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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMary Price
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    Mary Price — Billing Profile & Reimbursement Data

    NPI 1821107772 · Wilmington, NC · Ophthalmology Physician

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    Mary Price is a ophthalmology physician provider located in Wilmington, North Carolina. This profile covers 19 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
    OrganizationMary Price
    Address1907 S 17th Street
    CityWilmington
    StateNC
    ZIP28401
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$212.1K
    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.

    19 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…950$60$55.3K
    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…460$80$38K
    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…660$30$16.5K
    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…400$40$16K
    66761The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of…70$210$14.3K
    65855In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.80$170$13.6K
    0449TThe provider inserts the first aqueous drainage device into the interior of the eye with its end in the subconjunctival space; the device does not include a reservoir to hold the fluid. The device…20$580$12.2K
    66180The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue…10$870$11.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.120$100$10.9K
    66710The provider destroys a portion of ciliary body using a laser beam. This procedure decreases the fluid production in the eye, thereby decreasing intraocular pressure.20$330$7.2K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66180121020$1,050$23.2K
    92014112880110$80$17.7K
    9921412,82018,060110$80$15.1K
    0449T11020$580$12.2K
    92012330080$60$8.9K
    6671031020$390$7.8K
    6585577030$170$7.7K
    6676121020$240$7.6K
    9921310,00616,32070$50$7.1K
    9210071040$60$5.3K

    Showing 1–10 of 19

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Novant Health New Hanover Regional Medical Center LLCNCGeneral Acute Care Hospital$0$57.5M
    New Hanover Regional Medical CenterNCGeneral Acute Care Hospital$0$23.7M
    Access Family ServicesNCCommunity/Behavioral Health Agency$0$15.3M
    Care Providers Of WilmingtonNCHome Health Agency$0$10M
    Wilmington Health PLLCNCPediatrics Physician$0$10M
    Ecep Ii PANCEmergency Medicine Physician$0$9.7M
    Novant Health New Hanover Regional Medical Center LLCNCAmbulance$6.1M$2.7M
    Coastal Horizons Center Inc.NCCommunity/Behavioral Health Agency$0$8.7M
    New Hanover Community Health Center IncorporatedNCFederally Qualified Health Center (FQHC)$0$8.5M
    Kidzcare Pediatrics, PCNCPediatrics Physician$0$8.2M

    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. North Carolina Distribution
    Mary Price — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina