Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Moffitt
    Ask Trek AI about this page

    John Moffitt — Billing Profile & Reimbursement Data

    NPI 1356514053 · Chippewa Falls, WI · Ophthalmology Physician

    Customize your policy alerts

    Sign up for John Moffitt — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    John Moffitt is a ophthalmology physician provider located in Chippewa Falls, Wisconsin. This profile covers 16 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Moffitt
    Address2525 County Hwy I
    CityChippewa Falls
    StateWI
    ZIP54729
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 2, 2008

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

    Payer SourceTotal Paid
    Medicare$280.1K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg250$690$174.4K
    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…290$90$26.4K
    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.140$100$13.8K
    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…150$90$13.4K
    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…170$70$12.7K
    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…150$70$9.6K
    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.270$30$7.6K
    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$80$4.8K
    J9035Injection, bevacizumab, 10 mg70$60$4.1K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…80$40$3.4K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01784360440$690$488.1K
    66984170310350$50$66.4K
    6702881110310$80$43.7K
    J90355070110$50$14.5K
    92014278720120$70$12.9K
    992142,6869,80080$70$9.2K
    920128316050$60$5.1K
    921348360060$30$4.7K
    992131,4779,38060$50$4.7K
    92136134170130$20$4.6K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mchs Hospitals IncWIRural Acute Care Hospital$0$45.3M
    Family Health Center Of Marshfield IncWIDental Clinic/Center$0$20.4M
    Marshfield Clinic IncWIClinic/Center$526.8K$19.6M
    Mchs Hospitals IncWIGeneral Acute Care Hospital$0$12.4M
    Mchs Hospitals IncWIClinic/Center$0$11.8M
    Lakeview Medical Center Inc Of Rice LakeWIRural Acute Care Hospital$0$10M
    Mchs Hospitals IncWICritical Access Hospital$0$7.4M
    Flambeau Hospital IncWICritical Access Hospital$0$7M
    Mchs Hospitals IncWIGeneral Acute Care Hospital$0$6.4M
    St Josephs Hospital Of The Hospital Sisters Of The Third Order Of St FWIGeneral Acute Care Hospital$0$4.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Western Region Recovery & Wellness ConsortiaWICommunity/Behavioral Health Agency$0$83.2M
    Smiles In Motion, S.c.WIPediatric Dentistry$0$9.6M
    Family Health Center Of Marshfield IncWIFederally Qualified Health Center (FQHC)$0$8.7M
    Chippewa CountyWICase Management Agency$0$4.2M
    Chippewa Falls Area School DistrictWILocal Education Agency (LEA)$0$2.2M
    Rena ChristmanWIDentist$0$1.2M
    City Of Chippewa FallsWILand Ambulance$389K$532.5K
    Independent Surgery Center LLCWIAmbulatory Surgical Clinic/Center$775.9K$89.1K
    Terrence MccannaWIOphthalmology Physician$506.9K$0
    Kunle OnadeWIDermatology Physician$459.1K$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
    John Moffitt — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin