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NPI 1669573713 · Missoula, MT · Ophthalmology Physician
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David Mccann is a ophthalmology physician provider located in Missoula, Montana. This profile covers 25 Medicare and 8 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | David Mccann |
| Address | 700 West Kent |
| City | Missoula |
| State | MT |
| ZIP | 59801 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | September 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $390.2K |
| Medicaid | $17.4K |
This provider is overwhelmingly Medicare-focused: lifetime Medicare revenue is $390.2K versus Medicaid revenue of $17.4K, so Medicare represents the dominant revenue stream and the practice is effectively Medicare-driven in scale. The NPI was enumerated 2006-09-25 (~20 years ago), indicating an established presence likely tied to sustained Medicare patient volume.
Cataract surgery is the single largest revenue driver on Medicare: code 66984 accounts for $133.7K and 34.2% of this provider's total Medicare revenue, and the top three Medicare codes together account for 54.7% of Medicare revenue. That mix—high-yield cataract procedures combined with E&M codes (99214, 99204)—is consistent with a surgeon who maintains both operating-room cataract volume and substantial clinic-based evaluation work.
Medicaid revenue is highly concentrated in a small set of services: the top three Medicaid codes (92083, 99204, 92133) account for 89.2% of Medicaid revenue, with 92083 alone contributing $7.8K (44.2% of Medicaid revenue). This pattern suggests Medicaid billing is focused on diagnostic visual field testing and a meaningful share of new patient evaluation rather than a broad Medicaid service mix.
One notable statistical outlier: code 99204 (new patient office visit) is marked an "extreme outlier, far above typical national volume" and contributes $27.8K (7.1% of Medicare revenue) and $4.2K (24.1% of Medicaid revenue). That unusually high national rank for complex new-patient visits suggests the provider receives a strong inflow of consults or places emphasis on thorough initial evaluations relative to peers.
Competitive standing is mixed by code and payer: 66984 ranks in the 75th percentile nationally (described as typical, unremarkable volume) so surgical cataract activity is solid but not dominant among national peers, while 99214 ranks at the 92nd percentile (typical, unremarkable volume) indicating relatively high E&M throughput. On the Medicaid side, 92083 ranks #4 of 9 in-state (63rd percentile) and 92133 ranks #3 of 7 in-state (67th percentile), indicating a modest, not dominant, statewide role for visual field and optic nerve imaging services.
Procedure breadth indicates a full-scope ophthalmology practice beyond cataract surgery: the Medicare list includes 66821 (YAG capsulotomy), 66982 (complex IOL cases), multiple oculoplastic codes (15823, 67904, 67917, 67900), and retinal/diagnostic imaging codes (92134, 92133, 92136). This combination supports an operating surgeon who also provides oculoplastic procedures and in-office diagnostic imaging, aligning with a multi-service ophthalmology clinic model.
Billing detail anomalies worth noting: J0585 reports 2.4K claims but only $12.1K in revenue (3.1% of Medicare revenue) and ranks in the 12th percentile nationally (typical, unremarkable volume). The high claim count with low average paid/claim indicates a product/unit-based billing stream (onabotulinumtoxina) that contributes limited revenue despite frequent entries.
Practice-level implications from the mix of codes and tenure: sustained enumeration since 2006 combined with concentrated Medicare surgical revenue suggests stable referral ties in the local market and a patient panel skewed toward older adults needing cataract care. Payers and network planners should view this clinician as an experienced, Medicare-centric ophthalmologist with notable new-patient consult activity rather than a high-volume Medicaid provider.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The 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… | 310 | $430 | $133.7K |
| 99214 | The 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… | 580 | $90 | $52.4K |
| 99204 | The 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… | 260 | $110 | $27.8K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 110 | $260 | $27.3K |
| 15823 | In 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 | $660 | $20.6K |
| 67904 | The 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… | 20 | $670 | $13.5K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 2,410 | $10 | $12.1K |
| 67917 | During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of… | 30 | $370 | $10.7K |
| 92136 | The 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… | 330 | $30 | $9.5K |
| 67900 | The 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… | 30 | $300 | $8.9K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
25 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 15 | 120 | 50 | $490 | $78.1K |
| J0585 | 13 | 20 | 6,800 | $1 | $42.3K |
| 66982 | 26 | 30 | 30 | $600 | $29.6K |
| 15823 | 7 | 10 | 30 | $510 | $23.6K |
| 66821 | 12 | 70 | 50 | $220 | $18.3K |
| 67900 | 4 | 10 | 40 | $420 | $15.6K |
| 67917 | 2 | 10 | 30 | $460 | $15.5K |
| 67904 | 3 | 10 | 20 | $590 | $12.5K |
| 99214 | 92 | 1,810 | 100 | $70 | $12.4K |
| 92136 | 11 | 30 | 270 | $30 | $8.9K |
Showing 1–10 of 25
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92083 | The 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… | 140 | $60 | $7.8K |
| 99204 | The 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… | 30 | $140 | $4.2K |
| 92133 | The 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… | 120 | $30 | $3.7K |
| 99214 | The 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… | 20 | $130 | $1.9K |
| 1036F | N/A | 380 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 560 | $0 | $0 |
| G8785 | Blood pressure reading not documented, reason not given | 470 | $0 | $0 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 360 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Montana median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 495 | 530 | 580 | $70 | $224.6K |
| 99204 | The 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… | 100 | 130 | 100 | $120 | $49.4K |
| 92083 | The 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… | 4 | 10 | 70 | $30 | $4.6K |
| 92133 | The 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… | 3 | 10 | 60 | $30 | $3K |
| 1036F | N/A | 11 | 30 | 290 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 10 | 30 | 240 | $0 | $0 |
| G8785 | Blood pressure reading not documented, reason not given | 7 | 20 | 280 | $0 | $0 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 9 | 20 | 350 | $0 | $0 |
Other providers in the same ZIP code as David Mccann, ranked by combined Medicare and Medicaid revenue.
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