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    OpenPayerNPI Medicare & MedicaidNathan Haines
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    Nathan Haines — Billing Profile & Reimbursement Data

    NPI 1548559404 · Greensboro, NC · Retina Specialist (Ophthalmology) Physician

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    Nathan Haines is a retina specialist (ophthalmology) physician provider located in Greensboro, North Carolina. This profile covers 14 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationNathan Haines
    Address1132 N Church St Ste 103
    CityGreensboro
    StateNC
    ZIP27401
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMarch 31, 2011

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

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$140

    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
    J0178Injection, aflibercept, 1 mg1,230$690$845.3K
    J2777Injection, faricimab‑svoa, 0.1 mg7,620$30$221K
    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…850$90$75K
    J3590Unclassified biologics40$2,120$74.2K
    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.790$90$69.3K
    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.1,290$30$36.2K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$850$16.1K
    99204The 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…90$110$10K
    J9035Injection, bevacizumab, 10 mg120$50$6.7K
    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,…90$20$2.1K

    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
    J017842100950$690$881K
    J2777447012,990$30$503.7K
    J359061030$2,570$95K
    6702860120780$90$80K
    67042143020$990$23.8K
    9921443918,060110$80$15.1K
    J90354790140$50$13.4K
    921344979070$30$7.5K
    9921314,18516,32070$50$7.1K
    992041,0048,43030$110$4.8K

    Showing 1–10 of 14

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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$10$140

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. North Carolina median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.7280770$10$21.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kishan GovindSCOphthalmology Physician$2.1M$0
    Charles RichardsNCOphthalmology Physician$1.6M$0
    Jason SandersNCSpecialist$1.1M$0
    Paula PecenNCOphthalmology Physician$1.1M$0
    Jeffrey OlsonCOOphthalmology Physician$983.2K$0
    Paul RochonCOVascular & Interventional Radiology Physician$420.6K$0
    Varun SreenivasanMSNeuromuscular Medicine (Psychiatry & Neurology) Physician$392.5K$0
    David SchreiberCARadiation Oncology Physician$359.9K$0
    Leonard SeiboldCOGlaucoma Specialist (Ophthalmology) Physician$299K$0
    Misha MillerCOMOHS-Micrographic Surgery Physician$296.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Moses H. Cone Memorial Hospital Operating CorporationNCGeneral Acute Care Hospital$0$133.5M
    The Moses H Cone Memorial Hospital Operating CorporationNCInternal Medicine Physician$0$21.6M
    The Moses H. Cone Memorial Hospital Operating CorporationNCPediatrics Physician$0$21.3M
    Alston Personal Care Service LLCNCIn Home Supportive Care Agency$0$19.2M
    Bayada Home Health Care, Inc.NCDevelopmental Disabilities Clinic/Center$0$16.8M
    Morgan Support Services, Inc.NCCommunity/Behavioral Health Agency$0$12.6M
    Guilford County SchoolsNCLocal Education Agency (LEA)$0$12.5M
    Shipman Family Home Care, IncNCHome Health Agency$0$10.2M
    Alison J McmillianNCOrthodontics and Dentofacial Orthopedics Dentistry$0$10M
    Rachel Perenits Dds PANCDentist$0$8.6M

    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
    Nathan Haines — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina
    Medicaid Revenue by Year vs. North Carolina Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Carolina Distribution
    Nathan Haines — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina