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NPI 1457787756 · Ahoskie, NC · Optometrist
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Matthew Edwards is a optometrist provider located in Ahoskie, North Carolina. This profile covers 20 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Matthew Edwards |
| Address | 1488 Memorial Dr E |
| City | Ahoskie |
| State | NC |
| ZIP | 27910 |
| Taxonomy | Optometrist |
| NPI Enumerated | September 18, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $287.4K |
| Medicaid | $108.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 65778 | The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens. | 100 | $980 | $101.2K |
| 99214 | The 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… | 530 | $70 | $38K |
| 92012 | For 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… | 530 | $60 | $33.1K |
| 93890 | N/A | 160 | $170 | $27.3K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 160 | $170 | $27K |
| 99204 | The 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… | 150 | $90 | $12.9K |
| 93892 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or… | 160 | $80 | $12.7K |
| 92250 | Code 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,… | 450 | $20 | $10.3K |
| 68761 | The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome. | 40 | $140 | $5.9K |
| 66984 | The 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… | 5,280 | $1 | $5.3K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 20 | 580 | 230 | $70 | $73.7K |
| 65778 | 1 | 10 | 30 | $960 | $33.8K |
| 93890 | 5 | 10 | 160 | $160 | $28.2K |
| 92014 | 739 | 880 | 110 | $80 | $17.7K |
| 93892 | 5 | 10 | 160 | $90 | $16.8K |
| 66821 | 4 | 310 | 50 | $100 | $16.5K |
| 99214 | 1,414 | 18,060 | 110 | $80 | $15.1K |
| 93886 | 5 | 10 | 40 | $140 | $14.6K |
| 68761 | 24 | 60 | 30 | $90 | $9.1K |
| 92012 | 19 | 300 | 80 | $60 | $8.9K |
Showing 1–10 of 20
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 540 | $80 | $41.4K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 240 | $100 | $22.8K |
| 99214 | The 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… | 250 | $70 | $18.3K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 400 | $20 | $8K |
| 92250 | Code 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,… | 120 | $50 | $6.2K |
| 99204 | The 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… | 30 | $110 | $3.1K |
| 92370 | The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye. | 440 | $10 | $2.6K |
| 93892 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or… | 10 | $190 | $2.4K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 10 | $160 | $2.1K |
| 93890 | N/A | 10 | $140 | $1.8K |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 3,094 | 4,400 | 960 | $60 | $271.3K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 230 | 540 | 350 | $70 | $86.4K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 320 | 560 | 350 | $90 | $81.2K |
| 99204 | The 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… | 989 | 1,310 | 80 | $90 | $59.7K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 374 | 580 | 800 | $20 | $33.2K |
| 92370 | The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye. | 389 | 590 | 860 | $10 | $13.4K |
| 92250 | Code 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,… | 77 | 140 | 130 | $10 | $8.4K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 8 | 10 | 30 | $60 | $4K |
| 93892 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or… | 2 | 10 | 30 | $40 | $1.3K |
| 93890 | N/A | 2 | 10 | 30 | $30 | $1K |
Other providers in the same ZIP code as Matthew Edwards, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Trillium Health Resources | NC | Community/Behavioral Health Agency | $0 | $23M |
| Val's Home Health Care, Inc. | NC | Home Health Agency | $0 | $17.8M |
| All-american Home Care, LLC | NC | In Home Supportive Care Agency | $0 | $14.8M |
| Home Life Care Inc | NC | In Home Supportive Care Agency | $0 | $11.3M |
| Ahoskie House | NC | Adult Care Home Facility | $0 | $11.3M |
| Rpa Healthcare, LLC | NC | Assisted Living Facility | $0 | $8.9M |
| Medex Medical Transport Service, Inc | NC | Land Ambulance | $2.9M | $5.7M |
| East Carolina Health | NC | General Acute Care Hospital | $0 | $8.2M |
| Willem, LLC | NC | Land Ambulance | $447.1K | $48.2K |
| Timothy Chafin | NC | Interventional Pain Medicine Physician | $155K | $0 |
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