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    OpenPayerNPI Medicare & MedicaidCharles Nunez
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    Charles Nunez — Billing Profile & Reimbursement Data

    NPI 1801154760 · Cumming, GA · Optometrist

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    Charles Nunez is a optometrist provider located in Cumming, Georgia. This profile covers 10 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)

    FieldValue
    Entity TypeIndividual
    OrganizationCharles Nunez
    Address1780 Peachtree Pkwy Ste 301
    CityCumming
    StateGA
    ZIP30041
    TaxonomyOptometrist
    NPI EnumeratedApril 30, 2012

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

    Payer SourceTotal Paid
    Medicare$310.8K
    Medicaid$105.3K

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,440$70$158.3K
    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…650$90$56.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.500$110$53.6K
    76512The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures.860$30$26.6K
    92250Code 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,…240$30$6.7K
    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.90$30$2.9K
    92100Code 92100 describes multiple measurements of intraocular pressure taken over a given time period on a single day in order to monitor response to treatment or document pressure changes throughout the…40$60$2.7K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.100$20$1.6K
    92133The 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…60$30$1.5K
    92132The provider performs computerized diagnostic imaging of the anterior segment (front part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.60$20$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014351850130$80$19.7K
    92012438090$60$10.5K
    9213486362070$30$7.1K
    920041564040$90$5.9K
    9225033962050$20$2.8K
    9213386162060$20$2.5K
    7651244030$30$1.3K
    922851039040$10$1.2K
    92100130N/A$N/A$N/A
    9213270N/A$N/A$N/A

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,280$30$34.6K
    92341Code 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.870$30$22.5K
    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.1,860$10$20.4K
    V2020Frames, purchases1,210$10$12.1K
    V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens640$10$4.5K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…80$40$3.6K
    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$40$3.2K
    1036FN/A1,010$1$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.40$30$1.1K
    G8785Blood pressure reading not documented, reason not given880$0$0

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Georgia median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…4070240$40$68.1K
    V2020Frames, purchases3590650$20$68K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.417080$50$47.8K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…3760200$10$23.1K
    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.1270330$10$18.9K
    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…330130$30$12.5K
    92341Code 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.110210$20$9.1K
    V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens110190$10$4K
    1036FN/A2590150$1$100
    G8785Blood pressure reading not documented, reason not given110470$0$0

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alan MaramaraFLOptometrist$303.2K$212.7K
    Damaris BenitezFLOptometrist$296.6K$7.1K
    Lucie NgarFLOptometrist$131.9K$144.3K
    Eric BrodskyFLOptometrist$263.9K$3.6K
    Alesha SmithVAOptometrist$126.5K$10K
    Blake SimmonsCOOptometrist$88.4K$0
    Donna ShotwellFLOptometrist$58.3K$0
    Michelle CevallosFLOptometrist$29.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advanced Center For Joint Surgery, LLCGAAmbulatory Surgical Clinic/Center$8.4M$0
    Sri Krishna MukkamalaGAHospitalist Physician$3.4M$0
    Gregory LeeGAOphthalmology Physician$2.9M$6.3K
    Gregg SoiferGAPhysical Medicine & Rehabilitation Physician$814.4K$0
    Charles DecookGAOrthopaedic Surgery Physician$759.9K$0
    Forsyth Eye Surgery Center, LLCGAAmbulatory Surgical Clinic/Center$689K$0
    Georgia Interventional Pain - C, LLCGAAmbulatory Surgical Clinic/Center$659.4K$0
    Angie RinkGAProfessional Counselor$0$541.3K
    Bhaskar ReddyGACardiovascular Disease Physician$521.6K$0
    Julia BranchGAFamily Nurse Practitioner$488.4K$0

    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. Georgia Distribution
    Charles Nunez — 3 of 8 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia
    Medicaid Revenue by Year vs. Georgia Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Georgia Distribution
    Charles Nunez — 2 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia