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    OpenPayerNPI Medicare & MedicaidDavid Hardt
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    David Hardt — Billing Profile & Reimbursement Data

    NPI 1437270295 · Saipan, MP · Optometrist

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    David Hardt is a optometrist provider located in Saipan, Northern Mariana Islands. 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
    OrganizationDavid Hardt
    AddressAmparo Building, Beach Road
    CitySaipan
    StateMP
    ZIP96950
    TaxonomyOptometrist
    NPI EnumeratedApril 2, 2007

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

    Payer SourceTotal Paid
    Medicare$24.1K
    Medicaid$0

    Key Findings

    DAVID HARDT is an optometrist in Saipan with a long-tenured NPI enumeration dating to 2007-04-02 (~19 years ago), indicating nearly two decades of participation in Medicare billing and likely an established local practice footprint.

    This provider’s Medicare revenue is modest in absolute terms at $24.1K and there is no Medicaid billing on file, so the practice is effectively single-payer from available claims data and relies exclusively on Medicare for documented public-payer revenue.

    Revenue concentration is high: the precomputed top three Medicare codes account for 76.4% of total Medicare revenue, indicating that a small set of visit and imaging services drive most of reimbursed activity for this provider.

    The single largest Medicare revenue source is 92012 (intermediate established eye exam) with $8K representing 33.4% of Medicare revenue; combined with 92014 (comprehensive established eye exam) at $7.8K (32.5%), the pattern suggests the practice is focused on routine eye examinations for established patients rather than high volumes of new-patient evaluations.

    Ancillary diagnostic imaging and photography codes (92250 fundus photography at $2.5K, 92083 visual field at $2.2K, plus smaller sums for OCT codes 92133/92134 and photography 92285) show that the practice offers in-office retinal imaging and visual field testing, supporting a service mix that includes disease monitoring and documentation in addition to exams.

    Competitive standing by code is generally modest: 92012 ranks in the 63rd percentile nationally (rank #6333 of 17177), 92014 sits at the 50th percentile (rank #17606 of 35415), and 92250 is at the 72nd percentile (rank #6974 of 25087), indicating typical-to-moderately-above-typical volume for these services rather than dominance in the national market.

    Several billed services show lower national percentiles consistent with limited scale: 92004 (new comprehensive exam) is at the 23rd percentile and 92134 (retinal OCT) is at the 13th percentile, implying relatively few new-patient comprehensive evaluations and limited utilization of some advanced imaging compared with national peers.

    Given the small overall Medicare revenue and concentration in established-patient exam codes, the practice’s business model appears oriented toward ongoing, longitudinal eye care for an existing patient panel with supplementary diagnostics, rather than high-throughput surgical or specialty procedural care.

    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
    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…140$60$8K
    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…130$60$7.8K
    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,…130$20$2.5K
    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…50$40$2.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.20$70$1.4K
    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…40$20$830
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.60$10$740
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.20$30$510

    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
    92012410170$50$11.1K
    92014410150$60$9.6K
    9200441030$70$2.6K
    9208321050$40$2.2K
    9225021090$20$1.8K
    9213431020$30$1.8K
    9213321040$20$760
    9228521060$10$710

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeanolivia GrantMPFamily Medicine Physician$228.7K$0
    Northern Mariana Islands GovernmentMPLand Ambulance$180.9K$0
    Keri AllenMPOphthalmology Physician$96.8K$0
    Vicente AldanMPFamily Medicine Physician$87.4K$0
    Ahmad Al-alouMPInternal Medicine Physician$36.1K$0
    Norma AdaMPInternal Medicine Physician$32.8K$0
    Mark RobertsonMPOptometrist$25.8K$0
    Donald HardtMPOptometrist$23.9K$0
    Pamela CarhillMPPhysical Therapist$22K$0
    Jiayi KongMPInternal Medicine Physician$21.9K$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. Northern Mariana Islands Distribution
    David Hardt — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Northern Mariana Islands