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    OpenPayerNPI Medicare & MedicaidMason Munn
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    Mason Munn — Billing Profile & Reimbursement Data

    NPI 1811349897 · Clinton, SC · Optometrist

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    Mason Munn is a optometrist provider located in Clinton, South Carolina. This profile covers 14 Medicare and 1 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
    OrganizationMason Munn
    Address22995 Us Highway 76
    CityClinton
    StateSC
    ZIP29325
    TaxonomyOptometrist
    NPI EnumeratedJuly 1, 2016

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

    Payer SourceTotal Paid
    Medicare$81.8K
    Medicaid$760

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…410$80$30.9K
    99213The 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…200$50$10.3K
    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…170$60$10K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.100$90$9.5K
    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$20$5.5K
    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…140$20$3.1K
    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…50$70$3K
    83861The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye.130$20$2.8K
    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$2.4K
    92083The 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…60$40$2.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014140540160$80$24.3K
    9201293240110$60$14.2K
    992132,2147,690100$60$10.8K
    9213419440090$30$9.6K
    992042,0084,52040$110$6.4K
    920048445040$90$5.6K
    838612550130$20$5.2K
    9208319440060$40$4.1K
    922507442070$20$3.5K
    9213313240070$20$3.1K

    Showing 1–10 of 14

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.100$10$760

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. South Carolina median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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.339470370$10$20.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clemson Eye, PASCOphthalmology Physician$0$5.5M
    Sreenivasa BasavanthappaILRetina Specialist (Ophthalmology) Physician$3.2M$14.2K
    Nick MclaneSCOphthalmology Physician$1.9M$0
    Krishi PeddadaSCOphthalmology Physician$1.3M$0
    Rishi SinghalGARetina Specialist (Ophthalmology) Physician$668.8K$0
    Harvard RiddleSCOphthalmology Physician$547K$0
    Tomasz WiraszkaGARetina Specialist (Ophthalmology) Physician$533.4K$11.9K
    Samuel MontgomerySCOphthalmology Physician$543.3K$1.5K
    Brian JohnsonSCOphthalmology Physician$539.3K$0
    Samuel SeltzerSCOphthalmology Physician$462.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prisma Health-upstateSCGeneral Acute Care Hospital$0$13.1M
    Piedmont Pediatrics LLCSCPediatrics Physician$0$8.4M
    Carolina Health Centers, Inc.SCPediatrics Physician$0$7.6M
    Laurens School District 56SCLocal Education Agency (LEA)$0$3.1M
    Lifesource Of North CarolinaSCGeneral Practice Physician$0$3.1M
    Hospice Of Laurens County IncSCCommunity Based Hospice Care Agency$0$2.6M
    Surgery & Laser Center At Professional Park LLCSCAmbulatory Surgical Clinic/Center$1.3M$49.8K
    James LogingSCOrthopaedic Surgery Physician$779.6K$0
    Giridhar GunduSCPhysical Medicine & Rehabilitation Physician$240.1K$0
    William OwensSCOrthopaedic Surgery Physician$201.5K$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. South Carolina Distribution
    Mason Munn — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina
    Medicaid Revenue by Year vs. South Carolina Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. South Carolina Distribution
    Mason Munn — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina