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    OpenPayerNPI Medicare & MedicaidKelly Boucher
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    Kelly Boucher — Billing Profile & Reimbursement Data

    NPI 1528476207 · Oklahoma City, OK · Optometrist

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    Kelly Boucher is a optometrist provider located in Oklahoma City, Oklahoma. This profile covers 8 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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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKelly Boucher
    Address4913 W Reno Ave
    CityOklahoma City
    StateOK
    ZIP73127
    TaxonomyOptometrist
    NPI EnumeratedJuly 25, 2014

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

    Payer SourceTotal Paid
    Medicare$26.6K
    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.

    8 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…170$80$13.7K
    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,…220$20$5K
    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…70$60$3.9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.20$80$1.5K
    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…30$30$990
    92100Code 92100 describes multiple measurements of intraocular pressure taken over a given time period on a single day in order to monitor response to treatment or document pressure changes throughout the…10$60$640
    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…20$20$480
    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.10$20$320

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014216550130$70$16.6K
    992133,1075,45080$50$8.7K
    9213443246050$30$5.4K
    9200435143040$90$5.4K
    9208323741040$40$2.8K
    922506642070$20$2.7K
    9210031020$60$1.9K
    9213325239040$20$1.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Oklahoma American Indian Health Council, Inc.OKFederally Qualified Health Center (FQHC)$0$79.6M
    Sanjaykumar HapaniOKHematology & Oncology Physician$2M$0
    Vinay ShahOKRetina Specialist (Ophthalmology) Physician$1.7M$0
    Wudeneh ZewdieOKNephrology Physician$386.3K$0
    Oladipo IgbekoyiOKFamily Medicine Physician$345.2K$0
    Kevin HammKSDiagnostic Radiology Physician$275.4K$66.6K
    Adil KabeerFLPlastic Surgery Physician$259.5K$0
    Jeremy FullingimOKDiagnostic Radiology Physician$220.1K$0
    Jayesh ThakrarINDiagnostic Radiology Physician$192.3K$4.8K
    Ralph NoahOKDiagnostic Radiology Physician$156.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Res-care Oklahoma, Inc.OKNursing Care Agency$0$5.2M
    Kevin EppersonOKFamily Medicine Physician$112.4K$0
    Tyler HarmsOKPhysical Therapist$58K$0
    Pharmcareok, Inc.OKLong Term Care Pharmacy$40.8K$0
    Karen KyteOKPhysician Assistant$13.7K$0
    Janice HixsonOKPediatrics Physician$730$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oklahoma Distribution
    Kelly Boucher — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma