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    OpenPayerNPI Medicare & MedicaidPnw Eye PLLC
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    Pnw Eye PLLC — Billing Profile & Reimbursement Data

    NPI 1750663084 · Tacoma, WA · Ambulatory Surgical Clinic/Center

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    Pnw Eye PLLC is a ambulatory surgical clinic/center provider located in Tacoma, Washington. This profile covers 8 Medicare and 5 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 TypeOrganization
    OrganizationPnw Eye PLLC
    Address3602 S 19th St
    CityTacoma
    StateWA
    ZIP98405
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedSeptember 13, 2011

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

    Payer SourceTotal Paid
    Medicare$1M
    Medicaid$85.4K

    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.

    8 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…700$910$629.7K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…60$2,750$173.4K
    66183The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma.30$2,380$78.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.220$230$49.7K
    V2785Processing, preserving and transporting corneal tissue10$3,410$40.9K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.40$850$36.5K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…30$910$27.3K
    65855In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.50$110$5.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    8 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669842946050$560$97.5K
    V278591030$3,540$91.9K
    6699174040$1,470$63.1K
    6582042020$1,120$37K
    6618321020$1,530$33.6K
    669825312030$720$27.3K
    668212526050$230$20.4K
    65855208030$160$5.9K

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.1,040$40$38.4K
    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…160$190$30K
    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.1,760$10$10.6K
    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…90$70$6.2K
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…60$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Washington median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…3450410$180$154K
    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…320480290$60$65.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.141580240$70$57.3K
    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.179710480$10$16K
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…325090$1$1

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brenda Myers PowellWARetina Specialist (Ophthalmology) Physician$2.2M$0
    Rahul MandigaWARetina Specialist (Ophthalmology) Physician$1.9M$1.3K
    Benjamin ReissWARetina Specialist (Ophthalmology) Physician$1.9M$0
    Joseph PhamWAOphthalmology Physician$332.2K$0
    Minhee ChoNVOphthalmology Physician$326.6K$0
    Niraj PatelWAOphthalmology Physician$269.6K$0
    Hoon JungWAOphthalmology Physician$247.1K$0
    Victor ChiuWAOphthalmology Physician$217.3K$0
    Minh TrinhWARetina Specialist (Ophthalmology) Physician$74.3K$0
    Vanessa FranklinWAOptometrist$34K$0

    Nearby Providers

    Other providers in the same ZIP code as Pnw Eye PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Multicare Health SystemWAGeneral Acute Care Hospital$0$162.2M
    Multicare Health SystemWAChildren's Hospital$0$108.4M
    Franciscan Medical GroupWAFamily Medicine Physician$0$92.6M
    Multicare Health SystemWAFamily Medicine Physician$0$75M
    Franciscan Health SystemWAGeneral Acute Care Hospital$0$44.6M
    Multicare Health SystemWAPediatrics Physician$0$29.4M
    Western Psychological And Counseling Services LLCWAClinical Psychologist$0$20.8M
    Sound Health Medical SupplyWACustomized Equipment (DME)$0$20.7M
    Tra-minw P SWARadiology Clinic/Center$0$14.5M
    Advanced Lifeline ServicesWASNF/Subacute Care Certified Respiratory Therapist$0$12.5M

    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. Washington Distribution
    Pnw Eye PLLC — 0 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington
    Medicaid Revenue by Year vs. Washington Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Pnw Eye PLLC — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington