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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Selid
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    Paul Selid — Billing Profile & Reimbursement Data

    NPI 1699186155 · Bismarck, ND · Ophthalmology Physician

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    Paul Selid is a ophthalmology physician provider located in Bismarck, North Dakota. This profile covers 20 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 Selid
    Address3119 N 14th St
    CityBismarck
    StateND
    ZIP58503
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 17, 2014

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

    Payer SourceTotal Paid
    Medicare$860.8K
    Medicaid$0

    Key Findings

    PAUL SELID is an ophthalmology physician in BISMARCK, ND with an NPI enumerated on 2014-05-17 (~12 years ago). His lifetime Medicare revenue on file is $860.8K and there is no Medicaid billing on file, indicating the public-payer footprint visible to us is effectively single‑payer Medicare rather than a mixed Medicare/Medicaid practice.

    Revenue concentration is high: the top three Medicare codes (J0178, J2777, and 66984) account for 79.1% of this provider's total Medicare revenue. Those three codes specifically generated $343.7K (J0178, 39.9%), $257.5K (J2777, 29.9%), and $79.8K (66984, 9.3%) respectively, showing the practice is financially driven by a small set of procedure codes.

    The code mix points to a blended surgical and medical‑retina practice: large shares of revenue come from intravitreal injections (J0178 and J2777) and cataract surgery (66984), while diagnostic imaging and office exams (92134, 92014, 92004) also appear regularly. This combination suggests the operation provides both high-volume anti‑VEGF/retina treatment and a steady stream of surgical cataract cases and ambulatory ophthalmology visits.

    Competitive standing varies by service line. For anti‑VEGF activity J0178 ranks #1932 of 3204 (40th percentile; "typical, unremarkable volume for this code") and J2777 ranks #1084 of 2039 (46th percentile; "typical, unremarkable volume for this code"), indicating modest national participation in injection volume; by contrast 66984 ranks #4903 of 15965 (69th percentile; "typical, unremarkable volume for this code"), placing the provider above many peers on cataract procedure volume.

    Several diagnostic and exam codes show relatively high percentile placement, implying robust outpatient and imaging throughput. For example, 92134 (609 claims, $17.7K) is #3030 of 26868 (89th percentile; "typical, unremarkable volume for this code") and 92004 (119 claims, $11.8K) is #3212 of 26467 (88th percentile; "typical, unremarkable volume for this code"), which together suggest stronger-than-average retinal imaging and new‑patient evaluation activity compared with national peers.

    Evaluation-and-management visits skew toward lower- to mid-level established visits, consistent with a procedure-focused practice that still maintains routine follow-up. 99213 accounts for 255 claims and $15.8K (84th percentile; "typical, unremarkable volume for this code"), while 99214 is smaller at 73 claims and $6.9K (39th percentile; "typical, unremarkable volume for this code"), indicating the majority of office encounters are shorter, problem-focused established-patient visits.

    The provider performs some higher‑relative-volume niche procedures beyond injections and cataract surgery. Codes such as 68761 (212 claims, $17K) rank #389 of 3340 (88th percentile; "typical, unremarkable volume for this code") and 65400 (28 claims, $15.3K) ranks #38 of 163 (75th percentile; "typical, unremarkable volume for this code"), which suggests above-typical provision of punctal plug placement and corneal lesion excision in comparison to peers.

    Limitations and business implications: with no Medicaid billing on file, payer mix visible here is concentrated in Medicare and potentially commercial payers not shown, which could leave the practice sensitive to Medicare reimbursement trends for high-revenue codes (J0178 and J2777). Overall lifetime Medicare revenue of $860.8K indicates a relatively small-to-mid scale Medicare footprint, so shifts in the payment environment for the few revenue-driving codes could materially affect practice revenue.

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg500$690$343.7K
    J2777Injection, faricimab‑svoa, 0.1 mg8,880$30$257.5K
    66984The 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…230$350$79.8K
    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…390$80$32.7K
    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.330$90$30.7K
    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.610$30$17.7K
    68761The 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.210$80$17K
    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…260$60$15.8K
    65400In this procedure, the provider excises a thin layer from the surface of the cornea, the front portion of the eye that focuses light on the lens, to remove a mass, scar tissue, or other lesion,…30$550$15.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.120$100$11.8K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178720440$680$445.3K
    J27774107,410$30$412.9K
    669842010050$350$61.2K
    670281130290$80$40.6K
    66821213080$230$27.3K
    9201424170160$70$15.6K
    6540021030$500$14.5K
    992148231,47090$60$10.4K
    921361330240$30$8.3K
    992131841,49080$50$5.8K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Braden BurckhardCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Dakota Surgery & Laser Center LLCNDAmbulatory Surgical Clinic/Center$1.7M$28.4K
    Dakota Eye Institute PCNDOphthalmology Physician$0$1.2M
    Elena RaducuNDOphthalmology Physician$1.1M$0
    Reid MollmanNDOphthalmology Physician$757K$0
    Aaron FortneyNDOphthalmology Physician$561.1K$0
    Andrew RodenburgNDOphthalmology Physician$373.3K$0
    Jennifer HoggarthNDCertified Registered Nurse Anesthetist$97.8K$0
    Cynthia RolesNDOptometrist$46.7K$0
    Paul BallietNDOptometrist$39.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Options For Residential And Employment Services, IncNDCase Manager/Care Coordinator$0$84.4M
    Metro Area Ambulance Service, IncNDLand Ambulance$1.5M$11.7M
    Red Door Pediatric Therapy, IncNDSpeech-Language Pathologist$0$5.6M
    New Freedom CenterNDSubstance Abuse Rehabilitation Facility$0$4.5M
    Bismarck Surgical Associates, LLCNDAmbulatory Surgical Clinic/Center$2.2M$0
    Maple View Ii East IncNDAlzheimer Center (Dementia Center)$0$1.7M
    Good Road Recovery CenterNDSubstance Abuse Rehabilitation Facility$0$1.1M
    Bismarck Transportation ServicesNDTaxi$0$1.1M
    Daniel J. Keith, Dds, Ms, PCNDOrthodontics and Dentofacial Orthopedics Dentistry$0$1.1M
    Sanford Healthcare Accessories, LLCNDDurable Medical Equipment & Medical Supplies$0$1.1M

    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 Dakota Distribution
    Paul Selid — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota