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NPI 1396940326 · Dorchester Center, MA · Ophthalmology Physician
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Jean Charles is a ophthalmology physician provider located in Dorchester Center, Massachusetts. This profile covers 19 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jean Charles |
| Address | 2110 Dorchester Ave |
| City | Dorchester Center |
| State | MA |
| ZIP | 02124 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | June 19, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $620.7K |
| Medicare | $177K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J7351 | Injection, bimatoprost, intracameral implant, 1 microgram | 400 | $160 | $64.4K |
| 99213 | The 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… | 470 | $60 | $28.8K |
| 66984 | The 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 | $430 | $12.8K |
| 92134 | The 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. | 280 | $30 | $8.3K |
| 92014 | An 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… | 90 | $90 | $8.1K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 70 | $110 | $7.8K |
| 66030 | The provider injects medication in the anterior chamber of the eye, typically for therapeutic purposes. | 40 | $160 | $6.5K |
| 67028 | The 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. | 70 | $100 | $6.4K |
| 66761 | The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of… | 30 | $240 | $6K |
| J9035 | Injection, bevacizumab, 10 mg | 110 | $50 | $5.7K |
Showing 1–10 of 19
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
19 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 294 | 330 | 170 | $200 | $143.2K |
| 67028 | 109 | 120 | 570 | $100 | $80.7K |
| J7351 | 4 | 10 | 270 | $160 | $58.3K |
| 92014 | 694 | 1,070 | 160 | $90 | $30.1K |
| J9035 | 54 | 80 | 250 | $50 | $19.7K |
| 99214 | 15,169 | 15,410 | 110 | $80 | $15.6K |
| 92012 | 354 | 560 | 90 | $70 | $12.4K |
| 92134 | 140 | 670 | 70 | $30 | $10.6K |
| 65855 | 68 | 100 | 30 | $160 | $8.9K |
| 99213 | 823 | 13,700 | 70 | $60 | $8.8K |
Showing 1–10 of 19
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92012 | For 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… | 1,590 | $60 | $92.4K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 1,060 | $80 | $84.6K |
| 99213 | The 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… | 3,570 | $20 | $75K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 1,920 | $30 | $53.9K |
| 92014 | An 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… | 770 | $60 | $48.4K |
| 92341 | Code 92341 describes the fitting of eyeglasses of bifocal type, i.e., the lens has two separate areas of focus such as an area which gives best near vision and another area giving best far vision. | 1,360 | $30 | $46.2K |
| 92134 | The 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. | 2,730 | $10 | $35.5K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 2,530 | $10 | $32.9K |
| 92133 | The 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… | 2,400 | $10 | $31.3K |
| V2025 | Deluxe frame | 120 | $180 | $20.6K |
Showing 1–10 of 24
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
24 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| J9035 | Injection, bevacizumab, 10 mg | 23 | 30 | 210 | $690 | $668.3K |
| 66984 | The 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… | 60 | 60 | 330 | $380 | $352.9K |
| V2025 | Deluxe frame | 8 | 20 | 90 | $10 | $241.6K |
| V2020 | Frames, purchases | 72 | 130 | 180 | $20 | $196.8K |
| 67028 | The 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. | 48 | 60 | 780 | $80 | $178.3K |
| 99213 | The 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… | 608 | 5,300 | 230 | $60 | $164.5K |
| 92014 | An 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… | 217 | 660 | 250 | $60 | $122.5K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 151 | 370 | 1,210 | $30 | $97.8K |
| 92012 | For 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… | 37 | 190 | 210 | $50 | $63.9K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 115 | 590 | 160 | $70 | $60.6K |
Showing 1–10 of 24
Other providers in the same ZIP code as Jean Charles, ranked by combined Medicare and Medicaid revenue.
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