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    OpenPayerNPI Medicare & MedicaidParley Fillmore
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    Parley Fillmore — Billing Profile & Reimbursement Data

    NPI 1831307594 · Alamogordo, NM · Ophthalmology Physician

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    Parley Fillmore is a ophthalmology physician provider located in Alamogordo, New Mexico. This profile covers 20 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
    OrganizationParley Fillmore
    Address1124 10th St
    CityAlamogordo
    StateNM
    ZIP88310
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 18, 2007

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

    Payer SourceTotal Paid
    Medicare$612.6K
    Medicaid$0

    Key Findings

    This provider’s Medicare billing is highly concentrated: total Medicare revenue is $612.6K and the precomputed top 3 Medicare codes account for 68.5% of that Medicare revenue. The single largest line item is 66984, which alone represents 50.0% of Medicare revenue (758 claims, $306.2K revenue), signaling strong dependence on a small set of procedure codes for the bulk of income.

    The code mix and volumes identify a surgical ophthalmology practice centered on cataract care and associated diagnostics and injections. High-revenue surgical codes such as 66984 (758 claims, $306.2K) and 66982 (83 claims, $46K) are complemented by diagnostic and IOL-planning services like 92136 (764 claims, $20.6K) and established-patient visits 92014 (746 claims, $61.2K), while intravitreal therapy is represented by J2777 (1.8K claims, $52.2K) and 67028 (249 claims, $18.9K).

    This provider is effectively single-payer in the dataset: Medicare revenue is $612.6K while Medicaid is listed as none (no Medicaid billing on file), indicating no Medicaid billing on file and a Medicare-dominant payer mix. Analysts should treat Medicaid as absent when modeling payer risk or network coverage for this NPI.

    Competitive standing is mixed across codes: for the core cataract code 66984 this provider ranks #2294 of 15965 nationally (86th percentile) and is described as typical, unremarkable volume, indicating solid but not dominant national positioning in cataract procedures. Similarly, 66982 ranks #493 of 4580 (89th percentile) and 92014 ranks #2958 of 35415 (92th percentile), both characterized as typical volumes rather than market-leading dominance.

    There are notable statistical outliers in utilization patterns that warrant attention. Code 68841 shows unusually high claim volume (750 claims, $9K revenue) and ranks #6 of 583 providers nationally (99th percentile) with the label extreme outlier, meaning this provider bills this low-reimbursement implant/delivery code far more than nearly all peers; conversely, 92136 is ranked #231 of 8731 (97th percentile) and labeled notably above typical national volume, indicating above-average use of biometry services.

    Procedure-level economics are uneven: some very frequent services generate modest revenue per claim while a few procedures drive the revenue base. For example, 68841 has 750 claims at $12 avg paid/claim ($9K revenue) and contributes only 1.5% of Medicare revenue despite high volume, whereas 66984 has a high revenue share (50.0%) from 758 claims at $404 avg paid/claim. This mix implies sensitivity to per-procedure reimbursement changes for a small number of high-dollar codes.

    The presence of non-cataract services suggests a broader scope of practice beyond routine cataract surgery. Codes such as 15823 (22 claims, $13K) for upper eyelid skin trimming and 66991 (22 claims, $11.2K) for combined cataract and anterior segment drainage device work show occasional oculoplastic and glaucoma-related surgical activity, indicating diversified procedure offerings that supplement the surgical cataract core.

    Provider tenure is long-standing in Medicare enrollment: the NPI was enumerated on 2007-05-18 (~19 years ago). This extended enrollment period supports interpretation of patterns as established practice behavior rather than a short-term billing artifact, which is relevant when assessing stability of the provider’s service lines and referral relationships.

    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.

    20 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…760$400$306.2K
    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…750$80$61.2K
    J2777Injection, faricimab‑svoa, 0.1 mg1,800$30$52.2K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…80$550$46K
    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…760$30$20.6K
    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.250$80$18.9K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.70$270$18.8K
    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…300$60$18K
    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.490$30$13.3K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…20$590$13K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J2777152017,340$30$653.4K
    66984660130$500$167.1K
    670281530390$90$71.6K
    6699141020$1,850$48K
    6698253040$660$31.1K
    66821214070$240$21.3K
    9201416180130$70$18.5K
    1582321020$530$15.9K
    92012188070$60$9.4K
    83861410310$20$6.6K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fillmore Eye Clinic IncorporatedNMOphthalmology Physician$0$6.2M
    John PitcherNMOphthalmology Physician$5.1M$0
    Fillmore Eye Clinic IncorporatedNMAmbulatory Surgical Clinic/Center$2.6M$1.3M
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Mark CarmichaelCAHematology & Oncology Physician$3.1M$0
    Howard MartinTXDermatopathology (Pathology) Physician$3M$0
    Daniel KasugaTXRetina Specialist (Ophthalmology) Physician$2.9M$0
    Richard HwangTXRetina Specialist (Ophthalmology) Physician$2.6M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K
    Joseph FurlongTXDiagnostic Radiology Physician$2.4M$39.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Otero County Hospital AssociationNMGeneral Acute Care Hospital$0$73.2M
    American Medical Response Ambulance Service IncNMAmbulance$3M$23.9M
    Presbyterian Medical ServicesNMFederally Qualified Health Center (FQHC)$0$11M
    Ben Archer Health CenterNMFederally Qualified Health Center (FQHC)$0$5.2M
    Rail Junction Emergency Physicians LLCNMEmergency Medicine Physician$0$4.4M
    New Mexico Em-i Medical Services, P.CNMNurse Practitioner$0$4.4M
    Zia Therapy Center, Inc.NMClinic/Center$0$4.3M
    Four Corners Emergency Physicians PLLCNMEmergency Medicine Physician$0$3.2M
    Alamogordo Physical Therapy & Wellness Center, IncNMPhysical Therapist$0$2.9M
    Alamogordo Home Health Care And Hospice, IncNMHome Health Agency$0$2.5M

    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. New Mexico Distribution
    Parley Fillmore — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico