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    OpenPayerNPI Medicare & MedicaidCurt Young
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    Curt Young — Billing Profile & Reimbursement Data

    NPI 1750557955 · Bangor, ME · Ophthalmology Physician

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    Curt Young is a ophthalmology physician provider located in Bangor, Maine. This profile covers 24 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
    OrganizationCurt Young
    Address1 Ridgewood Dr
    CityBangor
    StateME
    ZIP04401
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 7, 2008

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    This provider’s Medicare portfolio is the sole recorded public payer: Total Medicare revenue is $1.2M and there is no Medicaid billing on file, so the practice is effectively single‑payer at least in publicly billed volumes. The absence of state Medicaid claims limits comparisons on Medicaid market share and suggests a patient panel concentrated in Medicare-eligible populations or private-pay patients.

    Revenue is heavily concentrated in a very small set of services: the precomputed top 3 Medicare codes account for 77.0% of the provider’s total Medicare revenue, led by J0178 at 63.4% of Medicare revenue, followed by 99214 at 8.2% and 66984 at 5.4%. This concentration means the practice’s financial performance is highly dependent on retina injection therapies and a modest share of office E&M and cataract surgery revenue.

    The code mix indicates a blended ophthalmology practice with a strong medical retina focus plus surgical and diagnostic services. High-revenue injection codes (J0178, J2777, 67028) point to routine intravitreal therapy for retinal disease, 66984 and related cataract codes reflect an active cataract surgery lane, and diagnostic imaging codes (92134, 92133, 92235, 92250) support both retina and perioperative cataract workflows.

    J0178 (injection, aflibercept) is the dominant revenue driver at $786.1K and 1.1K claims, but its national standing (rank #1146 of 3204, 64th percentile) is characterized as typical, unremarkable volume; in other words, this provider relies heavily on aflibercept revenue but does not appear to be an extreme volume outlier for that specific drug compared with national peers. This suggests the large dollar impact of J0178 is driven by the drug’s unit value combined with routine use rather than unusually high injection frequency relative to the national sample.

    The practice shows unusually high office E&M billing relative to national peers: 99214 generated $101.7K from 1.3K claims and ranks #5832 of 479517 (99th percentile), labeled an extreme outlier, far above typical national volume for this code. That pattern implies very high clinic throughput or frequent use of higher-level established‑patient E&M codes compared with almost all other Medicare-billing clinicians, which materially contributes to revenue diversification beyond drug reimbursement.

    There is substantial procedural volume that yields modest revenue per claim: J0585 (onabotulinumtoxina) appears 4.6K claims for $23.2K total revenue at $5 avg paid/claim, indicating a large count of low-dollar injections. While this code contributes only 1.9% of Medicare revenue, the high claim volume signals frequent brief procedures or therapeutic treatments that drive visit-level activity even though they add limited dollars compared with high-cost intravitreal agents.

    Diagnostic and imaging services form a meaningful secondary revenue stream that aligns with both retina care and surgical management. Examples include 92134 (1K claims, $27.7K, 92nd percentile, typical volume), 92133 (288 claims, $6.3K, 92nd percentile, typical volume), and 92235 (134 claims, $12.9K, 79th percentile, typical volume), which together confirm sustained use of OCT, optic nerve/retina imaging, and fluorescein angiography to guide medical retina and perioperative care.

    The provider’s NPI has been enumerated since 2008-05-07 (~18 years ago), indicating an established clinical presence. Combined with the billing profile—dominant biologic injection revenue, very high 99214 E&M volume, and steady imaging and cataract procedure activity—this tenure supports a stable, clinic-oriented ophthalmology practice that is financially concentrated in Medicare-paid retinal therapeutics and high office visit volumes.

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,140$690$786.1K
    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…1,290$80$101.7K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…450$150$66.7K
    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.700$80$55.5K
    J2777Injection, faricimab‑svoa, 0.1 mg1,740$30$50.5K
    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.1,030$30$27.7K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.110$220$23.3K
    J0585Injection, onabotulinumtoxina, 1 unit4,630$10$23.1K
    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…300$60$18.4K
    99204The 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…140$100$14.2K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178720990$690$652.2K
    J277710109,840$30$407.6K
    6698460901,340$40$62.5K
    670281130410$90$51.1K
    6699141030$1,580$49.1K
    J05853104,630$1$29.5K
    6682184050$200$14.9K
    6617411030$510$12.8K
    J9035121060$50$8.5K
    9223521050$90$7.5K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vision Care Of Maine LLCMEOphthalmology Physician$0$5M
    Vision Care Of Maine-aroostook LLCMEOphthalmology Physician$0$2.1M
    Oscar BatlleMEOphthalmology Physician$1.7M$0
    George PetersMAOphthalmology Physician$1.6M$0
    Tracey ClarkMEOphthalmology Physician$853.8K$0
    Vision Care Of Maine LLCMEAmbulatory Surgical Clinic/Center$362.1K$481.2K
    Vision Care Of Maine-aroostook LLCMEAmbulatory Surgical Clinic/Center$131.6K$60.9K
    Jeremy ValentineMEOphthalmology Physician$125.3K$0
    Julie GoldmanMECornea and External Diseases Specialist Physician$63.2K$10.7K
    Bradley TraskMEOptometrist$55.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eastern Maine Medical CenterMEGeneral Acute Care Hospital$0$159.3M
    Creative Options, LLCMEIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$78.7M
    Mas Medical Staffing CorporationMECommunity/Behavioral Health Agency$0$62.5M
    OhiMEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$61.9M
    OhiMEMental Illness Community Based Residential Treatment Facility$0$39.6M
    St. Joseph HospitalMEGeneral Acute Care Hospital$0$38.8M
    Mert Enterprises, Inc.MEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$36.3M
    Penobscot Community Health CenterMEFederally Qualified Health Center (FQHC)$0$27.3M
    AmicusMEDevelopmentally Disabled Services Day Training Agency$0$26.1M
    Branches, LLCMEIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$25.4M

    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. Maine Distribution
    Curt Young — 7 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine