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    OpenPayerNPI Medicare & MedicaidPaul Johnson
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    Paul Johnson — Billing Profile & Reimbursement Data

    NPI 1669529780 · Philadelphia, PA · Ophthalmic Plastic and Reconstructive Surgery Physician

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    Paul Johnson is a ophthalmic plastic and reconstructive surgery physician provider located in Philadelphia, Pennsylvania. 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
    OrganizationPaul Johnson
    Address1923 Mount Vernon St
    CityPhiladelphia
    StatePA
    ZIP19130
    TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
    NPI EnumeratedJanuary 3, 2007

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

    Payer SourceTotal Paid
    Medicare$133.5K
    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
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…60$760$44.7K
    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…210$100$20.9K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.70$240$15.4K
    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…110$130$14K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…210$50$9.6K
    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…130$70$9.3K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…30$360$9.1K
    67900The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the…20$320$7K
    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…30$50$1.5K
    92082The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation.30$40$1.2K

    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
    67904106030$580$22.7K
    15823457030$520$20.7K
    992146,60323,230100$80$14.5K
    67900102020$390$12K
    992136,94322,37070$60$7.7K
    6784045020$190$5.8K
    9920476610,29030$110$5K
    920839181,31050$40$4.1K
    992122154,72030$40$2.3K
    92082276030$30$1.3K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Retinal Consultants LLCDEOphthalmology Physician$0$25.2M
    Omni Eye Specialists P ANJOphthalmology Physician$0$9M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Marc SpirnPAOphthalmology Physician$6.3M$0
    Rohit LakhanpalMDRetina Specialist (Ophthalmology) Physician$6.1M$0
    Randall PeairsPAOphthalmology Physician$5.6M$13.5K
    Brian CampolattaroNYPediatric Ophthalmology and Strabismus Specialist Physician Physician$122.7K$4.2M
    Vinod VoletiNJRetina Specialist (Ophthalmology) Physician$4.1M$0
    Sumit ShahNJRetina Specialist (Ophthalmology) Physician$4.1M$0
    Newman SundMDOphthalmology Physician$4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    In Home Program, Inc.PAHome Health Agency$0$18.2M
    Metropolitan Area Neighborhood Nutrition AlliancePAHome Delivered Meals$0$17.7M
    Delaware Valley Community Health, Inc.PAFederally Qualified Health Center (FQHC)$0$11.9M
    Joes PharmacyPACommunity/Retail Pharmacy$551.4K$40
    Steven ZunigaPAOtolaryngology Physician$233.4K$0
    Mary ManganPAAdult Health Nurse Practitioner$99.2K$0
    Jan CzerepakPANeuromusculoskeletal Medicine & OMM Physician$82.7K$800
    Fairmount Pharmacy IncPACommunity/Retail Pharmacy$55.8K$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. Pennsylvania Distribution
    Paul Johnson — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania