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    OpenPayerNPI Medicare & MedicaidEdward Jaoude
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    Edward Jaoude — Billing Profile & Reimbursement Data

    NPI 1619969235 · Milton, DE · Ophthalmology Physician

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    Edward Jaoude is a ophthalmology physician provider located in Milton, Delaware. This profile covers 27 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
    OrganizationEdward Jaoude
    Address28322 Lewes Georgetown Hwy
    CityMilton
    StateDE
    ZIP19968
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 19, 2005

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

    Payer SourceTotal Paid
    Medicare$871.1K
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue footprint is concentrated and modest in absolute scale: total Medicare revenue is $871.1K and there is no Medicaid billing on file, so the practice is effectively single‑payer with Medicare as the primary source of public reimbursement. The absence of any Medicaid claims suggests the provider either does not serve a Medicaid population or bills Medicaid under a different taxonomy/NPI that is not present in this record.

    Revenue is highly concentrated in a small set of services: the precomputed top three Medicare codes (66984, 66821, and 92012) account for 51.8% of this provider’s total Medicare revenue. This concentration indicates that a majority of Medicare dollars are driven by a narrow mix of cataract surgery and office‑based eye exam procedures.

    The code mix indicates a cataract‑focused surgical practice with substantial perioperative and postoperative office care. 66984 (cataract extraction with IOL insertion) is the single largest revenue driver at $288.8K (33.2% of Medicare revenue), complemented by 66821 (YAG capsulotomy) at $83.7K (9.6%) and 66982 (complex cataract/IOL) at $77.1K (8.9%), which together point to a practice delivering both routine and more complex cataract procedures.

    Office‑based diagnostics and imaging are prominent and generate steady revenue, supporting high outpatient throughput. Codes such as 92012 (intermediate established eye exam, $78.8K, 9.0% of revenue) and 92133 (optic nerve OCT imaging, $30.3K, 3.5%) are large contributors; 92012 specifically ranks #308 of 17177 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code), signaling unusually high volumes of established‑patient encounters.

    Competitive standing on core surgical codes is mixed: for the primary cataract code 66984 the provider ranks #2443 of 15965 nationally (85th percentile; typical, unremarkable volume for this code), indicating above‑median but not dominant national surgical volume. By contrast, 66821 ranks #378 of 10087 providers nationally (96th percentile; typical, unremarkable volume for this code), so the provider shows relatively elevated activity for YAG capsulotomy compared with peers.

    Several codes are statistical outliers for national volume, highlighting specific areas of exceptional activity. In addition to 92012 being labeled an “extreme outlier,” 99205 (high‑complexity new patient visits, $64.9K, 7.5%) ranks #19 of 66257 providers nationally (100th percentile; extreme outlier) and 92133 (optic nerve OCT) ranks #41 of 24968 providers nationally (100th percentile; extreme outlier), together suggesting a practice that pairs high volumes of both complex new‑patient E/M and advanced diagnostic imaging.

    The broader procedural mix includes corneal and eyelid procedures and dry‑eye management, indicating some scope beyond cataract surgery. Examples include 65756 (complete corneal transplant, $11.4K, 1.3%), 68761 (punctal plug, $28.9K, 3.3%), and various minor eyelid excisions (67840, $11K, 1.3%), which together imply that the provider offers a range of anterior segment surgical services in addition to cataract and diagnostic care.

    The provider has a long tenure in the NPI registry, enumerated on 2005-08-19 (~21 years ago), which supports interpretation of these patterns as established practice behavior rather than short‑term fluctuation. Given the combination of long tenure, Medicare‑only billing on file, concentrated cataract revenue (top three codes = 51.8%), and multiple national high‑volume outlier codes, this provider appears to operate an established, Medicare‑focused ophthalmology practice with a surgical emphasis and high outpatient visit and imaging throughput.

    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.

    27 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…680$430$288.8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.340$240$83.7K
    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…1,190$70$78.8K
    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…130$580$77.1K
    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…780$90$67.4K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…420$160$64.9K
    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…1,120$30$30.3K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.170$170$28.9K
    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…830$30$25.9K
    92025The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.860$30$22.4K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698485070$590$163.6K
    6698252060$700$60K
    66821430140$230$37.1K
    9201418120250$80$29.9K
    92012340230$60$21.4K
    6575641020$990$18.8K
    6540011030$560$17.8K
    6784011040$260$11K
    92136120160$30$8.3K
    6876111030$160$7.7K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Millsboro Eye Care LLCDEOphthalmology Physician$0$1.1M
    Martha SeeleyKYFamily Medicine Physician$24.7K$777.3K
    Haroon RashidVAInternal Medicine Physician$145.9K$260.4K
    Timothy SmithDEOptometrist$385.3K$4K
    Amanda SmithDEOptometrist$278.2K$0
    Laurie ContiDEOptometrist$203.8K$44.9K
    Mohammad MouradINNephrology Physician$224K$0
    Rodney BeelerINEmergency Medicine Physician$33.7K$189K
    Ali TutarFLCardiovascular Disease Physician$148.9K$0
    Karen RudoDEOphthalmology Physician$146.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lowell F Scott Jr Md PADEPediatrics Physician$0$974.3K
    Jimmy MoonDEHome Modifications Contractor$0$964.8K
    Susan CoreyDEPsychiatric/Mental Health Nurse Practitioner$134K$347.4K
    Jonathan PattersonDEDiagnostic Radiology Physician$399.5K$0
    Grace Visitation ServicesDEIn Home Supportive Care Agency$0$389.7K
    Fellowship Health Resources, Inc.DEPsychiatric Residential Treatment Facility$0$319.8K
    Thomas KellyDEInternal Medicine Physician$282.9K$0
    Milton Fire Department IncDELand Ambulance$210.3K$14.7K
    Mercer Dental AssociatesDEDentist$0$212.3K
    Uday JaniDEInternal Medicine Physician$172.2K$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. Delaware Distribution
    Edward Jaoude — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware