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    OpenPayerNPI Medicare & MedicaidDonald Downer
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    Donald Downer — Billing Profile & Reimbursement Data

    NPI 1588777833 · Orange Park, FL · Ophthalmology Physician

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    Donald Downer is a ophthalmology physician provider located in Orange Park, Florida. 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
    OrganizationDonald Downer
    Address2023 Professional Dr.
    CityOrange Park
    StateFL
    ZIP32073
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 17, 2006

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

    Payer SourceTotal Paid
    Medicare$578.3K
    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.

    20 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…2,240$90$196.8K
    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…410$410$167.7K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.160$230$37.9K
    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.370$90$33K
    J1096Dexamethasone, lacrimal ophthalmic insert, 0.1 mg270$120$31.3K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.30$870$24.2K
    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…300$60$19.4K
    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,…700$30$18.2K
    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…470$30$13.7K
    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…120$110$13.5K

    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
    66984138940100$570$125.5K
    J10961640260$100$73K
    6575695020$1,190$28.6K
    9921421432,760140$90$25K
    6682111274060$230$24.1K
    687614940070$90$17.5K
    6543561030$50$14.7K
    992135,49430,01080$60$12K
    921349111,610110$30$11.9K
    992042,25619,04040$110$7K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sushma VanceFLOphthalmology Physician$1.8M$0
    Russell PecoraroFLOphthalmology Physician$1.5M$0
    Jameson DupreeKYOphthalmology Physician$1.5M$0
    David HayesFLOphthalmology Physician$435.9K$0
    Charles LancasterFLOptometrist$304.6K$0
    Yasmin IslamFLOphthalmology Physician$270.5K$0
    John BullockFLOphthalmology Physician$251.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Orange Park Medical Center, Inc.FLGeneral Acute Care Hospital$0$28.7M
    Meera OzaFLRheumatology Physician$3.5M$0
    Adam BagleyFLRheumatology Physician$2.9M$0
    George SchmiederFLDermatology Physician$2.3M$12.4K
    Eugene MccoskeyFLPulmonary Disease Physician$1.3M$0
    Express Medical Experts, LLCFLClinical Medical Laboratory$738.7K$493K
    Hossein RamezaniFLCardiovascular Disease Physician$1.2M$0
    Victor MaqueraFLNeurology Physician$468.6K$0
    Patrick DemarcoFLAllergy Physician$407.6K$0
    Maria Antonio-mirandaFLPulmonary Disease Physician$407K$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.

    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. Florida Distribution
    Donald Downer — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida