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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJoshua Duncan
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    Joshua Duncan — Billing Profile & Reimbursement Data

    NPI 1457612830 · Phoenix, AZ · Ophthalmology Physician

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    Joshua Duncan is a ophthalmology physician provider located in Phoenix, Arizona. This profile covers 22 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
    OrganizationJoshua Duncan
    Address18325 N Allied Way Ste 100
    CityPhoenix
    StateAZ
    ZIP85054
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 1, 2012

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

    Payer SourceTotal Paid
    Medicare$540.5K
    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.

    22 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…800$380$300K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.190$240$45.4K
    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…310$110$32.9K
    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…900$30$25.1K
    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…300$80$23.9K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.20$900$21.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.170$100$16.7K
    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…160$80$12.6K
    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…170$60$10.7K
    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…20$510$9.7K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698419270150$580$159.7K
    66991456030$1,540$56.9K
    6575671020$1,250$37.6K
    668213421070$220$26.5K
    92014295650140$80$21.5K
    992142,62110,410120$80$20.6K
    687616810040$90$12.9K
    6698671020$530$12.8K
    9213411854090$30$10.1K
    6540051020$430$9.9K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Texas Children's Physician GroupTXPediatrics Physician$0$160.6M
    Eye Surgery Centers Of Arizona, LLCAZAmbulatory Surgical Clinic/Center$3.7M$1.5M
    Alicia GeniscaRIPediatric Emergency Medicine (Pediatrics) Physician$0$790.5K
    Jonathan LevinAZOphthalmology Physician$442.6K$0
    Leslie EisnerAZOphthalmology Physician$324.2K$0
    David RockwellAZOptometrist$250.2K$0
    Robert CookAZOptometrist$239.1K$0
    Jason TranAZOptometrist$231.6K$0
    Angela KovacikAZOphthalmology Physician$223.4K$0
    Richard AllenTXOphthalmic Plastic and Reconstructive Surgery Physician$170.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mayo Clinic ArizonaAZGeneral Acute Care Hospital$0$12.5M
    Scottsdale Pediatrics And Pediatric Nephrology, PLLCAZPediatrics Physician$0$10.5M
    Steve HuangAZNuclear Medicine Physician$1.4M$0
    Talal HilalAZHematology & Oncology Physician$1.2M$0
    Premal DesaiAZUrology Physician$926.2K$0
    Mahesh SeetharamAZHematology & Oncology Physician$733.7K$0
    Brad BrunsAZOrthopaedic Surgery Physician$379.2K$0
    Philip ToAZOrthopaedic Hand Surgery Physician$288.1K$0
    Stephen FinbergAZPulmonary Disease Physician$278.7K$0
    Richard MartinAZSports Medicine (Orthopaedic Surgery) Physician$270.2K$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. Arizona Distribution
    Joshua Duncan — 2 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona