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    OpenPayerNPI Medicare & MedicaidWilliam Tucker
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    William Tucker — Billing Profile & Reimbursement Data

    NPI 1730273806 · Fayetteville, NY · Ophthalmology Physician

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    William Tucker is a ophthalmology physician provider located in Fayetteville, New York. This profile covers 15 Medicare and 12 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)

    FieldValue
    Entity TypeIndividual
    OrganizationWilliam Tucker
    Address4000 Medical Center Dr
    CityFayetteville
    StateNY
    ZIP13066
    TaxonomyOphthalmology Physician
    NPI EnumeratedOctober 3, 2006

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

    Payer SourceTotal Paid
    Medicare$156K
    Medicaid$104.7K

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.740$80$57K
    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…530$60$32.3K
    83861The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye.840$20$18.6K
    68040During this procedure, the provider removes conjunctival follicles to relieve pain and irritation.150$70$9.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…210$40$8.1K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…110$80$8K
    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…160$40$6.7K
    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…170$20$4.2K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.20$260$4.1K
    65205The provider removes a foreign object from the surface of the conjunctiva, the membrane covering the eye.160$20$2.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    920141,9872,220160$100$29.3K
    9921414,03630,45090$100$19K
    687611037070$120$16.3K
    6682143552030$270$14.3K
    992132,21731,44080$70$12.1K
    6804041070$60$8.7K
    8386119200120$20$7.3K
    920834001,63070$50$6.9K
    9920410,70214,17030$130$6.6K
    922501,4961,70080$30$5.2K

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…940$60$55.3K
    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.320$80$24.3K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…180$80$15.5K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…80$40$3.3K
    99203The provider sees a new 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 provider…20$100$2.1K
    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,…40$50$1.9K
    65205The provider removes a foreign object from the surface of the conjunctiva, the membrane covering the eye.60$20$1.2K
    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…10$50$650
    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…30$30$630
    65210In this procedure, the provider removes a foreign object embedded in or below the conjunctiva, the membrane covering the eye, or in the sclera, the outer covering of the eyeball, but not perforating…10$20$290

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…6,81119,110360$70$321K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…8,79916,550220$90$186.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…3,5625,420210$70$154.3K
    99203The provider sees a new 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 provider…3,8704,700130$100$136.6K
    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.123260270$80$88.3K
    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…851900310$40$53.1K
    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,…1,2381,490340$40$48.7K
    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…591720170$30$21.6K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.1,1371,520200$10$14.7K
    65210In this procedure, the provider removes a foreign object embedded in or below the conjunctiva, the membrane covering the eye, or in the sclera, the outer covering of the eyeball, but not perforating…61020$20$5.1K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Josephs Hospital Health CenterNYGeneral Acute Care Hospital$0$113M
    Robert DrackerNYPediatrics Physician$1.1M$56.8K
    Thomas BascoVAObstetrics & Gynecology Physician$456.5K$0
    Lawrence SemelNYVascular Surgery Physician$290.1K$7.9K
    Muhammad Abdel MigeedMIClinical Cardiac Electrophysiology Physician$220.8K$400
    Russell SilvermanNYCardiovascular Disease Physician$210.6K$9.1K
    Mark BaeslNYVascular & Interventional Radiology Physician$212.4K$0
    Ali Al-mudamghaNYClinical Cardiac Electrophysiology Physician$211.8K$0
    Muhammad KhanNYVascular Surgery Physician$172.1K$8.4K
    Borys BuniakNYGastroenterology Physician$155.6K$23.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pediatric Dentistry & Interceptive Orthodontics P.C.NYOrthodontics and Dentofacial Orthopedics Dentistry$0$33M
    Agcny East LLCNYAmbulatory Surgical Clinic/Center$260.6K$123.9K
    James PrezzanoNYDermatology Physician$264.9K$0
    Brett GreenkyNYAdult Reconstructive Orthopaedic Surgery Physician$240K$290
    Justin IorioNYOrthopaedic Surgery of the Spine Physician$171.2K$0
    Adam PaddockNYPhysician Assistant$151.1K$0
    Jessica BouchardNYMedical Physician Assistant$133K$0
    Amin FazeliNYDermatology Physician$126K$0
    Edward SallNYOtolaryngic Allergy Physician$72.2K$0
    James MikesellNYClinical Psychologist$38.2K$1.1K

    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. New York Distribution
    William Tucker — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    William Tucker — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York