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NPI 1689909442 · Clearwater, FL · Optometrist
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Nicholas Anderson is a optometrist provider located in Clearwater, Florida. This profile covers 9 Medicare and 15 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 | Nicholas Anderson |
| Address | 1269 S Missouri Ave |
| City | Clearwater |
| State | FL |
| ZIP | 33756 |
| Taxonomy | Optometrist |
| NPI Enumerated | October 13, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $267.4K |
| Medicaid | $72.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 1,310 | $90 | $119.6K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 550 | $110 | $61.8K |
| 92014 | An 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… | 290 | $90 | $25.8K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 960 | $30 | $25K |
| 92285 | Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison. | 890 | $20 | $15.1K |
| 92012 | For 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… | 190 | $70 | $12.2K |
| 68761 | The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome. | 60 | $70 | $3.8K |
| 99342 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a low level of medical decision making or the provider spends at least 30… | 40 | $50 | $2K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 40 | $50 | $1.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 2,350 | $20 | $35.2K |
| 99336 | N/A | 240 | $100 | $23.5K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 140 | $80 | $10.5K |
| 99326 | N/A | 10 | $120 | $1.6K |
| V2020 | Frames, purchases | 350 | $1 | $700 |
| 92341 | Code 92341 describes the fitting of eyeglasses of bifocal type, i.e., the lens has two separate areas of focus such as an area which gives best near vision and another area giving best far vision. | 150 | $1 | $290 |
| 92014 | An 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… | 30 | $10 | $250 |
| 3072F | The provider reports this code, if any previous examination within the last 12 months shows that there is no evidence of retinopathy or low risk of retinopathy. An automated result is not necessary. | 10 | $0 | $0 |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 260 | $0 | $0 |
| 92285 | Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison. | 140 | $0 | $0 |
Showing 1–10 of 15
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
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 92014 | An 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… | 840 | 980 | 270 | $60 | $85.1K |
| V2020 | Frames, purchases | 441 | 880 | 350 | $20 | $33.6K |
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 253 | 380 | 320 | $20 | $23.6K |
| 99336 | N/A | 178 | 320 | 360 | $10 | $12.5K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 113 | 120 | 70 | $20 | $6.9K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 131 | 1,040 | 390 | $1 | $5.4K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 65 | 190 | 130 | $10 | $5.4K |
| 92285 | Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison. | 13 | 30 | 120 | $1 | $4.6K |
| 92341 | Code 92341 describes the fitting of eyeglasses of bifocal type, i.e., the lens has two separate areas of focus such as an area which gives best near vision and another area giving best far vision. | 52 | 170 | 60 | $10 | $2.4K |
| 3072F | The provider reports this code, if any previous examination within the last 12 months shows that there is no evidence of retinopathy or low risk of retinopathy. An automated result is not necessary. | 83 | 80 | 60 | $1 | $1.5K |
Showing 1–10 of 15
Other providers in the same ZIP code as Nicholas Anderson, ranked by combined Medicare and Medicaid revenue.
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