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    Philip Williams — Billing Profile & Reimbursement Data

    NPI 1467459511 · Arlington, WA · Optometrist

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    Philip Williams is a optometrist provider located in Arlington, Washington. This profile covers 9 Medicare and 5 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)

    FieldValue
    Entity TypeIndividual
    OrganizationPhilip Williams
    Address17432 Smokey Point Blvd
    CityArlington
    StateWA
    ZIP98223
    TaxonomyOptometrist
    NPI EnumeratedJuly 5, 2005

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

    Payer SourceTotal Paid
    Medicaid$52.2K
    Medicare$21.9K

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…110$80$8.8K
    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…110$60$7.1K
    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$110$2.3K
    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.70$30$1.9K
    83861The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye.20$20$530
    92284The provider performs a diagnostic test to evaluate how the patient's eyes adjust to changes in light and darkness. This test measures the function of retinal photoreceptors and may include…10$40$490
    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,…20$20$300
    83516The lab analyst performs the technical immunoassay test involving several steps to detect and measure an analyte of a noninfectious nature. The results show as positive or negative, or in…20$10$260
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.10$10$130

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014385790110$80$16.8K
    9213433670070$30$7.6K
    992132,9219,69060$60$6.5K
    9200444261040$90$5.2K
    83861364080$20$3K
    9225053561050$30$2.8K
    83516283070$10$2K
    9228471020$30$2K
    922859710040$20$1.5K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.300$90$27.6K
    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…170$70$11.8K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.1,020$10$8.2K
    V2020Frames, purchases190$20$3.8K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens40$30$950

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Washington median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V2020Frames, purchases278080$10$87.2K
    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…289480290$60$65.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.274580240$70$57.3K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens223060$10$53.3K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.253710480$10$16K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stillaguamish Tribe Of IndiansWASubstance Use Disorder Rehabilitation Clinic/Center$0$349.6M
    Northwest Emergency Physicians LLCWAEmergency Medicine Physician$0$79.6M
    Public Hospital Dist No 1 SkagitWAGeneral Acute Care Hospital$0$17.2M
    Stillaguamish Tribe Of IndiansWACommunity/Behavioral Health Agency$0$9.2M
    Holman Recovery CenterWASubstance Abuse Rehabilitation Facility$0$7.9M
    Beautiful AutismWAMental Health Counselor$0$2.8M
    Sight Partners Physicians, P.C.WAAmbulatory Surgical Clinic/Center$325.2K$126.8K
    Trans-west Ambulance Service LLCWAAmbulance$114.5K$221.2K
    Michael BanittWAOphthalmology Physician$262.9K$0
    Jennifer PaekWADermatology Physician$144.7K$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. Washington Distribution
    Philip Williams — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington
    Medicaid Revenue by Year vs. Washington Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Philip Williams — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington