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    OpenPayerNPI Medicare & MedicaidNathan Rains
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    Nathan Rains — Billing Profile & Reimbursement Data

    NPI 1629397716 · Fort Collins, CO · Optometrist

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    Nathan Rains is a optometrist provider located in Fort Collins, Colorado. This profile covers 13 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
    OrganizationNathan Rains
    Address1725 E Prospect Rd
    CityFort Collins
    StateCO
    ZIP80525
    TaxonomyOptometrist
    NPI EnumeratedMay 28, 2010

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

    Payer SourceTotal Paid
    Medicare$137K
    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.

    13 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…480$90$41K
    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…580$60$36.5K
    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…290$90$26.4K
    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…270$50$12.9K
    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…260$30$6.8K
    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.30$150$4K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.40$80$2.9K
    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.90$30$2.6K
    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…10$130$1.8K
    99203The provider sees a new 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 provider…10$70$1K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9201475670100$80$15.2K
    992141,0908,16080$80$11.3K
    68761245030$130$9.1K
    9213416944060$30$7.8K
    992131437,20070$60$6.6K
    992043,0443,67030$110$4.7K
    9200421848030$90$4.4K
    992032,1932,65030$70$3.1K
    920831637040$40$2.7K
    921331736040$20$1.7K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brittney StatlerCOOphthalmology Physician$3.7M$0
    Arthur KorotkinCOOphthalmology Physician$3.7M$0
    Matthew AsanoCOOphthalmology Physician$2M$0
    Nora MuakkassaCOOphthalmology Physician$1.3M$0
    Matthew RobertsonKSOral and Maxillofacial Surgery (Dentist)$0$1.2M
    Jonathan SmithVAMOHS-Micrographic Surgery Physician$981.2K$0
    Kent CrewsCOOphthalmology Physician$881.6K$0
    Patrick ParkerGAUrology Physician$783.5K$0
    Aaron DentMOOphthalmology Physician$688.8K$0
    Gary FosterCOOphthalmology Physician$575.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MosaicCOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$40.1M
    Foothills Gateway Inc.COIn Home Supportive Care Agency$0$34.6M
    Rocky Mountain Clinics LLCCOClinical Medical Laboratory$0$13.1M
    Foothills Gateway, Inc.COCase Manager/Care Coordinator$0$10.8M
    Svc Dental Group, LLCCOPediatric Dentistry$0$8.4M
    Summitstone Health PartnersCOMental Health Clinic/Center (Including Community Mental Health Center)$0$7.4M
    The Residence At Oakridge, LLCCOAssisted Living Facility$0$6.9M
    Fort Collins Radiologic Associates PCCODiagnostic Radiology Physician$0$6.4M
    Reyes CorporationCOCommunity/Behavioral Health Agency$0$5.2M
    Highpointe ServicesCODevelopmentally Disabled Services Day Training Agency$0$5.1M

    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. Colorado Distribution
    Nathan Rains — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado