Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid George
    Ask Trek AI about this page

    David George — Billing Profile & Reimbursement Data

    NPI 1619945755 · Parkersburg, WV · Ophthalmology Physician

    Customize your policy alerts

    Sign up for David George — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    David George is a ophthalmology physician provider located in Parkersburg, West Virginia. This profile covers 17 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid George
    Address418 Grand Park Dr
    CityParkersburg
    StateWV
    ZIP26105
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 14, 2006

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

    Payer SourceTotal Paid
    Medicare$451K
    Medicaid$0

    Key Findings

    The provider’s Medicare revenue and code mix point to a cataract-centered ophthalmology practice: 66984 ($210.9K, 46.8% of Medicare revenue) and 66982 ($37.9K, 8.4%) are the largest single-procedure revenue drivers, and 66821 ($32.4K, 7.2%) is also among the top codes. These surgical codes combined with frequent IOL measurement (92136) and post‑op laser (66821) suggest a workflow focused on cataract surgery and its pre/post‑operative management rather than purely medical retina or glaucoma subspecialty care.

    Revenue concentration is high: the precomputed top 3 Medicare codes account for 62.8% of this provider’s total Medicare revenue, with a single code (66984) representing 46.8% of Medicare revenue ($210.9K). This degree of concentration indicates that the financial performance of the practice is heavily dependent on cataract procedures and the associated visit/care bundle.

    Payer mix is effectively single‑payer Medicare: total Medicare revenue is $451K while Medicaid revenue is none (no Medicaid billing on file), so the practice has no measurable Medicaid activity. That lack of Medicaid billing limits exposure to state program reimbursement dynamics but also means the provider has little participation in the Medicaid patient population.

    Competitive standing on cataract procedures is modestly above average nationally: 66984 ranks #2878 of 15965 providers nationally (82th percentile; typical, unremarkable volume for this code) and 66982 ranks #679 of 4580 providers nationally (85th percentile; typical, unremarkable volume for this code). These ranks indicate the provider is an active surgical participant but not a national volume leader for these procedures.

    There is a notable statistical outlier in office intake: 99204 (new patient moderate complexity visits) is an extreme outlier, ranking #716 of 227068 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code) with 354 claims and $34.7K in revenue. This unusually high volume of level‑4 new‑patient visits suggests either a steady referral inflow of complex new ophthalmology consultations or a distinctive front‑end practice pattern that generates higher‑level new‑patient E/M activity.

    Diagnostic and follow‑up services show sustained outpatient throughput: 92136 (IOL measurements) has 607 claims and $17K revenue and ranks #410 of 8731 providers nationally (95th percentile; notably above typical national volume for this code), while 92014 (established comprehensive eye exams) has 413 claims and $31.8K revenue (81th percentile). High volumes of these diagnostic and E/M codes support the interpretation that the surgical cataract activity is backed by substantial pre‑op testing and post‑op follow‑up.

    The practice shows a balanced mix of surgery and office practice: alongside high surgical revenue, established‑patient E/M codes such as 99214 ($26.8K) and 99213 ($26.8K) appear in the top code list and sit at elevated percentiles (99213 at the 94th percentile), indicating steady routine care and chronic patient management in addition to episodic surgical cases. This combination of services is consistent with a community ophthalmologist who performs a high volume of cataract-related procedures while maintaining a significant outpatient clinic.

    The provider is long‑established: NPI enumerated 2006-03-14 (~20 years ago), which aligns with the observed mix of sustained surgical throughput and ongoing outpatient visit volume. Given total Medicare revenue of $451K and no Medicaid billing on file, the practice appears to be a stable, Medicare-focused local provider rather than a large multisite or dual‑payer system participant.

    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.

    17 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…510$410$210.9K
    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…70$560$37.9K
    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…350$100$34.7K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.140$240$32.4K
    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…410$80$31.8K
    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…330$80$26.8K
    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…490$60$26.8K
    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…610$30$17K
    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…250$40$9.9K
    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.230$30$5.7K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669843290210$70$60.7K
    6698243030$400$17.9K
    9201430180120$70$16.3K
    6682185050$190$16.2K
    992143852,740100$70$11.8K
    992131522,86080$50$7.5K
    6676141030$190$6.4K
    92136540160$20$6.1K
    6585582030$160$5.8K
    921342316060$30$5.4K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel RichardsonWVRetina Specialist (Ophthalmology) Physician$2.5M$0
    Zane LazerWVOphthalmology Physician$506.4K$0
    Scott StricklerWVOphthalmology Physician$140.2K$0
    Nannette RudolphOHCertified Registered Nurse Anesthetist$63.6K$0
    Karen RobinsonKYCertified Registered Nurse Anesthetist$55.5K$0
    Justin StoverWVAnesthesiology Physician$13K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wv Asthma And Allergy Centers, Inc.WVAllergy & Immunology Physician$0$1.8M
    Prakash PatelWVPediatrics Physician$0$1.1M
    Mid-ohio Valley Nephrology AssociationWVNephrology Physician$0$919.4K
    Parkersburg Infectious Disease PLLCWVInfectious Disease Physician$0$802.2K
    John ConnerWVFamily Medicine Physician$380.9K$0
    Seyoum BageWVInfectious Disease Physician$101.1K$269.8K
    Barrett LoudenWVDermatology Physician$259.2K$0
    Mirza HamiraniWVNephrology Physician$245.5K$0
    Karyn PlotzWVPhysical Therapist$172.8K$0
    Janelle KingWVDermatology Physician$167.3K$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. West Virginia Distribution
    David George — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia