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    OpenPayerNPI Medicare & MedicaidJeffrey Peterson
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    Jeffrey Peterson — Billing Profile & Reimbursement Data

    NPI 1578889945 · Honolulu, HI · Ophthalmology Physician

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    Jeffrey Peterson is a ophthalmology physician provider located in Honolulu, Hawaii. This profile covers 20 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
    OrganizationJeffrey Peterson
    Address615 Piikoi St Ste 205
    CityHonolulu
    StateHI
    ZIP96814
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 10, 2010

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

    Payer SourceTotal Paid
    Medicare$309.6K
    Medicaid$0

    Key Findings

    Provider-level profile and payer scale: JEFFREY PETERSON has been NPI-enumerated since 2010-04-10 (~16 years ago) and reports Total Medicare revenue: $309.6K with no Medicaid billing on file. The absence of any Medicaid activity ("none below") makes this effectively a Medicare-focused practice in the available claims data, concentrating commercial payer negotiation exposure on a single public payer.

    Revenue concentration in Medicare: the top 3 Medicare codes by revenue account for 54.4% of this provider's total Medicare revenue, driven by 66984 ($82.6K, 26.7%), 92012 ($52.8K, 17.0%), and 92014 ($33.1K, 10.7%). This concentration indicates a heavy reliance on a small set of cataract surgery and routine ophthalmic exam codes for the majority of billed Medicare dollars.

    Clinical and service-line signal: the code mix is consistent with an office-based ophthalmology practice that performs cataract surgery and a high volume of diagnostic testing and follow-up exams. High-revenue and high-claim entries include surgical code 66984 (cataract extraction with IOL), frequent intermediate and comprehensive exam codes 92012 and 92014, and diagnostic imaging/testing such as 92133 (465 claims, $12.1K) and 92250 (440 claims, $13.2K), supporting a blended surgical and diagnostics workflow.

    Competitive standing for surgical services: 66984 ranks #5236 of 15965 providers nationally (67th percentile) and is characterized in the dataset as "typical, unremarkable volume for this code," indicating the provider is a modest national participant in cataract surgery rather than a dominant surgical center. The $395 avg paid/claim and 209 claims produce $82.6K in revenue, but the national rank suggests this surgical volume is not unusually high.

    Diagnostic and exam dominance vs. peers: the provider shows notably elevated volume in several diagnostic and exam codes—92012 ranks #756 of 17177 providers nationally (96th percentile, labeled "notably above typical national volume for this code"), 92083 ranks in the 95th percentile, and 92133 ranks #757 of 24968 providers nationally (97th percentile, "notably above typical"). These rankings indicate the practice is comparatively strong in routine and diagnostic ophthalmic services relative to national peers, likely reflecting a high steady-state outpatient caseload.

    Unusual E/M pattern: 99204 (new patient moderate level) is marked an "extreme outlier, far above typical national volume for this code" with rank #3945 of 227068 providers nationally (98th percentile) and $24.6K in revenue from 214 claims. This elevated use of 99204 compared with peers may reflect referral concentration, a large intake of complex new patients, or practice-level triage that directs more patients into higher-level new-patient visits.

    Glaucoma and ancillary procedural mix: the provider bills a range of glaucoma-related procedures (66710, 66174, 65855) and laser treatments including 66821 (34 claims, $9.2K). Most glaucoma codes are described as "typical, unremarkable volume," though 66174 ranks #665 of 741 providers nationally (7th percentile), indicating relatively low national volume for that specific canaloplasty-type procedure compared with the small specialist cohort that bills it.

    Strategic implication from payer mix absence: with no Medicaid billing on file and Total Medicare revenue: $309.6K concentrated in a few codes, the provider’s reimbursement risk and growth opportunities will be driven largely by Medicare policy, referral sources, and local market competition rather than state Medicaid program participation. Analysts should consider this single-payer concentration when modeling patient access, revenue sensitivity to Medicare fee changes, and opportunities to expand payer mix.

    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.

    20 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…210$400$82.6K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…810$70$52.8K
    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…380$90$33.1K
    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…210$120$24.6K
    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$90$19.4K
    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…380$50$18.2K
    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,…440$30$13.2K
    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…470$30$12.1K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…520$20$9.3K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.30$270$9.2K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984127060$640$88.9K
    6617481040$1,000$48.9K
    9201439220120$90$22.5K
    992144101,440100$80$15.2K
    6671021020$600$13.1K
    920126150110$60$13.1K
    66821205030$260$11.6K
    6585591030$160$8.3K
    921342815060$30$7.2K
    992041063030$110$5.3K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tyrie JenkinsHIOphthalmology Physician$303.6K$0
    Project Vision HawaiiHIFamily Nurse Practitioner$0$261.3K
    Neda NikpoorHIOphthalmology Physician$128K$0
    Nicole ChangHIOptometrist$47K$0
    Vijak AyasanondaHIEmergency Medicine Physician$41.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Walgreen CoHIPharmacy$0$25.3M
    Mastercare IncHINursing Care Agency$0$10.8M
    Attention Plus Private Nursing, Inc.HINursing Care Agency$0$7.7M
    Heaven's Helpers, Inc.HIIn Home Supportive Care Agency$0$4.5M
    Heaven's Helpers, Inc.HINursing Care Agency$0$4M
    Honolulu Imaging Center, LLCHIDiagnostic Radiology Physician$2.6M$1.1M
    Eugene W M Ng Md LLCHIOphthalmology Physician$0$3.7M
    Bayada Home CareHIIn Home Supportive Care Agency$0$3.6M
    B Homecare L.L.C.HIIn Home Supportive Care Agency$0$3.5M
    Hawaii Diagnostic Radiology Services LLCHIDiagnostic Radiology Physician$0$3.2M

    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. Hawaii Distribution
    Jeffrey Peterson — 6 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii