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    v1.0.28
    OpenPayerNPI Medicare & MedicaidUsha Reddy
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    Usha Reddy — Billing Profile & Reimbursement Data

    NPI 1609077841 · Huntersville, NC · Ophthalmology Physician

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    Usha Reddy is a ophthalmology physician provider located in Huntersville, North Carolina. This profile covers 19 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
    OrganizationUsha Reddy
    Address10305 Hamptons Park Drive
    CityHuntersville
    StateNC
    ZIP28078
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 29, 2007

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

    Payer SourceTotal Paid
    Medicare$238.3K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…110$620$66.4K
    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…380$90$35.1K
    J0585Injection, onabotulinumtoxina, 1 unit4,100$10$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…320$60$19.8K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.100$190$18.1K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…30$540$14.1K
    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…110$110$11.4K
    68840This procedure is the probing of the lacrimal canaliculi with or without irrigation.80$120$9.7K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.20$420$8.3K
    92082The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation.210$30$6.6K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0585761205,580$1$50.2K
    1582375050$520$40.3K
    67904204030$570$31.7K
    14060447030$560$19.5K
    92014697880110$80$17.7K
    992142,51218,060110$80$15.1K
    67917152020$440$14.2K
    64612223060$130$8.4K
    6784023030$200$7.5K
    992131,49316,32070$50$7.1K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charlotte Eye Ear Nose & Throat Associates, P.A.NCOphthalmology Physician$0$20.4M
    Justin BrownNCOphthalmology Physician$5M$0
    John AllenNCOphthalmology Physician$3.6M$0
    Omar PunjabiNCOphthalmology Physician$2.3M$0
    Alexander BarnesNCOphthalmology Physician$2.2M$22.5K
    Ronald MilamNCRetina Specialist (Ophthalmology) Physician$2.2M$0
    Duncan BerryNCOphthalmology Physician$1.3M$0
    David BrowningNCOphthalmology Physician$680.9K$0
    Andrew AntoszykNCOphthalmology Physician$559.8K$0
    Robert Van Der VaartNCOphthalmology Physician$476.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Umar Services, IncNCCommunity/Behavioral Health Agency$0$12.2M
    Presbyterian Sameday Surgery Center At Huntersville LLCNCAmbulatory Surgical Clinic/Center$807.6K$44.8K
    Alison JohnsonNCRheumatology Physician$679.7K$0
    William MitchellNCHematology & Oncology Physician$439.1K$0
    Jack BurtonNCHematology & Oncology Physician$422.3K$830
    Wei HuangNCOphthalmology Physician$408.4K$0
    Jennifer DallasNCHematology & Oncology Physician$407.9K$0
    Endoscopy Center Of Lake Norman, LLCNCEndoscopy Clinic/Center$397.6K$6.7K
    Endoscopy Center - Huntersville, LLCNCAmbulatory Surgical Clinic/Center$343.5K$29.8K
    Roderick EliasNCNeurology Physician$334.1K$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. North Carolina Distribution
    Usha Reddy — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina