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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPhillip Radke
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    Phillip Radke — Billing Profile & Reimbursement Data

    NPI 1407112881 · Minnetonka, MN · Ophthalmic Plastic and Reconstructive Surgery Physician

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    Phillip Radke is a ophthalmic plastic and reconstructive surgery physician provider located in Minnetonka, Minnesota. This profile covers 8 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
    OrganizationPhillip Radke
    Address15111 Twelve Oaks Center Dr
    CityMinnetonka
    StateMN
    ZIP55305
    TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
    NPI EnumeratedApril 10, 2012

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

    Payer SourceTotal Paid
    Medicare$50.7K
    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…40$630$24.6K
    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…130$90$11.6K
    67917During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…10$390$5.1K
    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…20$110$2.6K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.140$20$2.4K
    92081The 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 a limited…90$20$1.9K
    11440The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 0.5 cm in diameter or less and also performs a simple…10$110$1.4K
    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…20$60$980

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    15823184030$530$25K
    67917121030$440$12.8K
    9201218120060$60$8.8K
    992142,54210,10070$80$8.1K
    992041,6953,34020$110$3.6K
    1144031020$90$1.5K
    9208182060$20$1.3K
    9228575030$20$970

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Childrens Health CareMNChildren's Hospital$0$100M
    Childrens Health CareMNPediatrics Physician$0$25.4M
    Childrens Health CareMNEmergency Care Clinic/Center$0$18.6M
    Children's Health CareMNPrimary Care Clinic/Center$0$17.3M
    Gillette Children's Specialty HealthcareMNMulti-Specialty Clinic/Center$0$5.4M
    Day Surgery Limited LiabilityWVAmbulatory Surgical Clinic/Center$1.1M$569.1K
    Scott PetersonMNOphthalmology Physician$728.2K$0
    Aesthetic Eye Associates, PsWAAmbulatory Surgical Clinic/Center$337.1K$0
    Garrison WierSCOphthalmic Plastic and Reconstructive Surgery Physician$237.6K$0
    David FoldenMNOphthalmology Physician$175K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stonecrest Living IncMNHome Health Agency$0$40.4M
    St. David's CenterMNCommunity/Behavioral Health Agency$0$12.9M
    Hopkins School DistrictMNLocal Education Agency (LEA)$0$6.6M
    St. David's CenterMNRehabilitation Clinic/Center$0$6.3M
    West Side Sober LivingMNSubstance Abuse Rehabilitation Facility$0$5.2M
    Irene GrudskyMNContractor$0$5.2M
    500 Carlson Parkway Opco LLCMNSkilled Nursing Facility$0$4.8M
    Diamond Dental PLLCMNDentist$0$4.8M
    St. David's CenterMNCase Management Agency$0$4.8M
    Minnesota Eye Laser & Surgery Centers, LLCMNAmbulatory Surgical Clinic/Center$1.6M$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. Minnesota Distribution
    Phillip Radke — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota