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    OpenPayerNPI Medicare & MedicaidJeffrey Pyne
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    Jeffrey Pyne — Billing Profile & Reimbursement Data

    NPI 1649204355 · Panama City, FL · Ophthalmology Physician

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    Jeffrey Pyne is a ophthalmology physician provider located in Panama City, Florida. This profile covers 16 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJeffrey Pyne
    Address2500 Martin Luther King Jr Blvd
    CityPanama City
    StateFL
    ZIP32405
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 10, 2006

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$330

    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
    J2778Injection, ranibizumab, 0.1 mg2,840$180$499.5K
    J0178Injection, aflibercept, 1 mg310$690$210.9K
    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…1,720$80$141.3K
    J2777Injection, faricimab‑svoa, 0.1 mg4,800$30$139.2K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,140$90$96.8K
    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.2,450$30$68.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.120$220$27.1K
    J7999Compounded drug, not otherwise classified290$60$18.1K
    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$70$9.4K
    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.40$170$7.5K

    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
    J0178171250800$690$817.6K
    J277714417012,810$30$549.2K
    J277813110660$180$234.1K
    67028107300710$90$91.1K
    92014502,180160$80$28.5K
    6682118574060$230$24.1K
    920125021,170110$60$16.7K
    J799958190130$70$16.4K
    9223510819050$100$12K
    92134551,610110$30$11.9K

    Showing 1–10 of 16

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.20$20$330

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Florida providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Florida median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.159170200$10$10.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sunil GuptaFLRetina Specialist (Ophthalmology) Physician$11.4M$36.1K
    Ahmet OzkokFLOphthalmology Physician$2.1M$193.6K
    Magdalena ShulerFLRetina Specialist (Ophthalmology) Physician$2M$0
    George PetersMAOphthalmology Physician$1.6M$0
    Eye Center Of North Florida, P.A.FLAmbulatory Surgical Clinic/Center$1.2M$52K
    Paul GarlandFLOphthalmology Physician$370K$0
    David EnfieldAZOphthalmology Physician$223.6K$570
    Bret FisherALOphthalmology Physician$105.4K$0
    Kelly SmithFLOptometrist$64.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bay Hospital, IncFLGeneral Acute Care Hospital$0$19.3M
    Panama City Surgery Center,llcFLAmbulatory Surgical Clinic/Center$1.8M$14.8M
    Panhandle Pediatric Dentistry, PLLCFLPediatric Dentistry$0$14.7M
    The Surgical Center For Excellence, LllpFLAmbulatory Surgical Clinic/Center$18.8K$11.7M
    Rainbow Pediatrics PC LLCFLPediatrics Physician$0$8.3M
    Emerald Coast Pediatrics & AdolescentsFLPediatrics Physician$0$8M
    Life Management Center Of Nw Fl, Inc.FLPsychiatry Physician$0$7.9M
    Hospice Of The Emerald Coast, Inc.FLCommunity Based Hospice Care Agency$0$7.5M
    Amir AghaFLRheumatology Physician$3.6M$0
    Jon WardFLMOHS-Micrographic Surgery Physician$2.1M$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. Florida Distribution
    Jeffrey Pyne — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida
    Medicaid Revenue by Year vs. Florida Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Florida Distribution
    Jeffrey Pyne — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida