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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSheena Hunt
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    Sheena Hunt — Billing Profile & Reimbursement Data

    NPI 1366705360 · Elkins, WV · Optometrist

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    Sheena Hunt is a optometrist provider located in Elkins, West Virginia. 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.

    (source: NPPES NPI Registry)

    Table of contents

    Progress1 / 7

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationSheena Hunt
    Address1506 Harrison Ave
    CityElkins
    StateWV
    ZIP26241
    TaxonomyOptometrist
    NPI EnumeratedJune 25, 2012

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

    Payer SourceTotal Paid
    Medicare$63.8K
    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
    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…430$70$30.7K
    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…120$60$7K
    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…140$40$5.2K
    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…200$20$4.2K
    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.170$30$4.2K
    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.40$90$3.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.40$70$3.2K
    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,…130$20$2.9K
    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…30$70$1.8K
    92020The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…30$20$480

    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
    669848190210$70$60.7K
    9201429180120$70$16.3K
    92012258070$50$7.2K
    921343016060$30$5.4K
    920046515040$80$4.7K
    6876151030$100$3.9K
    920833315040$40$2.9K
    922503115050$20$2.1K
    921331715050$20$1.9K
    92020164030$20$1.1K

    Showing 1–10 of 12

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Select In Home Services, Inc.WVPersonal Care Attendant$0$25.7M
    Davis Memorial HospitalWVGeneral Acute Care Hospital$0$20.1M
    Ems, Inc.WVIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$17.6M
    Mountaineer Home Care Services LLCWVIn Home Supportive Care Agency$0$12.4M
    Youth Health Service, IncWVCommunity/Behavioral Health Agency$0$9.8M
    Appalachian Community Health CenterWVMental Health Clinic/Center (Including Community Mental Health Center)$0$8.6M
    Wendy CollinsWVHomemaker$0$7.6M
    Valley Health Care, IncWVFederally Qualified Health Center (FQHC)$0$7.6M
    Randolph County Court Emergency SquadWVLand Ambulance$1M$5.3M
    Drs Wilson And Martino Of ElkinsWVGeneral Practice Dentistry$0$5.8M

    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. West Virginia Distribution
    Sheena Hunt — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia