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NPI 1821147778 · El Paso, TX · Ophthalmology Physician
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Javier De La Torre is a ophthalmology physician provider located in El Paso, Texas. This profile covers 7 Medicare and 5 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Javier De La Torre |
| Address | 1400 Common Dr |
| City | El Paso |
| State | TX |
| ZIP | 79936 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | January 9, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $46.7K |
| Medicare | $10.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92012 | For 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… | 70 | $60 | $4.5K |
| 92014 | An 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… | 30 | $70 | $2.1K |
| 11440 | The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 0.5 cm in diameter or less and also performs a simple… | 10 | $100 | $1K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 10 | $70 | $980 |
| 67800 | In this procedure, the provider removes a chalazion, a small nodule that results from a blockage of an oil gland and ongoing inflammation. | 10 | $90 | $980 |
| 99214 | The provider sees an established 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… | 10 | $70 | $730 |
| 92250 | Code 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,… | 20 | $30 | $490 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
View: State1 / 2
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 520 | $40 | $19.8K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 230 | $40 | $9.4K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 140 | $60 | $8.9K |
| 92014 | An 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… | 230 | $40 | $8.1K |
| 92015 | The 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. | 530 | $1 | $530 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 92014 | An 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… | 379 | 750 | 240 | $60 | $68.4K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 317 | 630 | 140 | $90 | $56.7K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 368 | 1,020 | 290 | $40 | $39.2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 551 | 1,150 | 210 | $40 | $25.1K |
| 92015 | The 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. | 294 | 870 | 210 | $10 | $13.5K |
Other providers in the same ZIP code as Javier De La Torre, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Holistic Care Home Health Agency, Inc. | TX | Personal Care Attendant | $0 | $15.3M |
| Socorro Independent School District | TX | Local Education Agency (LEA) | $0 | $14.5M |
| Caprock Home Health Services, Inc. | TX | Home Health Agency | $0 | $13.7M |
| Caprock Home Health Services, Inc. | TX | Home Health Agency | $0 | $13.5M |
| Care Divine Of Guardian Angel, LLC | TX | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | $0 | $11.7M |
| Q Med Laboratory, LLC | TX | Clinical Medical Laboratory | $642.7K | $442.5K |
| Vista Surgery Center LLC | TX | Ambulatory Surgical Clinic/Center | $817.6K | $93.9K |
| Exova Diagnostics LLC | TX | Clinical Medical Laboratory | $501.3K | $39.3K |
| James Cole | TX | Ophthalmology Physician | $402.6K | $0 |
| Asad Omar | TX | Pulmonary Disease Physician | $397.8K | $0 |
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