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    OpenPayerNPI Medicare & MedicaidBenjamin Guidry
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    Benjamin Guidry — Billing Profile & Reimbursement Data

    NPI 1770807315 · Metairie, LA · Ophthalmology Physician

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    Benjamin Guidry is a ophthalmology physician provider located in Metairie, Louisiana. This profile covers 16 Medicare and 6 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
    OrganizationBenjamin Guidry
    Address3636 S I 10 Service Rd W Ste 204
    CityMetairie
    StateLA
    ZIP70001
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 25, 2010

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

    Payer SourceTotal Paid
    Medicare$412.7K
    Medicaid$81.3K

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg200$660$129.6K
    J2777Injection, faricimab‑svoa, 0.1 mg3,180$30$92.2K
    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…620$80$52.3K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg210$220$45.6K
    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.310$90$26.1K
    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.700$30$19.7K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…130$100$12.5K
    92242The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…50$190$9.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.80$100$7.6K
    J9035Injection, bevacizumab, 10 mg100$60$5.5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01783750300$680$371.5K
    J277722306,660$30$309.4K
    Q5128210570$220$124.5K
    670284570410$80$44.3K
    9201469470170$80$23.9K
    9224271090$180$18.5K
    92012276350100$60$11.7K
    92235154070$90$11.3K
    J90352540130$50$10.8K
    921344336070$20$7.4K

    Showing 1–10 of 16

    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.

    6 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…940$30$31K
    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.390$50$18.5K
    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.1,320$10$13.2K
    J0178Injection, aflibercept, 1 mg20$620$10.6K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…160$40$6.6K
    J9035Injection, bevacizumab, 10 mg50$30$1.5K

    Medicaid: Competitive Analysis & Benchmarks

    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

    6 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178Injection, aflibercept, 1 mg1210170$430$185.5K
    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…3456601,070$60$129.3K
    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.3250470$60$95.8K
    J9035Injection, bevacizumab, 10 mg3240240$30$34.1K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…1320200$30$21K
    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.40130490$10$19.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Louisiana State University School Of Medicine In New Orleans Faculty GLAMulti-Specialty Clinic/Center$0$67.9M
    Access Health LouisianaLAFederally Qualified Health Center (FQHC)$0$32.1M
    Administrators Of The Tulane Educational FundLASpecialist$0$24.6M
    Access Health LouisianaLAFederally Qualified Health Center (FQHC)$0$15.2M
    Access Health LouisianaLAFederally Qualified Health Center (FQHC)$0$9.2M
    Access Health LouisianaLAFederally Qualified Health Center (FQHC)$0$7.5M
    Access Health LouisianaLAFederally Qualified Health Center (FQHC)$0$4.7M
    John DellacroceARRetina Specialist (Ophthalmology) Physician$2.6M$0
    Eye Care AssociatesMSOptometrist$0$2.5M
    Patrick O'sullivanLAOphthalmology Physician$1M$500.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Penn 123 LLCLASubstance Abuse Rehabilitation Facility$0$16.1M
    David M. Vieth Dds, A Professional CorporationLAGeneral Practice Dentistry$0$11.5M
    Independence Emergency Group LLCLAEmergency Medicine Physician$0$11.5M
    Atc Testing And Screening Services LLCLAClinical Medical Laboratory$9.7M$11.3K
    JeffcareLAFederally Qualified Health Center (FQHC)$0$8M
    C & M Medical Services, Inc.LAEmergency Medical Services (Emergency Medicine) Physician$0$7.2M
    Harold R York MdLAPediatrics Physician$0$6.8M
    Gulf Coast Teaching Family Services, Inc.LACommunity/Behavioral Health Agency$0$5.9M
    Marillac Community Health CentersLAFederally Qualified Health Center (FQHC)$0$4.9M
    Lei Behavioral Services LLCLACommunity/Behavioral Health Agency$0$4.6M

    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. Louisiana Distribution
    Benjamin Guidry — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana
    Medicaid Revenue by Year vs. Louisiana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Louisiana Distribution
    Benjamin Guidry — 0 of 6 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana