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NPI 1487655437 · Mayfield, KY · Optometrist
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Tony Smith is a optometrist provider located in Mayfield, Kentucky. This profile covers 5 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Tony Smith |
| Address | 1225 Paris Rd |
| City | Mayfield |
| State | KY |
| ZIP | 42066 |
| Taxonomy | Optometrist |
| NPI Enumerated | August 2, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $273.2K |
| Medicare | $32K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 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. | 20 | $900 | $21.7K |
| 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… | 220 | $20 | $5.3K |
| 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… | 2,610 | $1 | $2.6K |
| 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… | 60 | $30 | $1.4K |
| 99213 | The 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… | 40 | $30 | $1.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92014 | An 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… | 2,940 | $60 | $182K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 1,440 | $60 | $89.4K |
| 92015 | The 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. | 30 | $20 | $520 |
| 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… | 20 | $10 | $140 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 20 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
5 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… | 2,309 | 2,460 | 580 | $40 | $245K |
| 92014 | An 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… | 121 | 710 | 790 | $60 | $98.4K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 128 | 680 | 410 | $80 | $69.5K |
| 92015 | The 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. | 596 | 640 | 620 | $10 | $9.3K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 254 | 280 | 340 | $1 | $60 |
Other providers in the same ZIP code as Tony Smith, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Pinelake Regional Hospital LLC | KY | Rural Acute Care Hospital | $0 | $43.3M |
| Purchase Area Agency On Aging | KY | Supports Brokerage Agency | $0 | $30M |
| Pinnacle Treatment Centers, LLC D/b/a Recovery Works Paducah | KY | Substance Abuse Rehabilitation Facility | $0 | $17.7M |
| Purchase Area Agency On Aging | KY | Supports Brokerage Agency | $0 | $12.5M |
| Pinelake Physician Practice, LLC | KY | Internal Medicine Physician | $0 | $4.6M |
| City Of Mayfield Office Of City Clerk | KY | Land Ambulance | $545.1K | $2M |
| Air Evac Ems Inc | KY | Air Ambulance | $772K | $828.9K |
| Richard Stone | KY | Family Medicine Physician | $240.7K | $1.6K |
| Roberto Dos Remedios | KY | Pulmonary Disease Physician | $220.5K | $0 |
| Myra Irvin | KY | Internal Medicine Physician | $181K | $0 |
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