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    OpenPayerNPI Medicare & MedicaidKiley Berry
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    Kiley Berry — Billing Profile & Reimbursement Data

    NPI 1669638011 · Durango, CO · Optometrist

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    Kiley Berry is a optometrist provider located in Durango, Colorado. 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
    OrganizationKiley Berry
    Address1165 S. Camino Del Rio
    CityDurango
    StateCO
    ZIP81301
    TaxonomyOptometrist
    NPI EnumeratedAugust 5, 2008

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

    Payer SourceTotal Paid
    Medicare$74.6K
    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
    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…300$60$17.5K
    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…230$70$15.5K
    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…180$80$15.2K
    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.380$30$10.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.100$90$8.7K
    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…50$90$4.5K
    67820The provider removes deviated or abnormal eyelashes, a condition known as trichiasis. He uses forceps to extract the unwanted lashes that cause eye irritation.50$20$880
    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…20$40$840
    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…30$30$780
    0507TThe provider uses a special device called a transilluminator that inverts the eyelid and shines a near–infrared light through the eyelid, and a camera that captures high–resolution images to assess…20$20$310

    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
    92014207670100$80$15.2K
    992145,3278,16080$80$11.3K
    921347044060$30$7.8K
    920122521050$60$6.8K
    992139137,20070$60$6.6K
    920046548030$90$4.4K
    9208327537040$40$2.7K
    9213321536040$20$1.7K
    92002203020$50$980
    6782022020$10$350

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Zuni Indian HospitalNMGeneral Acute Care Hospital$0$11.2M
    Sara HaugCORetina Specialist (Ophthalmology) Physician$3.9M$0
    Moss FenbergCORetina Specialist (Ophthalmology) Physician$2.3M$0
    Grant GebhardCOOphthalmology Physician$706.5K$0
    Scott AllenNMOphthalmology Physician$345.1K$0
    Kevin HammKSDiagnostic Radiology Physician$275.4K$66.6K
    Jeremy FullingimOKDiagnostic Radiology Physician$220.1K$0
    Ralph NoahOKDiagnostic Radiology Physician$156.5K$0
    Brooke WhiteOKDiagnostic Radiology Physician$150.4K$0
    Timothy MccayOKDiagnostic Radiology Physician$146.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwest Colorado Mental Health Center, IncCOMental Health Clinic/Center (Including Community Mental Health Center)$0$18.2M
    Catholic Health Initiatives ColoradoCOGeneral Acute Care Hospital$0$6M
    Pediatric Partners Of The SouthwestCOPediatrics Physician$0$5.8M
    Southwest Colorado Mental Health Center, IncCOFederally Qualified Health Center (FQHC)$0$4.5M
    Southwest Colorado Mental Health Center, IncCOFederally Qualified Health Center (FQHC)$0$4.3M
    Nicholas HugentoblerCOFoot & Ankle Surgery Podiatrist$1.9M$0
    Kyle PiwonkaCORetina Specialist (Ophthalmology) Physician$1.7M$0
    Clayton LabaumeCOSurgical Physician Assistant$1.4M$0
    Sano Vita IncCOCommunity/Retail Pharmacy$86.6K$359.1K
    Joshua ZastrockyCOOphthalmology Physician$352.5K$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. Colorado Distribution
    Kiley Berry — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado