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    OpenPayerNPI Medicare & MedicaidAndrew Cheek
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    Andrew Cheek — Billing Profile & Reimbursement Data

    NPI 1790979383 · Spokane, WA · Ophthalmology Physician

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    Andrew Cheek is a ophthalmology physician provider located in Spokane, Washington. This profile covers 17 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
    OrganizationAndrew Cheek
    Address427 S Bernard St
    CitySpokane
    StateWA
    ZIP99204
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 28, 2007

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

    Payer SourceTotal Paid
    Medicare$3.5M
    Medicaid$0

    Key Findings

    This provider’s Medicare business is heavily concentrated in intravitreal anti-VEGF therapy: J0178, J2777, and 67028 together account for 90.3% of total Medicare revenue, indicating the practice is principally delivering high-volume retinal injection services and related minor procedures rather than broad-spectrum ophthalmology care. The presence of multiple drug injection HCPCS codes at the top of the revenue list signals a service-line organized around medical retina treatments, likely age-related macular degeneration and other retinal vascular disease management.

    J0178 (aflibercept) is the single largest revenue driver with $1.6M representing 45.2% of Medicare revenue; the provider’s rank of #380/3204 (88th percentile) indicates a solid but not dominant national position for aflibercept administration—volume is typical-to-strong relative to peers. J2777 (faricimab) is also a major revenue source at $1.4M (39.9% of Medicare) and, by contrast, the provider ranks #112/2039 nationally (95th percentile), meaning faricimab administration is a notable strength and an above-typical volume outlier versus national peers.

    Clinical support and diagnostics show moderate ancillary activity: 92134 (retinal imaging) generated $72.3K and ranks in the 97th percentile nationally, flagged as an “extreme outlier” in volume; this suggests the practice pairs very high injection volumes with extensive imaging follow-up and monitoring, potentially reflecting a workflow optimized for frequent intravitreal treatment and disease surveillance. The combination of high-volume injections and outsized imaging use implies integrated care pathways for chronic retinal conditions.

    Other ophthalmic surgical codes (67042, 67036) and office E/M codes (92014, 92012, 92004, 99204/99205) appear at much smaller shares of revenue (individual codes in the single-digit percent or subpercent ranges), indicating the provider’s practice mix skews away from general comprehensive visits and major vitreoretinal surgery toward office-based injections and related diagnostics. These patterns are consistent with a practice focusing on medical retina rather than primary eye care or high volumes of complex surgery.

    Payer mix is effectively single-payer in practical terms: the provider reports $3.5M in lifetime Medicare revenue and has no Medicaid billing on file, so Medicaid does not contribute to observable revenue or service mix. Analysts should treat this entity as Medicare-centric when modeling commercial or public payer mix risk and access implications for low-income populations.

    Tenure and stability: the NPI has been enumerated since 2007-08-28 (~19 years ago), indicating long-standing Medicare participation which supports interpretation of these volumes as established practice patterns rather than a short-term or new entrant effect. This longevity, combined with the concentrated code mix, suggests a sustained specialization in retina injections.

    Competitive standing is mixed by code: for J2777 the provider is a clear high-volume outlier (95th percentile, rank #112) and for 92134 an extreme outlier (97th percentile), which together imply a localized or networked competitive advantage in delivering faricimab therapy and associated imaging. For J0178 the provider’s national position is good but not exceptional (88th percentile), so while aflibercept services are important, they are not uniquely concentrated compared with peers.

    Risk and operational implications: with more than 80% of Medicare revenue coming from two drug codes (J0178 and J2777) and three codes accounting for 90.3% of revenue, the practice has high revenue concentration tied to access to specific pharmaceuticals and protocols for frequent injections. Any changes in drug availability, reimbursement policy, or clinical guidelines for intravitreal agents would disproportionately affect this provider’s revenue and capacity utilization.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,350$680$1.6M
    J2777Injection, faricimab‑svoa, 0.1 mg48,600$30$1.4M
    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.1,900$100$184.3K
    J2778Injection, ranibizumab, 0.1 mg520$180$95.2K
    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.2,410$30$72.3K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg290$160$46.5K
    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…490$90$43.9K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…30$860$27.6K
    J7999Compounded drug, not otherwise classified210$70$14.7K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.20$710$10.7K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J277755012,780$30$599.7K
    J0178690470$680$597.2K
    J27781230510$180$117.1K
    670289110550$90$72.9K
    J7312520270$160$46K
    67042114030$1,190$39.2K
    67036182020$1,140$28.6K
    9201491790110$80$16.8K
    J79992470150$70$15.9K
    920127122070$70$12.9K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spokane Eye Clinic PsWAMulti-Specialty Clinic/Center$0$8M
    Spokane Eye Clinic PsWAAmbulatory Surgical Clinic/Center$3M$716.1K
    Robert WirthlinWAOphthalmology Physician$3.7M$0
    Dallin AndersenWAOphthalmology Physician$3.4M$0
    Loren JackWAOphthalmology Physician$3.4M$0
    Ryan WhittedGAOphthalmology Physician$2.5M$0
    Robert WelchUTRetina Specialist (Ophthalmology) Physician$2.5M$0
    Shelly LeeWAOphthalmology Physician$1.9M$0
    Jessica WeinsteinORRetina Specialist (Ophthalmology) Physician$691.2K$49.8K
    Steven DayWAOphthalmology Physician$379.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Providence Health & Services - WaWAGeneral Acute Care Hospital$0$78.7M
    Providence Health & Services WashingtonWAPulmonary Disease Physician$0$78.6M
    Multicare Health SystemWAGeneral Acute Care Hospital$0$55.1M
    New Horizon Care Center, Inc.WASubstance Abuse Rehabilitation Facility$0$20.2M
    Spokane Addiction Recovery CentersWASubstance Abuse Rehabilitation Facility$0$19M
    Spokane Emergency Care Physicians PLLCWAEmergency Medicine Physician$0$13.9M
    Spokane Emergency Physicians, PsWAEmergency Medicine Physician$0$13.1M
    Providence Health & Services WashingtonWAClinical Medical Laboratory$1.6M$9.3M
    Laboratory Corporation Of AmericaWAClinical Medical Laboratory$1.6M$6.1M
    Integra Imaging, PsWADiagnostic Radiology Physician$0$7.5M

    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
    Andrew Cheek — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington