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    OpenPayerNPI Medicare & MedicaidDaniel Driscoll
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    Daniel Driscoll — Billing Profile & Reimbursement Data

    NPI 1790970291 · Hilo, HI · Ophthalmology Physician

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    Daniel Driscoll is a ophthalmology physician provider located in Hilo, Hawaii. This profile covers 30 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
    OrganizationDaniel Driscoll
    Address76 Kalanianaole Ave
    CityHilo
    StateHI
    ZIP96720
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 8, 2007

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider’s billing profile is essentially single‑payer: lifetime Medicare revenue totals $1.1M and there is no Medicaid billing on file. The absence of Medicaid claims indicates the practice’s outpatient and procedural volume is concentrated in the Medicare population and therefore sensitive to Medicare reimbursement and utilization trends.

    Revenue is highly concentrated in a small set of procedure codes: the top three Medicare codes (J0178, 66984, J2777) account for 52.9% of total Medicare revenue. Individually, J0178 generated $249.3K (23.0%), 66984 generated $239.1K (22.0%), and J2777 generated $85.3K (7.9%), so a majority of dollars come from intravitreal injection therapy and cataract surgery.

    The code mix points to a combined cataract and medical retina practice model: high‑revenue surgical cataract code 66984 and related cataract/complex IOL codes (66982, 66991) appear alongside intravitreal therapy codes J0178 and J2777 and high volumes of diagnostic imaging codes (92134, 92136, 92250). This mix suggests the provider performs both operative cataract care and ongoing retinal injection management with on‑site imaging support.

    Several codes show statistically elevated volume versus national peers: 92014 ranks in the 95th percentile and is described as "notably above typical national volume," while 92136 (98th percentile, "notably above typical"), 92134 (94th percentile, "notably above typical"), 92250 (97th percentile, "notably above typical"), and 92285 (94th percentile, "notably above typical national volume") all indicate strong on‑site diagnostic capacity and above‑typical utilization of imaging and photography services.

    At the same time, some of the highest revenue generators are not outliers: J0178 (364 claims) is listed as "typical, unremarkable volume" (32nd percentile) and 66984 (610 claims) is also described as "typical, unremarkable volume" despite each contributing roughly one quarter of Medicare revenue. This combination — large revenue share from a few codes that are nevertheless characterized as typical nationally — points to a concentrated but nationally ordinary mix of high‑value ophthalmic services.

    There are notable extremes in evaluation/management and injection coding: 99204 is an "extreme outlier, far above typical national volume" (599 claims, $73.1K), indicating unusually high volume of moderate‑complexity new patient visits relative to peers, while J2777 shows 2.9K claims but is ranked in the 9th percentile and described as "typical, unremarkable volume," reflecting very high claim count with low average paid/claim ($29) and relatively modest revenue contribution. These contrasts suggest heavy clinic throughput with many procedural encounters but variable reimbursement per claim.

    Surgical ancillary procedures and glaucoma interventions are present but not dominant: capsulotomy 66821 generated $35.2K (3.2%) and is described as "typical, unremarkable volume," and several glaucoma laser/micro‑invasive codes (e.g., 66174, 66761, 65855) appear at modest revenue levels and typical percentile rankings. The practice therefore appears to offer a breadth of ophthalmic procedures, with the largest economic drivers being cataract operations and intravitreal pharmacotherapy rather than glaucoma or oculoplastic surgery.

    The provider has a long tenure on file, with NPI enumeration dated 2007-09-08 (~19 years), indicating an established presence in HILO, HI. Given the modest lifetime Medicare revenue ($1.1M) combined with the absence of Medicaid billing, the practice profile is that of an established, Medicare‑focused ophthalmology clinician with concentrated revenue exposure to a few high‑value codes and strong in‑office imaging and injection throughput.

    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg360$690$249.3K
    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…610$390$239.1K
    J2777Injection, faricimab‑svoa, 0.1 mg2,940$30$85.3K
    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…980$80$80.1K
    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…600$120$73.1K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…670$80$50K
    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.1,430$30$45.7K
    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.510$90$44.4K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.140$250$35.2K
    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…70$400$26.2K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178820330$680$350.4K
    J277710104,140$30$173.8K
    6698447060$640$88.9K
    6699111050$1,840$81.1K
    6617431040$1,000$48.9K
    67028920390$90$44.1K
    6603021060$530$33.6K
    66982102030$770$25.5K
    9201414220120$90$22.5K
    1582381030$560$16.3K

    Showing 1–10 of 30

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hawaii Vision Surgical Suites LLCHIAmbulatory Surgical Clinic/Center$1.1M$46.3K
    Hawaii Vision Specialists LLPHIOphthalmology Physician$0$701.6K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hilo Benioff Medical CenterHIGeneral Acute Care Hospital$0$51.2M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$19.3M
    Metropacific Group, CorpHIDevelopmentally Disabled Services Day Training Agency$0$13.3M
    Triple Ace Venture Capital, Corp.HIIn Home Supportive Care Agency$0$10.5M
    Whchc - Hawaii Island Community Health CenterHIFederally Qualified Health Center (FQHC)$0$8.1M
    West Hawaii Community Health Center, Inc.HIFederally Qualified Health Center (FQHC)$0$7.1M
    Hilo Urgent Care Center, LLCHIUrgent Care Clinic/Center$0$6.5M
    Alpha Care Hawaii LLCHIIn Home Supportive Care Agency$0$5.9M
    Mastercare IncHIIn Home Supportive Care Agency$0$5.4M
    Americare Hawaii IncorporatedHIIn Home Supportive Care Agency$0$3.7M

    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. Hawaii Distribution
    Daniel Driscoll — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii