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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEric Roush
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    Eric Roush — Billing Profile & Reimbursement Data

    NPI 1528083524 · Westbrook, ME · Optometrist

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    Eric Roush is a optometrist provider located in Westbrook, Maine. 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
    OrganizationEric Roush
    Address151 Main St
    CityWestbrook
    StateME
    ZIP04092
    TaxonomyOptometrist
    NPI EnumeratedJuly 12, 2006

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

    Payer SourceTotal Paid
    Medicare$50.3K
    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
    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…180$80$15.3K
    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…150$70$11K
    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,…210$20$4.9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.50$80$4.3K
    0509TThe provider performs pattern electroretinography (PERG), an electrophysiologic technology to assess the function of both the retina and macula. The retina is tissue at the back of the eye that is…50$60$3K
    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…70$40$2.7K
    95930The provider performs visual evoked potential testing that measures the electrical activity of the brain in response to a visual stimulus; however, this test is not used for VEP for glaucoma.…50$50$2.5K
    92025The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.70$20$1.5K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…50$20$1.2K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.80$20$1.1K

    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
    92014120240150$80$14.7K
    992144282,50070$70$7.2K
    9213413218050$30$4.5K
    920044519030$90$3.6K
    8386161090$20$2.7K
    920834618040$40$2.2K
    922501315060$20$2.1K
    0509T11020$60$1.7K
    9228561050$20$1.6K
    921338017050$20$1.6K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eye Care & Eye Wear Center Of MaineMEOptometrist$0$355.2K
    Jennifer HaverkampMEOptometrist$32K$0
    Douglas GauvreauMECorneal and Contact Management Optometrist$14.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Creative WorksMEDevelopmentally Disabled Services Day Training Agency$0$144.1M
    Woodfords Family ServicesMECommunity/Behavioral Health Agency$0$101.5M
    Safe Residential Care, LLCMEPhysical Disabilities Residential Treatment Facility$0$94.6M
    3rivers, Inc.MEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$78.6M
    Woodfords Family ServicesMECommunity/Behavioral Health Agency$0$46.3M
    Alliance Case ManagementMECase Management Agency$0$17.8M
    Woodfords Family ServicesMEIn Home Supportive Care Agency$0$11.3M
    Woodfords Family ServicesMECase Management Agency$0$9.4M
    Mas Medical Staffing CorporationMEHome Health Agency$0$8.1M
    Maine Community HomecareMEIn Home Supportive Care Agency$0$8.1M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Maine Distribution
    Eric Roush — 2 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine