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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEmily Charlson
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    Emily Charlson — Billing Profile & Reimbursement Data

    NPI 1609296466 · Palo Alto, CA · Ophthalmology Physician

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    Emily Charlson is a ophthalmology physician provider located in Palo Alto, California. 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
    OrganizationEmily Charlson
    Address2452 Watson Ct
    CityPalo Alto
    StateCA
    ZIP94303
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 21, 2014

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

    Payer SourceTotal Paid
    Medicare$265.4K
    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…740$100$76.1K
    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…40$900$36.1K
    67950Canthoplasty (median or lateral) is often referred to as a corner eye lift or eye tendon surgery. The ophthalmologist uses this technique to strengthen the lateral canthal tendon or orbicularis…70$460$33.1K
    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…380$70$27.4K
    67903The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove an obstruction to a patient’s vision. He accesses the…20$860$20.5K
    67961The provider excises damaged or diseased tissue of the eyelid that may include the edges of the lid, the lid’s inner plate, the membrane lining of the lid, or the corner where the lids come together.…40$530$19.9K
    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$120$14.4K
    67921During this procedure, the provider uses sutures to repair an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye, which can lead to excessive tearing and…30$360$11.6K
    67911During this procedure, the provider corrects the retraction of the eyelid, in which the eyelid is moving away from the surface of the eye.20$410$6.2K
    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.160$40$5.7K

    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
    6796151040$440$31.5K
    158237219030$640$30.9K
    992142,83537,970120$90$23.2K
    67903193030$580$21.9K
    6795054030$390$19.9K
    992134,67234,66080$70$13.2K
    921347992,15090$30$12.6K
    68810406030$180$9.3K
    6792111020$400$7.9K
    992042,13419,36040$120$7.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stanford Health CareCAGeneral Acute Care Hospital$0$264.9M
    North East Medical ServicesCAFederally Qualified Health Center (FQHC)$0$142.5M
    North East Medical ServicesCAFederally Qualified Health Center (FQHC)$0$59M
    North East Medical ServicesCAFederally Qualified Health Center (FQHC)$0$47.5M
    Stanford Health CareCAGeneral Acute Care Hospital$0$46.2M
    North East Medical ServicesCAFederally Qualified Health Center (FQHC)$0$38.8M
    Ira SchacharCARetina Specialist (Ophthalmology) Physician$3.9M$4.1M
    Daniel TaheriCADermatology Physician$3.3M$7.4K
    David KornguthCARadiation Oncology Physician$2.6M$0
    J JumperCARetina Specialist (Ophthalmology) Physician$2.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South County Community Health Center IncCAPrimary Care Clinic/Center$0$109.3M
    Donald St. ClaireCAInterventional Cardiology Physician$746.8K$0
    Robert MeadCAClinical Cardiac Electrophysiology Physician$437.5K$0
    Chad BrodtCAClinical Cardiac Electrophysiology Physician$428.9K$0
    Nellis SmithCACardiovascular Disease Physician$338.8K$0
    Robin PatrawalaCAClinical Cardiac Electrophysiology Physician$313.2K$0
    David JonesCAInternal Medicine Physician$101.4K$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. California Distribution
    Emily Charlson — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California