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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPriyatham Mettu
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    Priyatham Mettu — Billing Profile & Reimbursement Data

    NPI 1508023284 · Durham, NC · Ophthalmology Physician

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    Priyatham Mettu is a ophthalmology physician provider located in Durham, North Carolina. This profile covers 14 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
    OrganizationPriyatham Mettu
    Address2351 Erwin Rd
    CityDurham
    StateNC
    ZIP27710
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 20, 2008

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

    Payer SourceTotal Paid
    Medicare$332.6K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.1,580$80$118.7K
    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…1,260$90$109.8K
    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.1,760$30$49.1K
    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,…730$30$18.9K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…120$90$10.9K
    92240The provider uses a special dye, indocyanine–green (ICG), to take photographs of the vessels of the inner eye similar to that done for codes 92230/92235, which use fluorescein dye. He interprets the…40$140$5.8K
    67221In this procedure, the provider treats a localized cancerous focus within the middle layer of one eye by infusing a special drug, which he can activate by application of a laser beam.30$160$4.5K
    92202The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…360$10$4K
    67228In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space…20$190$3.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.30$100$3.1K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6702827120780$90$80K
    9201417880110$80$17.7K
    92235197060$100$8.7K
    67228142030$240$7.6K
    921343179070$30$7.5K
    6722121040$180$6.6K
    9224011040$140$5.8K
    9200432462030$90$4.6K
    9208351677050$40$3.7K
    922502585080$20$3.5K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Private Diagnostic Clinic, PLLCNCGeneral Practice Physician$0$46.5M
    Duke University Health System, Inc.NCGeneral Acute Care Hospital$0$44.4M
    Duke Health Integrated Practice, Inc.NCGeneral Practice Physician$0$36.3M
    Balboa Nephrology Medical Group, Inc.CANephrology Physician$0$25.9M
    Duke University Health System, Inc.NCGeneral Acute Care Hospital$0$11.6M
    Duke University Affiliated Physicians, Inc.NCEmergency Medicine Physician$0$11.6M
    Duke University Health System, Inc.NCParenteral & Enteral Nutrition Supplies (DME)$0$8.3M
    Duke University Health System IncNCGeneral Acute Care Hospital$0$7.9M
    Duke University Health System, Inc.NCInternal Medicine Physician$0$7.6M
    Tamer MahmoudMIRetina Specialist (Ophthalmology) Physician$2.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael AllinghamNCRetina Specialist (Ophthalmology) Physician$1.7M$0
    Jonathan CookNCDermatology Physician$1.6M$0
    Tywana DonaldsonNCNurse Practitioner$1.4M$0
    Pretesh PatelNCRadiation Oncology Physician$668.8K$0
    Pedro VargasNCDiagnostic Radiology Physician$439.5K$0
    Michael RehornNCStudent in an Organized Health Care Education/Training Program$369.4K$0
    Christopher BrownNCOrthopaedic Surgery Physician$360.8K$0
    Sunit VekariaNCDiagnostic Radiology Physician$358.3K$0
    Christopher BoehlkeNCOphthalmology Physician$314.3K$0
    Leon HerndonNCOphthalmology Physician$264K$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. North Carolina Distribution
    Priyatham Mettu — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina