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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Matthews
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    John Matthews — Billing Profile & Reimbursement Data

    NPI 1659375483 · Greensboro, NC · Ophthalmology Physician

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    John Matthews is a ophthalmology physician provider located in Greensboro, North Carolina. This profile covers 12 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
    OrganizationJohn Matthews
    Address1313 Carolina Street
    CityGreensboro
    StateNC
    ZIP27401
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 9, 2005

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

    Payer SourceTotal Paid
    Medicare$975.5K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg620$690$429.3K
    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…1,420$90$128.9K
    J2777Injection, faricimab‑svoa, 0.1 mg4,020$30$116.6K
    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.1,080$90$100K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…740$100$70.1K
    J9035Injection, bevacizumab, 10 mg1,070$60$60.1K
    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.1,440$30$41.8K
    92201The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…940$20$16.9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.50$100$5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.10$230$3.2K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017862100950$690$881K
    J2777647012,990$30$503.7K
    6702847120780$90$80K
    9201414880110$80$17.7K
    6682129331050$100$16.5K
    J9035290140$50$13.4K
    9223517060$100$8.7K
    921344579070$30$7.5K
    9200419662030$90$4.6K
    9220125050$20$2.1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moses Cone Affiliated Physicians, Inc.NCPediatrics Physician$0$8.1M
    The Charlotte-mecklenburg Hospital AuthorityNCPediatrics Physician$0$8.1M
    Carolinas Physicians Network IncNCPediatrics Physician$0$7.3M
    Narendra PatelNCOphthalmology Physician$2.1M$0
    Brian ZamoraNCRetina Specialist (Ophthalmology) Physician$793.6K$0
    Gary RankinNCOphthalmology Physician$636.1K$0
    Said IskandarVACardiovascular Disease Physician$462.9K$0
    John MosconaTXInterventional Cardiology Physician$342.3K$0
    Justin SmithFLClinical Cardiac Electrophysiology Physician$339K$0
    Eric KozlowNCAllergy & Immunology Physician$209.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Moses H. Cone Memorial Hospital Operating CorporationNCGeneral Acute Care Hospital$0$133.5M
    The Moses H Cone Memorial Hospital Operating CorporationNCInternal Medicine Physician$0$21.6M
    The Moses H. Cone Memorial Hospital Operating CorporationNCPediatrics Physician$0$21.3M
    Alston Personal Care Service LLCNCIn Home Supportive Care Agency$0$19.2M
    Bayada Home Health Care, Inc.NCDevelopmental Disabilities Clinic/Center$0$16.8M
    Morgan Support Services, Inc.NCCommunity/Behavioral Health Agency$0$12.6M
    Guilford County SchoolsNCLocal Education Agency (LEA)$0$12.5M
    Shipman Family Home Care, IncNCHome Health Agency$0$10.2M
    Alison J McmillianNCOrthodontics and Dentofacial Orthopedics Dentistry$0$10M
    Rachel Perenits Dds PANCDentist$0$8.6M

    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. North Carolina Distribution
    John Matthews — 4 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina