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    OpenPayerNPI Medicare & MedicaidAdam Debusk
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    Adam Debusk — Billing Profile & Reimbursement Data

    NPI 1821359415 · Philadelphia, PA · Neuro-ophthalmology Physician

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    Adam Debusk is a neuro-ophthalmology physician provider located in Philadelphia, Pennsylvania. This profile covers 7 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
    OrganizationAdam Debusk
    Address840 Walnut St Ste 930
    CityPhiladelphia
    StatePA
    ZIP19107
    TaxonomyNeuro-ophthalmology Physician
    NPI EnumeratedMay 31, 2012

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

    Payer SourceTotal Paid
    Medicare$45.3K
    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…170$110$18.9K
    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…160$60$10.2K
    92060The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…140$40$6.2K
    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…100$40$4.5K
    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…40$80$2.8K
    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…90$20$2.2K
    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.20$30$510

    Medicare: Competitive Analysis & Benchmarks

    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

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    920141,3021,570130$80$21K
    921341,1191,32060$30$8.4K
    992135,29322,37070$60$7.7K
    9920425110,29030$110$5K
    920833441,31050$40$4.1K
    9206078040$50$2.6K
    921333991,27050$20$2.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Health System, IncTNPediatrics Physician$0$16.8M
    University Health System, Inc.TNGeneral Acute Care Hospital$0$13.8M
    Joseph KelleyNCRadiation Oncology Physician$878.9K$0
    Scott StevensTNVascular Surgery Physician$228.7K$0
    Brian PrattGAFamily Medicine Physician$205.9K$0
    Steven DillTNRadiation Oncology Physician$184K$0
    Sarah DarbandiFLOphthalmology Physician$154.6K$0
    Mindy HsiaoINHematology & Oncology Physician$153.1K$0
    Aimee WehberTNCardiovascular Disease Physician$144.3K$0
    Carmelo VeneroTNInterventional Cardiology Physician$124.7K$13.2K

    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. Pennsylvania Distribution
    Adam Debusk — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania