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    OpenPayerNPI Medicare & MedicaidRaynor Casey
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    Raynor Casey — Billing Profile & Reimbursement Data

    NPI 1821014440 · Raleigh, NC · Retina Specialist (Ophthalmology) Physician

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    Raynor Casey is a retina specialist (ophthalmology) physician provider located in Raleigh, North Carolina. This profile covers 15 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
    OrganizationRaynor Casey
    Address4414 Lake Boone Trl
    CityRaleigh
    StateNC
    ZIP27607
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJuly 15, 2006

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

    Payer SourceTotal Paid
    Medicare$1.9M
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,430$690$985.2K
    J3590Unclassified biologics90$2,690$250.2K
    J2778Injection, ranibizumab, 0.1 mg1,180$180$216.6K
    J3490Unclassified drugs70$1,960$145.1K
    J2777Injection, faricimab‑svoa, 0.1 mg4,620$30$134K
    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.1,120$90$100.9K
    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…550$60$32.3K
    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.890$30$24.8K
    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,…640$30$15.9K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…100$100$9.8K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017836100950$690$881K
    J2777597012,990$30$503.7K
    J27781450620$180$202.2K
    J359011030$2,570$95K
    6702846120780$90$80K
    J3490198050$450$24.1K
    9921417,77318,060110$80$15.1K
    J90354890140$50$13.4K
    92235217060$100$8.7K
    921347279070$30$7.5K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shil PatelVAOphthalmology Physician$6.1M$0
    James PateNCOphthalmology Physician$5.2M$0
    Nitin GuptaNCOphthalmology Physician$4.7M$0
    John ThordsenNCRetina Specialist (Ophthalmology) Physician$3.5M$0
    Rebecca ManningNCRetina Specialist (Ophthalmology) Physician$3.4M$0
    William ClarkSCOphthalmology Physician$3.3M$0
    Sachin MudvariNCRetina Specialist (Ophthalmology) Physician$3.2M$0
    Daniel BennettNCRetina Specialist (Ophthalmology) Physician$3M$0
    Brian LehpamerNCRetina Specialist (Ophthalmology) Physician$2.9M$0
    Elizabeth TeginsNJOphthalmology Physician$2.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Autism Society Of North Carolina, Inc.NCCommunity/Behavioral Health Agency$0$95.7M
    Rex Hospital Inc.NCGeneral Acute Care Hospital$0$25.3M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$24.8M
    Nc Dept Of Health And Human ServiceNCClinical Medical Laboratory$0$16.4M
    Jeffers Mann & Artman Pediatric & Adolesent Medicine PANCPediatric Adolescent Medicine Physician$0$10.9M
    Pediatric Therapy AssociatesNCPhysical Therapist$0$10.2M
    Blue Ridge Day Surgery Center, LPNCAmbulatory Surgical Clinic/Center$1.6M$2.2M
    John DennyNCRetina Specialist (Ophthalmology) Physician$2.3M$0
    Eugene MilderNCRetina Specialist (Ophthalmology) Physician$2.1M$0
    Lisa MckennaNCRetina Specialist (Ophthalmology) Physician$1.9M$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. North Carolina Distribution
    Raynor Casey — 3 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina