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NPI 1720020316 · Harlingen, TX · Optometrist
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Rogelio Cantu is a optometrist provider located in Harlingen, Texas. This profile covers 13 Medicare and 3 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 | Rogelio Cantu |
| Address | 1205 N Ed Carey Dr |
| City | Harlingen |
| State | TX |
| ZIP | 78550 |
| Taxonomy | Optometrist |
| NPI Enumerated | June 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $440.8K |
| Medicaid | $19.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 65778 | The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens. | 220 | $1,500 | $326.4K |
| 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… | 570 | $60 | $33.7K |
| 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… | 370 | $80 | $29.4K |
| 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. | 170 | $170 | $28.4K |
| 92134 | The 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. | 200 | $30 | $5.5K |
| 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. | 60 | $90 | $5.2K |
| 92083 | The 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… | 80 | $40 | $3.6K |
| 92133 | The 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… | 110 | $30 | $2.7K |
| 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,… | 90 | $30 | $2.4K |
| 92273 | The 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… | 20 | $90 | $1.8K |
Showing 1–10 of 13
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 65778 | 5 | 100 | 30 | $1,040 | $63.3K |
| 92014 | 564 | 2,700 | 100 | $80 | $21K |
| 92012 | 101 | 1,690 | 80 | $60 | $10.9K |
| 68761 | 15 | 170 | 30 | $140 | $9.2K |
| 92134 | 407 | 1,690 | 70 | $30 | $8.3K |
| 92273 | 76 | 100 | 30 | $90 | $7.9K |
| 92004 | 684 | 2,070 | 40 | $90 | $6.1K |
| 92083 | 543 | 1,590 | 50 | $40 | $4.1K |
| 92250 | 628 | 1,840 | 50 | $30 | $3K |
| 92133 | 439 | 1,470 | 50 | $20 | $2.4K |
Showing 1–10 of 13
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 290 | $60 | $16.7K |
| 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… | 20 | $100 | $1.6K |
| 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… | 10 | $70 | $840 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
3 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… | 656 | 750 | 240 | $60 | $68.4K |
| 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… | 367 | 380 | 200 | $40 | $43.3K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 509 | 1,020 | 290 | $40 | $39.2K |
Other providers in the same ZIP code as Rogelio Cantu, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| First Primary Home Care, Inc | TX | Home Health Agency | $0 | $161.5M |
| Texas Visiting Nurse Service, Ltd. | TX | Home Health Agency | $0 | $138.2M |
| Agua Cristalina Home Care, LLC | TX | Home Health Agency | $0 | $108.1M |
| Apc Home Health Service, Inc. | TX | Home Health Agency | $0 | $97.1M |
| Mizpah Residential Care. Inc. | TX | Home Health Agency | $0 | $45.5M |
| Su Clinica Familiar | TX | Federally Qualified Health Center (FQHC) | $0 | $37.6M |
| Vicki Roy Home Health Service, LP | TX | Home Health Agency | $0 | $29.5M |
| Nuevo Destino Primary Home Care LLC | TX | Personal Care Attendant | $0 | $26.6M |
| Santa Cruz Health Services, Inc | TX | Home Health Agency | $0 | $23.8M |
| Vhs Harlingen Hospital Company LLC | TX | General Acute Care Hospital | $0 | $23.6M |
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