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    OpenPayerNPI Medicare & MedicaidSam Mansour
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    Sam Mansour — Billing Profile & Reimbursement Data

    NPI 1376506873 · Warrenton, VA · Ophthalmology Physician

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    Sam Mansour is a ophthalmology physician provider located in Warrenton, Virginia. This profile covers 18 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
    OrganizationSam Mansour
    Address45 N Hill Dr Ste 202
    CityWarrenton
    StateVA
    ZIP20186
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 7, 2006

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

    Payer SourceTotal Paid
    Medicare$1.5M
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg19,070$30$553.1K
    J0178Injection, aflibercept, 1 mg770$690$528.5K
    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…2,330$90$207.3K
    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.880$80$74K
    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.1,380$30$41.4K
    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,…1,200$30$32.3K
    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…160$110$17.9K
    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…190$60$12K
    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…70$90$6.3K
    92202The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…460$10$5K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017851801,400$690$1.1M
    J2777226013,200$30$517.1K
    6702848901,000$90$107.1K
    992141912,890140$80$21K
    J90353660170$50$19.9K
    992133,32512,44090$60$10K
    921345168070$30$9.7K
    922022460230$10$8.1K
    92235285040$110$7.3K
    992042956,85040$110$5.9K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Medical Faculty Associates, IncDCAnesthesiology Physician$0$75.7M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Jeffrey SteinbergDCFoot & Ankle Surgery Podiatrist$13.3M$0
    Eric BerkowitzNYVascular & Interventional Radiology Physician$2.6M$1.2M
    Faysal HarounDCHematology & Oncology Physician$2.4M$0
    Alexandre GauthierVAOphthalmology Physician$1.9M$0
    Roberto SotoMDDiagnostic Radiology Physician$1.3M$0
    Lewis GlassFLDermatopathology Physician$1.2M$0
    Renu BerryMDDiagnostic Radiology Physician$769.3K$0
    Marena PatronasVAOphthalmology Physician$744.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rappahannock-rapidan Community Services BoardVACommunity/Behavioral Health Agency$0$53.4M
    Fauquier Medical Center LLCVAGeneral Acute Care Hospital$0$12.9M
    Fauquier County Board Of SupervisorsVAAmbulance$853K$864.1K
    Salman MuftiVADiagnostic Radiology Physician$1.2M$0
    Paul ButrosVADiagnostic Radiology Physician$844.4K$0
    Alessa CrossanVARetina Specialist (Ophthalmology) Physician$497.5K$0
    Juan-carlos CaballeroVADermatology Physician$435K$0
    Steven Von EltenVAFamily Medicine Physician$350.2K$0
    Gregory GolubVAFamily Medicine Physician$312K$0
    Christopher WardVAGeneral Practice Physician$296.2K$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. Virginia Distribution
    Sam Mansour — 3 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia