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    OpenPayerNPI Medicare & MedicaidAaron Fortney
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    Aaron Fortney — Billing Profile & Reimbursement Data

    NPI 1447297189 · Bismarck, ND · Ophthalmology Physician

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    Aaron Fortney is a ophthalmology physician provider located in Bismarck, North Dakota. This profile covers 16 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
    OrganizationAaron Fortney
    Address3119 N 14th St
    CityBismarck
    StateND
    ZIP58503
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 1, 2006

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

    Payer SourceTotal Paid
    Medicare$561.1K
    Medicaid$0

    Key Findings

    Medicare is the sole payer of record for this provider: lifetime Medicare revenue is $561.1K while there is no Medicaid billing on file. This makes the practice effectively single-payer in the available data and means revenue exposure is concentrated to Medicare policy changes and reimbursement trends for ophthalmology services.

    Revenue is highly concentrated in three procedural codes: J2777, J0178, and 66984 together account for 74.9% of this provider's total Medicare revenue. The single largest driver is J2777 (7.5K claims, $29 avg paid/claim, $217.5K revenue), which alone represents 38.8% of Medicare revenue, followed by J0178 (184 claims, $689 avg paid/claim, $126.8K revenue; 22.6%) and 66984 (217 claims, $347 avg paid/claim, $75.3K revenue; 13.4%).

    The code mix indicates a combined retina injection and surgical cataract practice model: high-volume intravitreal therapy appears to be a major service line (J2777 and J0178 are both anti-VEGF/anti-angiogenic injections) while 66984 shows active cataract surgery and intraocular lens insertion. Supporting services and diagnostics such as 92014 (comprehensive established exam) and retinal imaging codes (92134, 92133) also appear in the top codes, consistent with a full-scope ophthalmology clinic that manages both medical retinal care and surgical cataract cases.

    Despite J2777 producing the largest share of revenue, the provider is not a national outlier for that drug code: J2777 ranks #1223 of 2039 providers nationally (40th percentile) and is described as typical, unremarkable volume for this code. Similarly, J0178 ranks #2648 of 3204 (17th percentile) and is labeled typical, unremarkable volume, indicating this provider is a moderate participant in branded intravitreal biologic use rather than a dominant national injector.

    In surgical cataract services, the provider’s 66984 activity is above median relative to national peers: 66984 ranks #5121 of 15965 providers nationally (68th percentile) and is described as typical, unremarkable volume. That percentile suggests the provider performs cataract surgery at a higher-than-average rate compared with the national ophthalmology population, supporting a meaningful surgical component to the practice.

    Several diagnostic and evaluation services show relatively high peer-percentile positions, implying consistent clinic throughput: 92014 (512 claims) ranks in the 85th percentile, 92134 (554 claims) in the 88th percentile, and 92133 in the 80th percentile while each is still labeled typical, unremarkable volume. These elevated percentiles for exams and imaging indicate steady follow-up and diagnostic workload that complements the injection and surgical procedures.

    The provider’s NPI tenure is longstanding: NPI enumerated (registered) on 2006-06-01 (~20 years ago), which supports interpretation of stable practice patterns rather than a recent entry effect. Combined with the procedure mix and exam volumes, the tenure implies an established local ophthalmology practice with ongoing service lines in surgical and medical retina care.

    Payer and service-line implications point to concentration risk and operational focus: reliance on Medicare-only revenue and the fact that the top three codes account for 74.9% of Medicare revenue means business performance will be sensitive to pricing and utilization changes for intravitreal injections and cataract procedures. For payers and analysts, this profile suggests contracting and utilization management efforts should prioritize anti-VEGF/related drug policies and cataract surgery authorization pathways when engaging this provider.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg7,500$30$217.5K
    J0178Injection, aflibercept, 1 mg180$690$126.8K
    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…220$350$75.3K
    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…510$80$42.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.70$260$18K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.210$80$17.6K
    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.550$30$15.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.110$90$10.2K
    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…180$60$10K
    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…230$30$7K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781120440$680$445.3K
    J27775107,410$30$412.9K
    669842310050$350$61.2K
    670281630290$80$40.6K
    66821193080$230$27.3K
    9201412170160$70$15.6K
    992148441,47090$60$10.4K
    921361430240$30$8.3K
    992133101,49080$50$5.8K
    921341314070$20$4.8K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anil PottiNDHematology & Oncology Physician$4.9M$0
    Marina GilcaNDRetina Specialist (Ophthalmology) Physician$4.3M$0
    Braden BurckhardCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Dakota Surgery & Laser Center LLCNDAmbulatory Surgical Clinic/Center$1.7M$28.4K
    William NoyesNDRadiation Oncology Physician$1.2M$0
    Dakota Eye Institute PCNDOphthalmology Physician$0$1.2M
    Elena RaducuNDOphthalmology Physician$1.1M$0
    Paul SelidNDOphthalmology Physician$860.8K$0
    Jonathan MarshallNYDiagnostic Radiology Physician$761.9K$4.4K
    Reid MollmanNDOphthalmology Physician$757K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Options For Residential And Employment Services, IncNDCase Manager/Care Coordinator$0$84.4M
    Metro Area Ambulance Service, IncNDLand Ambulance$1.5M$11.7M
    Red Door Pediatric Therapy, IncNDSpeech-Language Pathologist$0$5.6M
    New Freedom CenterNDSubstance Abuse Rehabilitation Facility$0$4.5M
    Bismarck Surgical Associates, LLCNDAmbulatory Surgical Clinic/Center$2.2M$0
    Maple View Ii East IncNDAlzheimer Center (Dementia Center)$0$1.7M
    Good Road Recovery CenterNDSubstance Abuse Rehabilitation Facility$0$1.1M
    Bismarck Transportation ServicesNDTaxi$0$1.1M
    Daniel J. Keith, Dds, Ms, PCNDOrthodontics and Dentofacial Orthopedics Dentistry$0$1.1M
    Sanford Healthcare Accessories, LLCNDDurable Medical Equipment & Medical Supplies$0$1.1M

    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 Dakota Distribution
    Aaron Fortney — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota