider has no Medicaid billing on file, indicating no recorded Medicaid revenue to date. The absence of Medicaid claims suggests the provider’s book of business is concentrated in the older adult population covered by Medicare or that the provider does not bill Medicaid for services in this dataset.

    Revenue is highly concentrated in a few procedure lines: the precomputed top 3 Medicare codes by revenue account for 79.3% of this provider's total Medicare revenue, led by J0178 at $902.4K revenue (57.2% of Medicare revenue), followed by J2778 at $215.3K (13.6%) and 66984 at $133.9K (8.5%). This concentration shows a small number of services drive the vast majority of billed Medicare dollars.

    The code mix and volumes point to a retina-focused ophthalmology practice with cataract services: large volumes of anti‑VEGF injections (J0178: 1.3K claims, $692 avg paid/claim; J2778: 1.2K claims, $179 avg paid/claim) alongside cataract surgery (66984: 542 claims, $247 avg paid/claim) and frequent retinal imaging (92134: 1.3K claims). Together these codes indicate routine intravitreal therapy and retinal diagnostics are core service lines rather than a pure general ophthalmology or refractive-only practice.

    Competitive standing for the top drug codes is modest nationally: J0178 ranks #989 of 3204 providers (69th percentile; typical, unremarkable volume) and J2778 ranks #366 of 1208 providers (70th percentile; typical, unremarkable volume), so the provider is not a national outlier in anti‑VEGF administration but operates at a typical peer volume for those drugs. Cataract procedure 66984 ranks #2774 of 15965 (83th percentile; typical, unremarkable volume), which indicates cataract surgery volume is solid but not exceptional on a national scale.

    Office evaluation-and-management activity is a notable outlier relative to national peers: 99213 shows 1K claims and $57.6K revenue and ranks #6274 of 457151 providers (99th percentile; extreme outlier), while 99204 (229 claims, $22.4K) also ranks #3254 of 227068 (99th percentile; extreme outlier) and 99214 (678 claims, $48.1K) ranks in the 94th percentile (notably above typical national volume). This combination of very high E/M ranking with procedure-driven revenue suggests heavy clinic throughput and frequent face-to-face management alongside procedural care.

    Diagnostic and monitoring services are billed at above-typical rates for peers, reinforcing the retina-management profile: 92134 (OCT posterior segment) posts 1.3K claims and $34.5K revenue and ranks #1715 of 26868 providers (94th percentile; notably above typical national volume), and 92133 ranks #1229 of 24968 providers (95th percentile; notably above typical national volume). High relative volume of these imaging codes supports active disease monitoring for retinal conditions that align with the high anti‑VEGF use.

    This provider has an established tenure in Medicare billing, with an NPI enumerated on 2006-03-07 (~20 years ago), indicating long-term presence in Paducah, KY. The combination of long tenure plus procedural and E/M volume suggests an established clinical practice with sustained Medicare patient flow rather than a recent entrant to the market.

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,300$690$902.4K
    J2778Injection, ranibizumab, 0.1 mg1,200$180$215.3K
    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…540$250$133.9K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.820$90$72.6K
    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…1,010$60$57.6K
    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…680$70$48.1K
    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.1,330$30$34.5K
    99204The 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…230$100$22.4K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.80$240$18.9K
    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…30$490$14.2K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781740870$690$858.5K
    J2778320700$180$148.3K
    670282250650$90$72.9K
    669842083101,560$40$67.1K
    6699151030$1,390$43K
    6617441020$670$18.7K
    J35902240160$60$17K
    668215816050$110$16.1K
    992143047,230110$70$14.1K
    9201435242090$80$14K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brian BodnarchukKYOphthalmology Physician$2.3M$52.3K
    Landen MeeksKYOphthalmology Physician$2.2M$4.9K
    Carl BakerSCRetina Specialist (Ophthalmology) Physician$1.7M$6.9K
    Cheryl LeeWAOphthalmology Physician$1.5M$0
    James KimINOphthalmology Physician$772.8K$252.2K
    Sanjay BoseKYInterventional Cardiology Physician$296.5K$7.9K
    Mark GillespieFLOphthalmology Physician$101.8K$0
    Stephanie MundyKYCardiovascular Disease Physician$21.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Comprehensive Services, IncKYRehabilitation Hospital$0$47.8M
    Western Ky Regional Mhmr Board IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$39.3M
    Western Ky Regional Mhmr Board IncKYMental Health Clinic/Center (Including Community Mental Health Center)$0$29.1M
    Easter Seals West Kentucky, Inc.KYBehavior Analyst$0$17.8M
    Shelly BaerKYClinical Social Worker$105.8K$9.8M
    Emerald Therapy Center, LLCKYCommunity/Behavioral Health Agency$0$9.8M
    Easter Seals West KentuckyKYDevelopmentally Disabled Services Day Training Agency$0$8.1M
    Bhg Xxxiii, LLCKYSubstance Use Disorder Rehabilitation Clinic/Center$124.1K$4.8M
    ArcareKYFederally Qualified Health Center (FQHC)$0$4.4M
    Legacy Oxygen And Home Care Equipment LLCKYOxygen Equipment & Supplies (DME)$0$4.1M

    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. Kentucky Distribution
    Jeffery Taylor — 5 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky