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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Phelan
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    Mark Phelan — Billing Profile & Reimbursement Data

    NPI 1801882030 · Abilene, TX · Ophthalmology Physician

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    Mark Phelan is a ophthalmology physician provider located in Abilene, Texas. This profile covers 12 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
    OrganizationMark Phelan
    Address2120 Antilley Rd
    CityAbilene
    StateTX
    ZIP79606
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 22, 2005

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

    Payer SourceTotal Paid
    Medicare$500.5K
    Medicaid$0

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…800$360$287.9K
    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…680$80$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.520$90$47.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.120$230$26.8K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…1,270$20$22.9K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…40$530$22.6K
    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…330$60$19.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…250$40$9.5K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.70$50$3.6K
    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…80$20$1.9K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698449990100$560$113.9K
    669826027020$650$23.4K
    920142762,700100$80$21K
    6682114870050$230$20K
    920122861,69080$60$10.9K
    921341,3491,69070$30$8.3K
    9200452,07040$90$6.1K
    921366650130$20$5.1K
    921335481,47050$20$2.4K
    992121875,51030$40$2.2K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abilene Eye Asc LPTXAmbulatory Surgical Clinic/Center$1.1M$0
    Rocky McadamsTXOphthalmology Physician$667.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Abilene Spine & Joint Surgery Center LLCTXAmbulatory Surgical Clinic/Center$3.6M$52.9K
    Sunil PatelTXOphthalmology Physician$2.6M$0
    Charles ClarkTXOphthalmology Physician$2.1M$0
    Eric ZavaletaTXOphthalmology Physician$1.9M$0
    Ross LyndsTXOphthalmology Physician$1.8M$0
    Seong LeeTXOphthalmology Physician$1.5M$0
    Timothy BumannTXUndersea and Hyperbaric Medicine (Emergency Medicine) Physician$1.5M$0
    Hari KallaTXHematology & Oncology Physician$1.1M$0
    Screening For Life LLCTXPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$579.9K$489.2K
    Sina AboutalebiTXDermatology Physician$1M$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Mark Phelan — 4 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas