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    OpenPayerNPI Medicare & MedicaidJames Powers
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    James Powers — Billing Profile & Reimbursement Data

    NPI 1578553574 · New Port Richey, FL · Ophthalmology Physician

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    James Powers is a ophthalmology physician provider located in New Port Richey, Florida. This profile covers 16 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
    OrganizationJames Powers
    Address5413 Us Highway 19
    CityNew Port Richey
    StateFL
    ZIP34652
    TaxonomyOphthalmology Physician
    NPI EnumeratedOctober 21, 2005

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

    Payer SourceTotal Paid
    Medicare$75.8K
    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.

    16 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…210$70$15.2K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.150$80$12.2K
    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…80$90$7.2K
    92273The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…80$80$6.3K
    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.70$90$5.7K
    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.200$30$5.5K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.10$400$5.2K
    J7999Compounded drug, not otherwise classified60$60$3.7K
    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…30$130$3.1K
    92201The 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…190$20$3K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    67028279300710$90$91.1K
    9921412,43232,760140$90$25K
    67210273030$410$24.6K
    6876110640070$90$17.5K
    J7999131190130$70$16.4K
    92273317070$90$15K
    9921318,55430,01080$60$12K
    922356419050$100$12K
    921345911,610110$30$11.9K
    9224041050$130$8K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Claudio FerreiraFLOphthalmology Physician$685.8K$43.8K
    Martin PourkesaliFLOphthalmology Physician$337.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sacred Heart Care Inc.FLHome Health Agency$0$13.1M
    Morton Plant Hospital Association IncFLGeneral Acute Care Hospital$0$7.3M
    Mainstream Diagnostic Laboratory LLCFLClinical Medical Laboratory$3.3M$2.2K
    Satish SivasankaranFLCardiovascular Disease Physician$401.9K$0
    Akinwumi AladesaweFLPain Medicine (Physical Medicine & Rehabilitation) Physician$369.9K$0
    Omair ZafarFLFoot & Ankle Surgery Podiatrist$279.5K$0
    Satish PatelFLGastroenterology Physician$117.5K$30.3K
    Paul HahnFLDiagnostic Radiology Physician$124.1K$20.3K
    Amarjeet DhillonFLPsychiatry Physician$58.5K$81.5K
    Visal NumrungroadFLNephrology Physician$116.7K$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. Florida Distribution
    James Powers — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida