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    OpenPayerNPI Medicare & MedicaidPadmini Nathan
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    Padmini Nathan — Billing Profile & Reimbursement Data

    NPI 1861550592 · Frederick, MD · Optometrist

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    Padmini Nathan is a optometrist provider located in Frederick, Maryland. This profile covers 10 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.

    (source: NPPES NPI Registry)

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    Provider details
    FieldValue
    Entity TypeIndividual
    OrganizationPadmini Nathan
    Address73 Thomas Johnson Drive
    CityFrederick
    StateMD
    ZIP21702
    TaxonomyOptometrist
    NPI EnumeratedDecember 5, 2006

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

    Payer SourceTotal Paid
    Medicare$156.5K
    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…640$80$53.9K
    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…300$90$25.2K
    92250Code 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,…950$30$24.6K
    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…250$60$16.1K
    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…300$50$13.4K
    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.360$30$10.4K
    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…290$30$7.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.50$90$4.9K
    92132The provider performs computerized diagnostic imaging of the anterior segment (front part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.20$20$410
    76514The provider uses conventional contact B scan imaging to measure the thickness of the cornea in one or both eyes.20$10$140

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014142620210$90$44K
    992143,13310,270150$90$24.1K
    92134134490110$30$17.3K
    992132,3009,280100$60$12.5K
    920838148090$50$8.8K
    9200420747050$100$7.2K
    92133101450110$30$5.1K
    922501949060$30$4.9K
    7651420026040$10$600
    9213261020$20$420

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Frederick County Public SchoolsMDLocal Education Agency (LEA)$0$21.3M
    Dr.sivakumar Pediatric Dental Center LLCMDPediatric Dentistry$0$14.7M
    Concerted Care Group Frederick LLCMDMethadone Clinic$290K$7.4M
    Frederick Pediatric Associates P.A.MDPediatrics Physician$0$7.6M
    Potomac Case Management ServicesMDCase Management Agency$0$6.7M
    Amr HegaziMDHematology & Oncology Physician$2.3M$0
    Grant LouieMDRheumatology Physician$2.1M$0
    Sadaf TaimurMDHematology & Oncology Physician$1.7M$0
    Frederick Surgical Center, LLCMDAmbulatory Surgical Clinic/Center$1.7M$0
    Gregory GagnonMDRadiation Oncology Physician$1.6M$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. Maryland Distribution
    Padmini Nathan — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland