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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Mcmenemy
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    Matthew Mcmenemy — Billing Profile & Reimbursement Data

    NPI 1700842267 · Sugar Land, TX · Ophthalmology Physician

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    Matthew Mcmenemy is a ophthalmology physician provider located in Sugar Land, Texas. This profile covers 27 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
    OrganizationMatthew Mcmenemy
    Address3515 Town Center Blvd S
    CitySugar Land
    StateTX
    ZIP77479
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 25, 2006

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

    Payer SourceTotal Paid
    Medicare$826.9K
    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…3,270$80$264.8K
    J0178Injection, aflibercept, 1 mg200$690$134.7K
    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…1,360$60$82.7K
    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…180$400$72.7K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.170$250$41.5K
    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.1,320$30$35.5K
    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…850$40$35.5K
    92145The provider measures the difference in inward and outward movement of the cornea when he applies metered air impulses on the cornea of one or both eyes. He then interprets the data and completes a…4,030$10$32.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.340$90$30.8K
    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.220$90$19.1K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178173210610$690$694.9K
    66984311990100$560$113.9K
    67028203290510$90$73K
    9201462,700100$80$21K
    668218370050$230$20K
    92012161,69080$60$10.9K
    68840163020$140$10.7K
    J90354613090$50$9.8K
    687616517030$140$9.2K
    921341041,69070$30$8.3K

    Showing 1–10 of 27

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Consolidated Home Health Holdings, LLCTXHome Health Agency$0$23.3M
    Fort Bend IsdTXLocal Education Agency (LEA)$0$19.3M
    Brent EatonTXAcute Care Nurse Practitioner$5.9M$0
    David AmranTXAllergy & Immunology Physician$2.8M$0
    Tieu Vy NguyenTXOphthalmology Physician$2.8M$0
    Memorial Hermann Surgery Center Sugar Land LLPTXAmbulatory Surgical Clinic/Center$1.8M$0
    Ryan ValicekTXRheumatology Physician$964.7K$0
    Salman AlyTXInternal Medicine Physician$923.9K$0
    Swati JoglekarTXGeriatric Medicine (Internal Medicine) Physician$910.9K$0
    Tarek FakhouriTXDermatology Physician$806.6K$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. Texas Distribution
    Matthew Mcmenemy — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas