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    OpenPayerNPI Medicare & MedicaidKristy Moeller
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    Kristy Moeller — Billing Profile & Reimbursement Data

    NPI 1841334505 · Bozeman, MT · Ophthalmology Physician

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    Kristy Moeller is a ophthalmology physician provider located in Bozeman, Montana. This profile covers 21 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
    OrganizationKristy Moeller
    Address3820 N 27th Ave
    CityBozeman
    StateMT
    ZIP59718
    TaxonomyOphthalmology Physician
    NPI EnumeratedFebruary 16, 2007

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

    Payer SourceTotal Paid
    Medicare$426.7K
    Medicaid$0

    Key Findings

    Practice profile: The provider’s revenue mix is consistent with an ophthalmology practice focused on office-based medical retina care and cataract surgery — the top revenue driver is J0178 (Injection, aflibercept) at $168.4K and 244 claims, supported by substantial volumes of comprehensive and intermediate eye exams (92014 and 92012) and cataract surgery (66984). code descriptions and the presence of diagnostic imaging codes (92134, 92133) indicate an integrated clinic that performs both procedural injections and in-office diagnostics to support chronic retinal and cataract care.

    Revenue concentration: The provider’s Medicare revenue is heavily concentrated in a small number of services — the precomputed top 3 Medicare codes by revenue account for 67.0% of this provider's total Medicare revenue, with J0178 alone representing 39.5% of Medicare revenue ($168.4K). This concentration suggests dependence on a limited set of high-value services for most of the Medicare income.

    Payer mix: This provider is effectively single-payer in the available data, with total Medicare revenue of $426.7K and no Medicaid billing on file. The absence of Medicaid billing means payers and network managers should treat this entity as Medicare-centric when evaluating access and reimbursement impact.

    Competitive standing by code: Volume and ranking vary by service — J0178 ranks #2456 of 3204 nationally (23th percentile) and is labeled a typical, unremarkable volume for this code, indicating modest national participation in aflibercept injections; by contrast, 92014 ranks #2967 of 35415 (92th percentile), showing relatively strong activity in comprehensive established-patient exams. Cataract surgery code 66984 ranks #6934 of 15965 (56th percentile), positioning the provider near the midpoint nationally for that surgical service.

    Diagnostic and imaging capacity: The provider reports substantial use of retinal and optic nerve imaging — 92134 shows 481 claims and $13.9K revenue (rank #3585 of 26868, 87th percentile) and 92133 has 144 claims and $3.5K revenue (78th percentile). These high percentiles for imaging codes imply a robust diagnostic workflow that supports management of retinal and glaucoma-related conditions alongside injection therapy.

    Surgical and ancillary procedures: In addition to cataract extraction (66984, $56.3K), the provider bills for capsule-fogging treatment 66821 ($18.7K) and performs oculoplastic work such as 15823 (upper eyelid blepharoplasty, $14K). The mix of surgical CPTs alongside high-volume office exams suggests a practice model that combines operative procedures with routine outpatient ophthalmic care.

    Tenure and stability: The NPI was enumerated on 2007-02-16 (~19 years ago), indicating a long-established provider presence in Bozeman, MT. Coupled with lifetime Medicare revenue of $426.7K, this tenure suggests a stable, moderate-scale Medicare billing footprint rather than a newly established or high-volume national practice.

    Implications of no Medicaid billing: The explicit absence of Medicaid billing on file (none below) implies the provider either does not participate in Medicaid, bills under a different NPI/group for low-income payer encounters, or serves a payer mix concentrated on Medicare and commercial plans. For payers evaluating network adequacy or access for Medicaid populations, this provider should not be assumed to provide Medicaid-covered services without further credentialing or contract verification.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg240$690$168.4K
    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$61.1K
    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…130$420$56.3K
    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.230$90$20.3K
    99214The 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…220$90$19.4K
    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…320$60$19.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.60$290$18.7K
    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$670$14K
    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.480$30$13.9K
    J9035Injection, bevacizumab, 10 mg120$50$6.1K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781520460$680$663.4K
    669843412050$490$78.1K
    670281520390$90$73.7K
    15823121030$510$23.6K
    9201415170190$80$22.7K
    66821277050$220$18.3K
    992144711,810100$70$12.4K
    92012105080$60$11.9K
    J9035410100$50$10.3K
    921361830270$30$8.9K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Angela WatkinsMTOphthalmology Physician$449.5K$0
    Joseph SheehanMTOphthalmology Physician$342.1K$0
    Patricia CosgroveMTOphthalmology Physician$292.2K$0
    Lisa HerrygersMTOphthalmology Physician$260.7K$0
    Colin McinnisMTGlaucoma Specialist (Ophthalmology) Physician$228.2K$0
    Shannon CurrierMTOptometrist$72.8K$0
    Callie HarbertsMTOptometrist$68.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wojj Pediatric DentistryMTDental Clinic/Center$0$3.3M
    Smiles Across MontanaMTDental Hygienist$0$1.9M
    West Bozeman Surgery Center, LLCMTAmbulatory Surgical Clinic/Center$1.9M$55K
    Psychiatry Associates PCMTPsychiatry Physician$0$1.4M
    Marc ComarattaMTRetina Specialist (Ophthalmology) Physician$1.2M$124.7K
    Foundation Therapy Services IncMTSpeech-Language Pathologist$0$1.1M
    Lincare Inc.MTDurable Medical Equipment & Medical Supplies$0$1M
    Montana Psychiatry, PLLCMTPsychiatry Physician$0$1M
    Kenneth OlsonMTAddiction Psychiatry Physician$29.3K$809.9K
    Aaron BruceMTDermatology Physician$682.7K$0

    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. Montana Distribution
    Kristy Moeller — 0 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana