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    OpenPayerNPI Medicare & MedicaidRichard Hawkins
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    Richard Hawkins — Billing Profile & Reimbursement Data

    NPI 1437236114 · Wilmington, NC · Ophthalmology Physician

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    Richard Hawkins is a ophthalmology physician provider located in Wilmington, North Carolina. This profile covers 13 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
    OrganizationRichard Hawkins
    Address1729 New Hanover Medical Park Drive
    CityWilmington
    StateNC
    ZIP28403
    TaxonomyOphthalmology Physician
    NPI EnumeratedNovember 1, 2006

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

    Payer SourceTotal Paid
    Medicare$380.3K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…600$320$194.8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.300$200$58K
    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…450$110$49.5K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…1,030$20$22.7K
    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…240$80$19.4K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…30$390$11K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…20$450$9.5K
    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…90$70$6K
    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,…130$40$5.3K
    92025The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.100$20$2.2K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984208580230$70$73.7K
    66991163030$1,280$51.4K
    669829013030$100$20.8K
    668212331050$100$16.5K
    992144,89018,060110$80$15.1K
    9201227130080$60$8.9K
    992136,66016,32070$50$7.1K
    921363250170$30$5.9K
    9920438,43030$110$4.8K
    688411420130$10$2.5K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert Van Der VaartNCOphthalmology Physician$476.3K$0
    Samantha WatsonNCOphthalmology Physician$414K$0
    Alan OesterNCOphthalmology Physician$378.1K$0
    Matej PolomskyNCOphthalmology Physician$368.9K$0
    Katherine OchsnerNCOphthalmology Physician$364.1K$0
    Alan BrownNCOphthalmology Physician$356.5K$0
    George EscaravageNCOphthalmology Physician$332.4K$0
    Christopher CovingtonNCOphthalmology Physician$328K$0
    Travis PickensNCOptometrist$286.9K$0
    Travis JenkinsNCOphthalmology Physician$276.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wilmington Medical Supply IncNCDurable Medical Equipment & Medical Supplies$0$47.8M
    A2z Home Medical Supplies, IncNCDurable Medical Equipment & Medical Supplies$0$47.4M
    Maxim Healthcare Services, Inc.NCHome Health Agency$0$33.8M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$28.3M
    Physician Alliance For Mental Health, LLCNCCommunity/Behavioral Health Agency$0$28M
    Easter Seals Ucp North Carolina & Virgiinia, Inc.NCCommunity/Behavioral Health Agency$0$19.2M
    Bayada Home Health Care, Inc.NCDevelopmental Disabilities Clinic/Center$0$18M
    Therapy Works Of WilmingtonNCSpeech-Language Pathologist$0$12.2M
    Coastline Therapy Group, LLCNCSpeech-Language Pathologist$0$11.8M
    Pd Of Wilmington IncNCIn Home Supportive Care Agency$0$11.4M

    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. North Carolina Distribution
    Richard Hawkins — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina