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

    NPI 1609997477 · Saipan, MP · Optometrist

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    Donald Hardt is a optometrist provider located in Saipan, Northern Mariana Islands. This profile covers 8 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 Hardt
    AddressAmparo Building, Beach Road
    CitySaipan
    StateMP
    ZIP96950
    TaxonomyOptometrist
    NPI EnumeratedApril 2, 2007

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

    Payer SourceTotal Paid
    Medicare$23.9K
    Medicaid$0

    Key Findings

    This provider’s Medicare billing footprint is small in absolute scale: total Medicare revenue on file is $23.9K and there is no Medicaid billing on file, so the practice effectively operates as a Medicare-only billing entity in our dataset. The absence of Medicaid activity means payer-mix analysis should treat this profile as single-payer (Medicare) rather than a mixed Medicaid/Medicare operation.

    Revenue is highly concentrated in a narrow set of exam and imaging codes: the precomputed top-three Medicare codes (92014, 92012, 92250) account for 73.9% of this provider’s total Medicare revenue. Individually these codes generate $7.5K (31.6%) from 92014, $7.4K (31.2%) from 92012, and $2.6K (11.0%) from 92250, indicating a dependence on routine established-patient eye exams and fundus photography for the bulk of receipts.

    The code mix indicates a clinical focus on established-patient eye examinations and retinal documentation rather than high-volume surgical or advanced procedure lines. The top two codes are 92014 (comprehensive established eye exam) and 92012 (intermediate established eye exam), together representing the largest share of revenue, while 92250 (fundus photography) is the third-largest revenue driver and supports diagnostic retinal imaging as a routine service line.

    Competitive standing by code shows the provider is a modest participant rather than a market leader: 92014 ranks #17203 of 35415 (51th percentile) and is characterized as having typical, unremarkable volume; 92012 ranks #6253 of 17177 (63th percentile) and is also described as typical, unremarkable volume; 92250 ranks #6725 of 25087 (73th percentile) and likewise shows typical, unremarkable volume. These percentiles indicate the practice is near median or modestly above median for some exam and imaging codes, but not a dominant national outlier.

    The practice bills a range of diagnostic imaging and testing codes at smaller but material levels, signaling in-office capabilities beyond basic refraction: 92083 (visual field) generated $2.1K (8.7%), 92285 (photography of abnormalities) generated $1.2K (5.1%), 92133 (OCT optic nerve imaging) generated $975 (4.1%), and 92134 (OCT retina imaging) generated $729 (3.1%). Percentile placements for these codes trend mixed—92083 at the 47th percentile, 92285 at the 71th percentile, 92133 at the 38th percentile, and 92134 at the 23th percentile—showing pockets of stronger relative activity in diagnostic photography but generally modest usage of advanced imaging compared with national peers.

    Given the small overall Medicare revenue ($23.9K) and the concentration in a couple of established-patient exam codes, the provider’s revenue is likely sensitive to changes in patient visit volume or payer reimbursement for these specific exam codes. The reliance on a narrow set of routine exam services (92014 and 92012 together accounting for 62.8% of Medicare revenue) suggests limited revenue diversification within Medicare billing on file.

    This NPI has been enumerated since 2007-04-02 (~19 years ago), which indicates long tenure in the registry; however, the combination of long tenure with modest Medicare revenue suggests either a small clinical footprint in Saipan or that the provider’s Medicare-billable activity represents only a portion of broader clinical or non-Medicare services. Analysts should treat the billing profile as representing a small, established optometrist practice with routine exam and imaging services rather than a high-volume regional provider.

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…130$60$7.5K
    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…140$50$7.4K
    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,…140$20$2.6K
    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…50$40$2.1K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.30$50$1.2K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.90$10$1.2K
    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…40$30$980
    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.30$30$730

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92012310170$50$11.1K
    92014310150$60$9.6K
    9200431030$70$2.6K
    9208331050$40$2.2K
    9225011090$20$1.8K
    9213421020$30$1.8K
    9213311040$20$760
    9228511060$10$710

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeanolivia GrantMPFamily Medicine Physician$228.7K$0
    Northern Mariana Islands GovernmentMPLand Ambulance$180.9K$0
    Keri AllenMPOphthalmology Physician$96.8K$0
    Vicente AldanMPFamily Medicine Physician$87.4K$0
    Ahmad Al-alouMPInternal Medicine Physician$36.1K$0
    Norma AdaMPInternal Medicine Physician$32.8K$0
    Mark RobertsonMPOptometrist$25.8K$0
    David HardtMPOptometrist$24.1K$0
    Pamela CarhillMPPhysical Therapist$22K$0
    Jiayi KongMPInternal Medicine Physician$21.9K$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. Northern Mariana Islands Distribution
    Donald Hardt — 2 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Northern Mariana Islands