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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBret Crumpton
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    Bret Crumpton — Billing Profile & Reimbursement Data

    NPI 1437112935 · Columbus, GA · Ophthalmology Physician

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    Bret Crumpton is a ophthalmology physician provider located in Columbus, Georgia. This profile covers 21 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
    OrganizationBret Crumpton
    Address2012 10th Ave
    CityColumbus
    StateGA
    ZIP31901
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 7, 2006

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

    Payer SourceTotal Paid
    Medicare$306.5K
    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…720$60$42K
    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…480$80$39.5K
    92014An 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…470$80$36.1K
    66984The 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…90$320$28.1K
    92083The 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 an extended…570$40$23.2K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.40$540$21.8K
    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…240$90$20.6K
    92133The 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…810$20$19.3K
    66174The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.30$430$12.1K
    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,…480$20$10.6K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984292410190$160$103.1K
    66991284030$1,620$60.1K
    65820104030$1,000$39K
    6617441030$830$24.8K
    669827611020$490$21.9K
    6682124627060$210$20.9K
    92014144850130$80$19.7K
    992141,65113,640120$80$17.8K
    6671021020$460$11K
    9921338413,36080$60$9.2K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nicholas MayfieldGAOphthalmology Physician$2.6M$0
    Finny JohnKSOphthalmology Physician$395.3K$0
    West Georgia Eye Care Center, PAGAOphthalmology Physician$0$326K
    Sterling CannonGAOphthalmology Physician$292.5K$0
    Malcolm MooreGAOphthalmology Physician$276.7K$0
    John ErvinGAOphthalmology Physician$167.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Neonatology Associates Of Columbus PCGANeonatal-Perinatal Medicine Physician$0$6M
    Nora Tan-ngo Md Pediatrics PCGAPediatrics Physician$0$2.3M
    The Medical Center IncGAGeneral Acute Care Hospital$0$1.2M
    Emergency Group Of Columbus, LLCGAEmergency Medicine Physician$0$941.7K
    Columbus Ambulatory Healthcare Services, Inc.GAFamily Medicine Physician$0$882.5K
    Paul R. Steinwachs, Md PCGAPediatrics Physician$0$777.1K
    Metro Treatment Of Georgia L PGAMethadone Clinic$83.9K$519.2K
    Lauren SmithGAPodiatrist$424.2K$0
    Columbus Children's ClinicGAPediatrics Physician$0$364.7K
    Harvey HarrisGAInternal Medicine Physician$324K$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. Georgia Distribution
    Bret Crumpton — 6 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia