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    OpenPayerNPI Medicare & MedicaidWilliam Gillespie
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    William Gillespie — Billing Profile & Reimbursement Data

    NPI 1366445520 · Columbus, MS · Ophthalmology Physician

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    William Gillespie is a ophthalmology physician provider located in Columbus, Mississippi. This profile covers 11 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
    OrganizationWilliam Gillespie
    Address425 Hospital Dr
    CityColumbus
    StateMS
    ZIP39705
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 23, 2005

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

    Payer SourceTotal Paid
    Medicare$344.9K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…480$330$156.1K
    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…1,520$50$77.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.90$270$25.4K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.230$90$20.8K
    0449TThe provider inserts the first aqueous drainage device into the interior of the eye with its end in the subconjunctival space; the device does not include a reservoir to hold the fluid. The device…30$580$19.3K
    76519The provider uses A scan ultrasound echography to measure the axial length of the eye and determine the intraocular lens, or IOL calculation prior to cataract surgery.810$20$17.7K
    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…40$430$15.9K
    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.180$30$4.5K
    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…160$20$3.3K
    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…80$40$3.1K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669843124070$470$90.5K
    66991132040$1,300$62.6K
    0449T11030$580$19.3K
    668214416050$200$17.6K
    92012222090$50$9.9K
    921347028080$30$7.3K
    920041733050$90$6.3K
    7651922060$30$5.8K
    920839327050$40$3.4K
    68841710170$10$2.9K

    Showing 1–10 of 11

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baptist Memorial Hospital - Golden Triangle Inc.MSGeneral Acute Care Hospital$0$55.8M
    Pediatrust Columbus, LLCMSPediatric Skilled Nursing Facility$0$12M
    United Emergency Services Of MississippiMSEmergency Medicine Physician$0$7.8M
    Columbus Orthopedic OutpatientMSAmbulatory Surgical Clinic/Center$2.5M$158K
    David CurtisMSPediatric Dentistry$0$2.6M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.1M
    Katie Curtis Windham Dmd PLLCMSPediatric Dentistry$0$2M
    Eye Laser & Surgery Center Of Columbus, LLCMSAmbulatory Surgical Clinic/Center$1.5M$293.8K
    Oral & Facial Surgical CenterMSOral and Maxillofacial Surgery (Dentist)$0$1.6M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.6M

    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. Mississippi Distribution
    William Gillespie — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi