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NPI 1780686774 · Chillicothe, OH · Optometrist
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Michael Chester is a optometrist provider located in Chillicothe, Ohio. This profile covers 14 Medicare and 12 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 | Michael Chester |
| Address | 261 N Woodbridge Ave |
| City | Chillicothe |
| State | OH |
| ZIP | 45601 |
| Taxonomy | Optometrist |
| NPI Enumerated | August 10, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $778.6K |
| Medicare | $91.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 450 | $60 | $26.3K |
| 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… | 270 | $80 | $21.6K |
| 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… | 260 | $40 | $11.2K |
| 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,… | 270 | $30 | $6.7K |
| 92273 | The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess… | 70 | $80 | $5.8K |
| 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… | 250 | $20 | $5.7K |
| 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. | 50 | $80 | $3.9K |
| 92020 | The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and… | 150 | $20 | $2.6K |
| 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. | 80 | $30 | $2.3K |
| 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. | 100 | $20 | $2.2K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 92014 | 279 | 1,390 | 100 | $70 | $12.9K |
| 92273 | 23 | 40 | 90 | $90 | $12.8K |
| 99214 | 18,771 | 20,010 | 100 | $70 | $11.7K |
| 99213 | 840 | 20,000 | 70 | $50 | $6.6K |
| 92134 | 364 | 1,010 | 50 | $30 | $6.3K |
| 83861 | 29 | 60 | 90 | $20 | $4K |
| 92004 | 212 | 920 | 30 | $90 | $3.9K |
| 92083 | 61 | 950 | 50 | $40 | $3.3K |
| 92250 | 54 | 750 | 50 | $20 | $2.2K |
| 92133 | 51 | 930 | 50 | $20 | $1.9K |
Showing 1–10 of 14
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 5,520 | $40 | $204.1K |
| 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. | 4,100 | $40 | $155.8K |
| V2020 | Frames, purchases | 8,860 | $20 | $132.9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5,770 | $20 | $126.9K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5,990 | $10 | $47.9K |
| 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. | 10,370 | $1 | $41.5K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1,100 | $30 | $36.3K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 1,510 | $20 | $24.2K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | 480 | $10 | $6.7K |
| 92341 | Code 92341 describes the fitting of eyeglasses of bifocal type, i.e., the lens has two separate areas of focus such as an area which gives best near vision and another area giving best far vision. | 170 | $20 | $3.5K |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 4,029 | 5,080 | 560 | $40 | $323.9K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 384 | 420 | 360 | $10 | $102.3K |
| V2020 | Frames, purchases | 34 | 920 | 580 | $10 | $92K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 24 | 720 | 370 | $10 | $57.2K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | 4 | 20 | 60 | $10 | $53.1K |
| 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… | 40 | 1,070 | 390 | $40 | $46.9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 17 | 680 | 300 | $10 | $37.9K |
| 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. | 40 | 1,020 | 290 | $40 | $34.2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 11 | 220 | 50 | $10 | $22.4K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 114 | 580 | 360 | $20 | $21.5K |
Showing 1–10 of 12
Other providers in the same ZIP code as Michael Chester, ranked by combined Medicare and Medicaid revenue.
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