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    OpenPayerNPI Medicare & MedicaidNicole Fee
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    Nicole Fee — Billing Profile & Reimbursement Data

    NPI 1427611029 · Apo, AE · Optometrist

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    Nicole Fee is a optometrist provider located in Apo, Armed Forces Europe. This profile covers 5 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNicole Fee
    AddressLandstuhl Regional Medical Center
    CityApo
    StateAE (Armed Forces Europe)
    ZIP09180
    TaxonomyOptometrist
    NPI EnumeratedApril 18, 2019

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

    Payer SourceTotal Paid
    Medicare$15.4K
    Medicaid$3.5K

    Key Findings

    This provider’s billed volume is small in absolute terms: total Medicare revenue is $15.4K while total Medicaid revenue is $3.5K, indicating Medicare is the dominant payer by scale for this NPI rather than Medicaid. The practice is not single‑payer but leans heavily on Medicare receipts for its financial footprint.

    Practice mix and code-level drivers point to a traditional optometry outpatient model: Medicare top codes are 99214, 92250, and 99213, which represent evaluation-and-management visits (established patients) coupled with fundus photography. The presence of both E/M codes and 92250 suggests the provider delivers routine clinical exams with retinal imaging rather than a surgically focused ophthalmology practice.

    Medicare revenue is highly concentrated: the precomputed top three Medicare codes account for 84.4% of the provider’s Medicare revenue, and 99214 alone accounts for $8.6K (56.2% of Medicare revenue) across 91 claims at $95 avg paid/claim. 99214’s rank is #261181 of 479517 (45th percentile) and is described as a typical, unremarkable volume for this code, implying the provider’s core Medicare work is concentrated but not unusually large compared with national peers.

    On Medicaid the revenue is even more concentrated toward optical supplies and routine exams: the top three Medicaid codes account for 96.4% of Medicaid revenue, led by V2020 (Frames, purchases) with $1.6K (45.1% of Medicaid revenue) across 38 claims. V2020 ranks #1 of 2 providers in-state (100th percentile) and is characterized as a typical, unremarkable volume in the available state sample, indicating a sizable share of the provider’s Medicaid sales are for frames.

    Competitive standing varies by service line: for retinal imaging 92250 the provider ranks #9532 of 25087 (62th percentile) nationally and is labeled a typical, unremarkable volume, suggesting relative strength in imaging vis-à-vis national peers compared with lower percentile E/M codes. For core E/M services like 99213 and 99204 the provider sits in lower percentiles (#343618 of 457151, 24th percentile for 99213; #186457 of 227068, 15th percentile for 99204) and is likewise described as typical, indicating modest clinical volume for these codes compared with larger national providers.

    State-level Medicaid comparisons are limited by very small peer counts: several Medicaid codes (S0620, V2100, V2784) are ranked #1 of 1 in-state with a note that no state peer volume comparison is available (0th percentile labels), so while the provider bills these items, the in-state benchmarking is not robust enough to infer broader dominance beyond the fact that the practice bills optical supplies and routine Medicaid eye exams.

    Tenure is relatively recent: the NPI was enumerated 2019-04-18 (~7 years ago), consistent with a smaller, established optometry practice that has had time to build modest Medicare and Medicaid activity but remains lower-volume in absolute dollars. This short-to-mid tenure may explain the concentrated code mix and modest claims counts.

    Across payers there is a clear split in revenue drivers: Medicare dollars are driven by clinical E/M visits and fundus photography (99214, 92250, 99213), whereas Medicaid revenue is dominated by frames and lens codes plus routine ophthalmological exams (V2020, S0620, V2100). This payer-specific service mix suggests the practice captures clinical evaluation and diagnostic imaging revenue from Medicare while deriving most Medicaid receipts from optical goods and routine exam services.

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…90$100$8.6K
    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,…90$30$2.4K
    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…30$60$1.9K
    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$120$1.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…20$40$570

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes. Note: this provider's state, "AE," is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    5 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921418,0772070$90$15.4K
    9921321,9112060$60$10.8K
    9920413,5371030$110$5.7K
    992124,5211020$40$690
    922506201030$30$640

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    V2020Frames, purchases40$40$1.6K
    S0620Routine ophthalmological examination including refraction; new patient40$30$1.1K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens30$30$650
    V2784Lens, polycarbonate or equal, any index, per lens30$10$130

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Armed Forces Europe providers billing the same CPT/HCPCS codes. Note: "AE" is a US military postal designation for Armed Forces stationed in Europe, the Middle East, Africa, or Canada — not a traditional US state; claims coded under it are benchmarked here as their own state-equivalent group.

    Full comparison — all codes billed, vs. Armed Forces Europe median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S0620Routine ophthalmological examination including refraction; new patient11040$30$1.1K
    V2020Frames, purchases11030$40$930
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens11030$30$660
    V2784Lens, polycarbonate or equal, any index, per lens11030$1$120

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fredric SmilenCTOptometrist$34.3K$1.9M
    Douglass FruinILOptometrist$174.1K$373.3K
    Liann GriffithsCAOptometrist$439.1K$0
    Huy PhamNEOptometrist$2.6K$393.8K
    David KolkerOKOptometrist$192.3K$184.3K
    Nicholas FlebotteOHOptometrist$372.7K$400
    Travis GittinsOKOptometrist$35.4K$294.2K
    National Vision, Inc.GAOptometrist$0$322.8K
    Mark YatesAZOptometrist$308.9K$13.1K
    Jilda LongVAOptometrist$314.3K$3.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jude MomoduAE (Armed Forces Europe)Family Medicine Physician$42.8K$86.6K
    Matthew BriceAE (Armed Forces Europe)Emergency Medicine Physician$60.1K$0
    Steve LouvetAE (Armed Forces Europe)Emergency Medicine Physician$11.6K$40.3K
    Katherine CooperAE (Armed Forces Europe)Occupational Therapist$48.9K$0
    Eric DahlAE (Armed Forces Europe)General Practice Physician$44.8K$0
    Michael SanzariAE (Armed Forces Europe)Orthodontics and Dentofacial Orthopedics Dentistry$0$43.9K
    Washeema JonesAE (Armed Forces Europe)Acute Care Nurse Practitioner$29.6K$0
    Gregory PhillipsAE (Armed Forces Europe)Neurology Physician$22.7K$0
    Carlina MadelaireAE (Armed Forces Europe)Anatomic Pathology & Clinical Pathology Physician$12.6K$0
    Chelsey KoehlerAE (Armed Forces Europe)Physical Therapist$10.9K$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. Armed Forces Europe Distribution
    Nicole Fee — 1 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe
    Medicaid Revenue by Year vs. Armed Forces Europe Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Armed Forces Europe Distribution
    Nicole Fee — 1 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Armed Forces Europe