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    OpenPayerNPI Medicare & MedicaidKelly Herron
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    Kelly Herron — Billing Profile & Reimbursement Data

    NPI 1710473780 · Chattanooga, TN · Optometrist

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    Kelly Herron is a optometrist provider located in Chattanooga, Tennessee. This profile covers 13 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
    OrganizationKelly Herron
    Address7405 Shallowford Rd
    CityChattanooga
    StateTN
    ZIP37421
    TaxonomyOptometrist
    NPI EnumeratedJuly 2, 2018

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

    Payer SourceTotal Paid
    Medicare$91K
    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.

    13 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…420$80$31.7K
    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…350$60$19.7K
    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,…520$20$11.8K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.90$90$7.8K
    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.240$30$6.6K
    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…140$40$5.4K
    95930The provider performs visual evoked potential testing that measures the electrical activity of the brain in response to a visual stimulus; however, this test is not used for VEP for glaucoma.…70$40$2.5K
    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…120$20$2.3K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.30$50$1.3K
    92060The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…20$40$840

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014150810120$80$19.2K
    9213411860060$30$8.2K
    920122439060$50$6.3K
    92136157190180$20$5.5K
    920049660030$90$4.7K
    9208310756040$40$3.4K
    922502156050$20$2.6K
    9213312756050$20$2K
    9593032030$40$1.7K
    92060223020$40$1.7K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dennis MatzkinTNOphthalmology Physician$579.5K$331.3K
    Sonal PatelTXOptometrist$392.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parkridge Medical Center, Inc.TNPsychiatric Hospital Unit$0$52.8M
    Dx Mso, PLLCTNUrgent Care Clinic/Center$0$13.3M
    Independent Physical Therapy, LLCTNPhysical Therapist$0$12.3M
    Comprehensive Medical Care, P.C.TNPediatrics Physician$0$12M
    Chattanooga Allergy Clinic , PLLCTNAllergy & Immunology Physician$0$9M
    Hospice Of Chattanooga Holdings, LLCTNCommunity Based Hospice Care Agency$0$5.3M
    Advanced Respiratory, Inc.TNDurable Medical Equipment & Medical Supplies$0$4.6M
    Allied Pediatrics PLLCTNPediatrics Physician$0$4.2M
    Restoration Recovery, PLLCTNAddiction Medicine (Preventive Medicine) Physician$0$4.1M
    Southeast Eye Specialists PLLCTNOphthalmology Physician$0$3.8M

    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. Tennessee Distribution
    Kelly Herron — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee