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    OpenPayerNPI Medicare & MedicaidEnsa Pillow
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    Ensa Pillow — Billing Profile & Reimbursement Data

    NPI 1407951460 · Oklahoma City, OK · Ophthalmology Physician

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    Ensa Pillow is a ophthalmology physician provider located in Oklahoma City, Oklahoma. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEnsa Pillow
    Address921 Ne 13th St
    CityOklahoma City
    StateOK
    ZIP73104
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 14, 2006

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

    Payer SourceTotal Paid
    Medicare$169.3K
    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
    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…120$590$68K
    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…270$110$29.9K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…40$640$27.6K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.460$20$6.8K
    67921During this procedure, the provider uses sutures to repair an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye, which can lead to excessive tearing and…20$360$6.4K
    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…100$60$5.6K
    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…270$20$5.3K
    99203The provider sees a new 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 provider…70$80$5.2K
    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…20$340$5.1K
    67810The provider takes a sample of a suspicious area on the skin of the eyelid or its edges. He submits the specimen to a laboratory for analysis to determine its nature.40$110$4.2K

    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
    1582364050$510$39.7K
    67904112050$540$35.2K
    992144,5495,560130$70$18.4K
    67917122020$420$12.9K
    992132,5035,45080$50$8.7K
    6792111020$360$6.4K
    99204342,79040$100$5.8K
    6884031020$100$4.6K
    6781021040$110$3.7K
    992034711,90030$70$3.5K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sandeep ShahOKRetina Specialist (Ophthalmology) Physician$3.9M$0
    Grant CorningOKOphthalmology Physician$489.6K$0
    Bradley BrittonOKOphthalmology Physician$417.5K$0
    John HummelOKOphthalmology Physician$363.6K$0
    Don NguyenOKOphthalmology Physician$329.2K$0
    Meredith HartmanOKOphthalmology Physician$307K$0
    Whitney CarterOKOphthalmology Physician$260.3K$0
    Edward JonesOKOphthalmology Physician$253.3K$0
    Larry HenryOKOptometrist$210.5K$0
    Jason EllenOKOptometrist$182.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ou Health Partners, IncOKMulti-Specialty Clinic/Center$0$118.5M
    Board Of Regents Of The University Of Oklahoma - Ou PhysiciansOKMulti-Specialty Clinic/Center$0$96.6M
    Ou Medicine Inc.OKGeneral Acute Care Hospital$0$63M
    Oklahoma Allergy & Asthma ClinicOKSpecialist$0$13.7M
    University Of Oklahoma Heal Sci Ctr College Of Medicine OphthalmologyOKOphthalmology Physician$0$9.5M
    Emergency Physicians Of Midwest City, LLCOKEmergency Medicine Physician$0$8.1M
    Board Of Regents Of The University Of Oklahoma-ou PhysiciansOKClinic/Center$0$5.4M
    Mcgee Eye Surgery Center LLCOKAmbulatory Surgical Clinic/Center$2.8M$2M
    Questcare Em Oklahoma LLCOKEmergency Medicine Physician$0$4M
    Dianon Systems IncOKClinical Medical Laboratory$2.5M$1.3M

    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. Oklahoma Distribution
    Ensa Pillow — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma