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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCharles Titone
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    Charles Titone — Billing Profile & Reimbursement Data

    NPI 1619930120 · Greenville, NC · Ophthalmology Physician

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    Charles Titone is a ophthalmology physician provider located in Greenville, North Carolina. 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
    OrganizationCharles Titone
    Address1011 Wh Smith Blvd
    CityGreenville
    StateNC
    ZIP27834
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 7, 2006

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

    Payer SourceTotal Paid
    Medicare$141.5K
    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
    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…150$340$51.7K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.80$200$16.6K
    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…240$60$14.7K
    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…150$100$14.7K
    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…160$80$12.3K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…20$470$7.1K
    65855In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.30$170$5.3K
    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…290$20$4.9K
    66761The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of…20$190$4.6K
    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.100$20$2.3K

    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
    66984334580230$70$73.7K
    6698211513030$100$20.8K
    668218731050$100$16.5K
    992147,00218,060110$80$15.1K
    65855347030$170$7.7K
    6676171020$240$7.6K
    9213430979070$30$7.5K
    992132,40316,32070$50$7.1K
    9213677250170$30$5.9K
    992042958,43030$110$4.8K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vidant Medical Group LLCNCMulti-Specialty Clinic/Center$0$78M
    Pitt County Memorial Hospital, IncNCGeneral Acute Care Hospital$0$60.3M
    East Carolina UniversityNCInternal Medicine Physician$0$53.7M
    Pitt County Memorial Hospital IncNCAmbulance$0$15.6M
    Eastern Radiologists IncNCDiagnostic Radiology Physician$0$14.3M
    Duplin General Hospital IncorporatedNCGeneral Acute Care Hospital$0$13.6M
    East Carolina Health - Heritage IncNCGeneral Acute Care Hospital$0$12.9M
    East Carolina Health - Chowan IncNCCritical Access Hospital$0$9.5M
    Kettering Independent Medical Group IncOHOrthopaedic Surgery Physician$0$8.4M
    East Carolina HealthNCGeneral Acute Care Hospital$0$8.2M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Charles Titone — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina