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    OpenPayerNPI Medicare & MedicaidDavid Hunt
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    David Hunt — Billing Profile & Reimbursement Data

    NPI 1740284579 · Charleston, WV · Retina Specialist (Ophthalmology) Physician

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    David Hunt is a retina specialist (ophthalmology) physician provider located in Charleston, West Virginia. This profile covers 17 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
    OrganizationDavid Hunt
    Address331 Laidley St
    CityCharleston
    StateWV
    ZIP25301
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 9, 2005

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

    Payer SourceTotal Paid
    Medicare$2.1M
    Medicaid$0

    Key Findings

    This provider has $2.1M in total Medicare revenue and no Medicaid billing on file, making them effectively a Medicare-only biller in the available data. The practice’s revenue base is therefore concentrated in Medicare reimbursements rather than split across public payers.

    Clinical mix and service line are consistent with an office-based retina practice centered on intravitreal pharmacotherapy and retinal diagnostics: J0178 appears as the dominant code (2K claims, $690 avg paid/claim, $1.4M revenue; 67.4% of Medicare revenue), supplemented by J2777 (9.2K claims, $29 avg paid/claim, $266.2K revenue; 13.0%) and 67028 (1.3K claims, $82 avg paid/claim, $102.7K revenue; 5.0%). These codes reflect routine anti-VEGF/intravitreal injection workflows plus isolated intravitreal injection procedures.

    Revenue concentration is high: the precomputed top three Medicare codes account for 85.4% of this provider’s total Medicare revenue, indicating material dependence on a small set of injection-related services. That concentration suggests sensitivity of practice revenue to changes in reimbursement or utilization for those specific drug and injection codes.

    On competitive standing for drug injections, this provider is a modest national participant: J0178 ranks #535 of 3204 (83th percentile; typical, unremarkable volume for this code), J2777 ranks #1066 of 2039 (48th percentile; typical, unremarkable volume), and 67028 ranks #1059 of 4255 (75th percentile; typical, unremarkable volume). These ranks indicate the provider treats a routine volume of injection patients compared with national peers rather than being a market-leading injector.

    This practice is a marked outlier for retinal imaging and comprehensive exams: 92134 shows 2.4K claims, $28 avg paid/claim, $68.3K revenue (3.3%) and ranks #699 of 26868 (97th percentile; extreme outlier), while 92014 has 849 claims, $79 avg paid/claim, $67.1K revenue (3.3%) and ranks #2317 of 35415 (93th percentile; notably above typical national volume). These elevated ranks imply unusually high diagnostic throughput and ongoing retinal monitoring relative to peers, supporting a model that emphasizes frequent imaging and follow-up.

    There is limited use of high-cost unclassified drug billing but it contributes meaningfully per claim: J3490 shows 26 claims, $2066 avg paid/claim, $53.7K revenue (2.6%) and ranks #2400 of 2838 (14th percentile; typical, unremarkable volume). The small claim count combined with a high avg paid/claim suggests occasional administration or billing of non-standard or high-cost agents that merit coding attention during contract or utilization reviews.

    Surgical retina procedures are a small portion of the profile, indicating an office-focused practice rather than a surgery-first center: 67042 reports 12 claims, $794 avg paid/claim, $9.5K revenue (0.5%) and ranks #946 of 1087 (6th percentile; typical, unremarkable volume), while procedural laser work such as 67210 shows 49 claims, $365 avg paid/claim, $17.9K revenue (0.9%) and ranks #119 of 420 (72th percentile; typical, unremarkable volume). These figures point to occasional procedural interventions but an overall emphasis on injections and diagnostics.

    The provider has a long tenure, with NPI enumerated 2005-06-09 (~21 years ago), supporting an established presence in the market. Coupled with $2.1M lifetime Medicare revenues and no Medicaid claims, the profile reads as a stable, Medicare-focused retina specialist with concentrated anti-VEGF revenue and high diagnostic imaging throughput rather than a broad multi-payer or hospital-based surgical practice.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,010$690$1.4M
    J2777Injection, faricimab‑svoa, 0.1 mg9,180$30$266.2K
    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.1,250$80$102.7K
    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.2,440$30$68.3K
    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…850$80$67.1K
    J3490Unclassified drugs30$2,070$53.7K
    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…470$60$28.9K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.50$370$17.9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.160$100$15.5K
    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$90$10K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01785102,090$690$1.7M
    J27773108,490$30$456.6K
    67028510770$80$94.4K
    J349031040$1,970$77K
    6721041060$380$21.3K
    920147180120$70$16.3K
    992141,2332,740100$70$11.8K
    6704221010$830$11.6K
    J903521090$50$9.3K
    9223551070$90$9K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Retina Consultants, PLLCWVRetina Specialist (Ophthalmology) Physician$0$13.6M
    Abraham MitiasWVRetina Specialist (Ophthalmology) Physician$3.7M$0
    Daniel RichardsonWVRetina Specialist (Ophthalmology) Physician$2.5M$0
    Scott JamersonWVRetina Specialist (Ophthalmology) Physician$2.4M$0
    Richard HatfieldWVRetina Specialist (Ophthalmology) Physician$2.2M$0
    Robert DundervillWVRetina Specialist (Ophthalmology) Physician$1.3M$0
    Chaitanya IndukuriTXOphthalmology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charleston Area Medical Center IncWVGeneral Acute Care Hospital$0$200.1M
    Wv Birth To ThreeWVEarly Intervention Provider Agency$0$59.9M
    Charleston Area Medical Center, Inc.WVGeneral Acute Care Hospital$0$50.9M
    Children's Home Society Of West VirginiaWVEmotionally Disturbed Childrens' Residential Treatment Facility$0$44.1M
    Kanawha County Emergency Ambulance AuthorityWVLand Ambulance$2.3M$31.9M
    Maxim Healthcare Services, Inc.WVHome Health Agency$0$19.9M
    All-aid Services, Inc.WVHome Health Agency$0$16.3M
    The Arc Of The Three Rivers, Inc.WVCase Management Agency$0$15.6M
    Dolan & Kalaskey LtdWVOrthodontics and Dentofacial Orthopedics Dentistry$0$8.3M
    Mindoula Health Inc.WVMental Health Clinic/Center (Including Community Mental Health Center)$0$6.7M

    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. West Virginia Distribution
    David Hunt — 3 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia