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NPI 1730444704 · Gonzales, LA · Optometrist
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Lawrence Pham is a optometrist provider located in Gonzales, Louisiana. This profile covers 13 Medicare and 10 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 | Lawrence Pham |
| Address | 2308 S Burnside Ave |
| City | Gonzales |
| State | LA |
| ZIP | 70737 |
| Taxonomy | Optometrist |
| NPI Enumerated | July 5, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $289.8K |
| Medicare | $34.3K |
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 |
|---|---|---|---|---|
| 99214 | The 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… | 170 | $80 | $13.7K |
| 99213 | The 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… | 90 | $50 | $5K |
| 83861 | The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye. | 220 | $20 | $4.8K |
| 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,… | 110 | $20 | $2.6K |
| 99204 | The provider sees a new 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 provider… | 20 | $90 | $2.1K |
| 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… | 70 | $20 | $1.5K |
| 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… | 30 | $40 | $1.3K |
| 83516 | The lab analyst performs the technical immunoassay test involving several steps to detect and measure an analyte of a noninfectious nature. The results show as positive or negative, or in… | 100 | $10 | $1.1K |
| 99203 | The 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… | 10 | $60 | $690 |
| 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. | 20 | $30 | $600 |
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 |
|---|---|---|---|---|---|
| 99214 | 2,487 | 6,670 | 110 | $80 | $16.5K |
| 99213 | 2,459 | 6,060 | 70 | $50 | $8.1K |
| 92134 | 296 | 360 | 70 | $20 | $7.4K |
| 99204 | 2,006 | 3,190 | 30 | $110 | $4.8K |
| 92250 | 132 | 340 | 70 | $20 | $3.7K |
| 92083 | 222 | 320 | 50 | $30 | $3.1K |
| 99203 | 1,972 | 2,100 | 30 | $70 | $3K |
| 83861 | 3 | 20 | 80 | $20 | $2.3K |
| 99212 | 842 | 1,160 | 30 | $30 | $2.3K |
| 92133 | 145 | 330 | 60 | $20 | $2K |
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.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 1,820 | $70 | $131K |
| 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… | 1,840 | $70 | $127.1K |
| V2020 | Frames, purchases | 690 | $10 | $9.7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 470 | $20 | $8.4K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 420 | $10 | $5.4K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 50 | $70 | $3.1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 150 | $20 | $2.8K |
| 99214 | The 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… | 50 | $50 | $2.5K |
| 92285 | Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison. | 20 | $20 | $300 |
| 92015 | The 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. | 3,080 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 2,540 | 2,890 | 980 | $40 | $246.8K |
| 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… | 233 | 660 | 1,070 | $60 | $129.3K |
| 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. | 139 | 580 | 610 | $80 | $103.9K |
| V2020 | Frames, purchases | 369 | 550 | 1,570 | $20 | $50.6K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 426 | 840 | 440 | $20 | $36.6K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 279 | 450 | 860 | $20 | $33.5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 282 | 430 | 390 | $20 | $23.7K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 114 | 180 | 100 | $50 | $17.2K |
| 92285 | Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison. | 31 | 40 | 110 | $20 | $14.9K |
| 92015 | The 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. | 117 | 520 | 940 | $1 | $9.8K |
Other providers in the same ZIP code as Lawrence Pham, ranked by combined Medicare and Medicaid revenue.
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