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    OpenPayerNPI Medicare & MedicaidSteven Bailey
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    Steven Bailey — Billing Profile & Reimbursement Data

    NPI 1699737759 · Barboursville, WV · Optometrist

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    Steven Bailey is a optometrist provider located in Barboursville, West Virginia. This profile covers 7 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
    OrganizationSteven Bailey
    Address6010 Route 60 East
    CityBarboursville
    StateWV
    ZIP25504
    TaxonomyOptometrist
    NPI EnumeratedApril 4, 2006

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

    Payer SourceTotal Paid
    Medicare$40.1K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.140$90$13.3K
    92273The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…160$80$13.1K
    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…80$70$5.7K
    99307The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…140$30$3.9K
    92250Code 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,…100$20$2K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…20$50$1.1K
    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…20$50$980

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9227321040$50$16.7K
    92014119180120$70$16.3K
    99308140150110$50$10.7K
    92012668070$50$7.2K
    92004715040$80$4.7K
    99307165080$30$3.2K
    922504515050$20$2.1K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    S. Glenn Bailey O.d., Inc.WVOptometrist$0$2.1M
    Deborah GerbetzOHOptometrist$212.4K$0
    Tiffany BurickPAOptometrist$106.4K$5.8K
    Kayla CampbellWVOptometrist$54.6K$0
    Bryce PeekWVOptometrist$30.5K$0
    Melissa LeoniWVOptometrist$26.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prestera Center For Mental Health Services IncWVCommunity/Behavioral Health Agency$0$75.4M
    Panhandle Support Services, Inc.WVIn Home Supportive Care Agency$0$29.1M
    Village Caregiving, LLCWVIn Home Supportive Care Agency$0$16.7M
    Valley Health Systems, Inc.WVFederally Qualified Health Center (FQHC)$0$2.7M
    Womencare IncWVFederally Qualified Health Center (FQHC)$0$2.3M
    Amy VaughanWVDermatology Physician$312.5K$0
    Cynthia PinsonWVFamily Medicine Physician$206.4K$0
    Walgreen CoWVPharmacy$99.1K$0
    Suzanne CeldranWVFamily Nurse Practitioner$78.2K$0
    David HumphreysWVPsychiatry Physician$69.6K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. West Virginia Distribution
    Steven Bailey — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia