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    OpenPayerNPI Medicare & MedicaidCharles Curry
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    Charles Curry — Billing Profile & Reimbursement Data

    NPI 1528066917 · Rehoboth Beach, DE · Ophthalmology Physician

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    Charles Curry is a ophthalmology physician provider located in Rehoboth Beach, Delaware. This profile covers 17 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
    OrganizationCharles Curry
    Address18791 John J Williams Hwy
    CityRehoboth Beach
    StateDE
    ZIP19971
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 11, 2005

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

    Payer SourceTotal Paid
    Medicare$605.3K
    Medicaid$0

    Key Findings

    CHARLES CURRY’s Medicare revenue mix is heavily driven by cataract surgical and comprehensive ophthalmology services: 66984 (cataract extraction with intraocular lens) accounts for $242.4K (40.1% of Medicare revenue) and 92014 (comprehensive established eye exam) contributes $94.4K (15.6%). The presence of both high-volume surgery and high-volume office exams indicates a practice that performs surgical procedures while maintaining significant office-based continuity care for established patients.

    Revenue concentration is high: the top three Medicare codes (66984, 92014, 99214) account for 64.1% of this provider’s total Medicare revenue. Those three codes specifically are 66984 $242.4K (40.1%), 92014 $94.4K (15.6%), and 99214 $51.3K (8.5%), which indicates the practice derives the majority of its Medicare income from a small set of surgical and E/M services.

    This provider is effectively single-payer in these datasets: total Medicare revenue is $605.3K and there is no Medicaid billing on file. The absence of Medicaid activity means any payer-strategy or network considerations should treat this profile as Medicare-dominant with no measurable Medicaid footprint.

    Competitive standing is mixed across service lines. For office-based comprehensive exams, 92014 ranks #1181 of 35415 (97th percentile; notably above typical national volume), indicating substantially higher-than-typical volume for established eye exams, while cataract surgery under 66984 ranks #2662 of 15965 (83th percentile; typical, unremarkable volume), showing surgical volume more in line with peers.

    The practice shows procedure-level specialization consistent with cataract workflows: preoperative biometry (76519) is an outlier with 726 claims and $25.4K revenue, ranking #13 of 1232 (99th percentile; extreme outlier). That extreme outlier for 76519 alongside substantial 66984 billing suggests a steady pipeline of cataract cases and a workflow that captures associated diagnostic testing in-house.

    Visit-level patterns show a high volume of lower-complexity follow-up or brief visits: 99212 has 581 claims and $22.1K revenue and ranks #825 of 99011 (99th percentile; extreme outlier), while 99214 (moderate-level E/M) has 618 claims and $51.3K revenue and ranks #33606 of 479517 (93th percentile; typical, unremarkable volume). Together these figures indicate frequent brief established-patient encounters in addition to a baseline of moderate-complexity visits.

    Subspecialty or complex glaucoma procedures are present but not dominant. Codes related to more complex intraocular techniques (66982, 66991) appear with modest revenue shares—66982 $31.1K (5.1%) rank #980 of 4580 (78th percentile; typical, unremarkable volume) and 66991 $28.1K (4.7%) rank #296 of 1445 (79th percentile; typical, unremarkable volume)—and glaucoma laser 65855 contributes $6.1K (1.0%) and ranks #1141 of 2796 (58th percentile; typical, unremarkable volume). This suggests the practice performs some complex or combined procedures but remains primarily cataract- and office-based.

    The provider is long-tenured in Medicare billing, with NPI enumeration on 2005-07-11 (~21 years ago), which supports interpretation of the billing mix as the result of an established practice rather than a recent change in service mix. Given total Medicare revenue of $605.3K, the overall scale is modest but consistent with a community ophthalmologist who integrates surgery, diagnostics, and frequent follow-up visits into a single practice.

    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.

    17 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…580$420$242.4K
    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…1,170$80$94.4K
    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…620$80$51.3K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.180$240$42.5K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…50$590$31.1K
    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…50$530$28.1K
    76519The provider uses A scan ultrasound echography to measure the axial length of the eye and determine the intraocular lens, or IOL calculation prior to cataract surgery.730$40$25.4K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…580$40$22.1K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…310$40$13.4K
    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…220$60$13.1K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984115070$590$163.6K
    6699161050$1,590$85.6K
    66982122060$700$60K
    668211330140$230$37.1K
    920145120250$80$29.9K
    992142511,830150$80$25.5K
    76519210580$30$14.7K
    992135801,810120$60$13.6K
    921346810080$30$7.5K
    6585571040$150$7K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Delaware Eye Care Center PADEOphthalmology Physician$0$5.2M
    James RialMDOphthalmology Physician$4.7M$510
    Joseph SchwartzMDOphthalmology Physician$4.2M$0
    Paul LagonigroMDOphthalmology Physician$3.5M$0
    Timothy DoyleDEOphthalmology Physician$983K$38.7K
    Edward HuIAOphthalmology Physician$706.8K$2.3K
    Kristen SemenickDEOptometrist$232.1K$224.9K
    Jason MoyerNCOptometrist$169.7K$259.3K
    Scott FudembergDEOphthalmology Physician$353.5K$0
    Arthur BelsonDEOphthalmology Physician$316.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Kids Pediatric Dentistry, LLCDEPediatric Dentistry$0$9.7M
    Beacon Pediatrics LLCDEPediatrics Physician$0$3.7M
    Ams Of Delaware, LLCDESubstance Use Disorder Rehabilitation Hospital Unit$123.6K$3.3M
    Nouman AsifDEHematology & Oncology Physician$1.5M$0
    Delaware Eye Surgery Center, LLCDEAmbulatory Surgical Clinic/Center$1.3M$20.1K
    Rehoboth Beach Volunteer Fire Co., Inc.DEAmbulance$459.2K$62.8K
    Matthew TullochDEFamily Medicine Physician$257K$0
    Laurie ContiDEOptometrist$203.8K$44.9K
    Samuel Swisher-mcclureDERadiation Oncology Physician$243.7K$0
    Owen ThomasDERadiation Oncology Physician$238.5K$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. Delaware Distribution
    Charles Curry — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware