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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCarl Sylvester
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    Carl Sylvester — Billing Profile & Reimbursement Data

    NPI 1831241587 · Oklahoma City, OK · Ophthalmology Physician

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    Carl Sylvester is a ophthalmology physician provider located in Oklahoma City, Oklahoma. This profile covers 16 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
    OrganizationCarl Sylvester
    Address13321 N Meridian Ave
    CityOklahoma City
    StateOK
    ZIP73120
    TaxonomyOphthalmology Physician
    NPI EnumeratedJanuary 16, 2007

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

    Payer SourceTotal Paid
    Medicare$167.1K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…170$340$57.1K
    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…500$80$39.3K
    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…250$60$13.6K
    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$90$11.4K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.50$230$10.7K
    64708In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on a major peripheral nerve in an arm or leg, and at a location other than…40$250$8.7K
    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…130$40$5.1K
    64727The provider excises scar tissue from within and between the nerve fibers in the protective nerve sheath using an operating microscope and microsurgical techniques. This procedure may be done during…40$130$4.7K
    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…190$20$4.5K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…170$30$4.3K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669846735040$430$69.3K
    992144,6075,560130$70$18.4K
    9201450550130$70$16.6K
    668219922040$210$15.2K
    6470851060$250$14.3K
    992135,0855,45080$50$8.7K
    6472751060$130$7.6K
    9213646100150$20$7K
    920122422060$50$6.4K
    9213414446050$30$5.4K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brad SimonsFLOphthalmology Physician$262.6K$4M
    Sumit NandaOKRetina Specialist (Ophthalmology) Physician$4.2M$0
    J J Young MdOKAmbulatory Surgical Clinic/Center$817.1K$13K
    Rebecca KurzonFLOphthalmology Physician$597.5K$0
    Joseph YoungOKOphthalmology Physician$477.6K$2.1K
    John BenekeFLOphthalmology Physician$396.3K$17.8K
    Staci WaltersFLOptometrist$291.2K$0
    Frank FischerFLOphthalmology Physician$287.6K$0
    Kimberly WiseOKOphthalmology Physician$201.9K$0
    Jason NguyenOKOphthalmology Physician$175.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Clinic Oklahoma CommunitiesOKFamily Medicine Physician$0$45.4M
    Mercy Hospital Oklahoma City, IncOKGeneral Acute Care Hospital$0$14.2M
    Osu Center For Health SciencesOKClinic/Center$0$11.6M
    The Perinatal Center, PLLCOKMaternal & Fetal Medicine Physician$0$7.6M
    Oklahoma Spine Surgery CenterOKAmbulatory Surgical Clinic/Center$6.8M$708.6K
    Childrens Eye Care P L L COKOphthalmology Physician$0$5.8M
    Marquis Labs, LLCOKClinical Medical Laboratory$718.2K$4.8M
    Beacon Pointe, LLCOKCommunity/Behavioral Health Agency$0$3.5M
    Ohh Physicians, LLCOKCardiovascular Disease Physician$0$3.4M
    Caring Home Health Agency IncOKHome Health Agency$0$2.8M

    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. Oklahoma Distribution
    Carl Sylvester — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma