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    OpenPayerNPI Medicare & MedicaidNorthwest Eyelid And Orbital Specialists Ps
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    Northwest Eyelid And Orbital Specialists Ps — Billing Profile & Reimbursement Data

    NPI 1871929646 · Spokane, WA · Ambulatory Surgical Clinic/Center

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    Northwest Eyelid And Orbital Specialists Ps is a ambulatory surgical clinic/center provider located in Spokane, Washington. This profile covers 15 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNorthwest Eyelid And Orbital Specialists Ps
    Address626 S Sheridan St
    CitySpokane
    StateWA
    ZIP99202
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedSeptember 24, 2013

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

    Payer SourceTotal Paid
    Medicare$519K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…310$540$164.3K
    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…260$530$134.9K
    67917During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…70$530$37.9K
    67924During this procedure, the provider performs an extensive repair of an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye, which can lead to excessive tearing and…50$670$32.2K
    68815The provider probes the nasolacrimal duct to identify a possible obstruction or stricture; he may or may not irrigate the duct. He inserts a tube or stent to keep the nasolacrimal duct open.40$550$23.3K
    67950Canthoplasty (median or lateral) is often referred to as a corner eye lift or eye tendon surgery. The ophthalmologist uses this technique to strengthen the lateral canthal tendon or orbicularis…40$510$19.9K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.50$390$17.9K
    67966The provider excises damaged or diseased tissue of the eyelid that may include the edges of the lid, the lid’s inner plate, the membrane lining of the lid, or the corner where the lids come together.…30$570$17.1K
    68320The provider performs a surgical repair of the conjunctiva using the patient’s own conjunctival tissue as a graft or by rearranging the existing tissue. This procedure is done to treat a condition…20$610$14.6K
    68720The provider performs a dacryocystorhinostomy, or DCR, to correct dysfunction of the nasolacrimal duct and restore the flow of tears from the tear duct into the nose.20$840$12.6K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1582324040$560$39.4K
    6790413030$600$30.6K
    15260115030$690$24.1K
    6791742030$470$17.9K
    6832051030$520$16.7K
    14060166020$540$16.2K
    6796611020$550$13.2K
    6872021020$870$13.1K
    6795011030$390$12.3K
    6881521030$330$12.2K

    Showing 1–10 of 15

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…10$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Washington median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…515090$1$1

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Northwest Eyelid And Orbital Specialists Ps, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kevin MichelsWAOphthalmic Plastic and Reconstructive Surgery Physician$264.5K$0
    Talmage BroadbentWAOphthalmic Plastic and Reconstructive Surgery Physician$263.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Northwest Eyelid And Orbital Specialists Ps, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Multicare Health SystemWAInternal Medicine Physician$0$46.6M
    Frontier Behavioral HealthWACommunity/Behavioral Health Agency$0$34.3M
    Dungarvin Washington Children's Services, LLCWADevelopmental Disabilities Clinic/Center$0$21.3M
    Community Health Association Of SpokaneWAFederally Qualified Health Center (FQHC)$0$8.2M
    Providence Health & Services- WashingtonWARehabilitation Hospital$0$8M
    Compass Career Solutions LLCWADevelopmentally Disabled Services Day Training Agency$0$7.7M
    Inland Imaging LLCWADiagnostic Radiology Physician$0$6.8M
    Northwest Autism CenterWACommunity/Behavioral Health Agency$0$5.9M
    Northwest Pediatric OphthalmologyWAOphthalmology Physician$0$4.2M
    Inland Northwest Renal Care Group, LLCWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.1M

    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. Washington Distribution
    Northwest Eyelid And Orbital Specialists Ps — 6 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington
    Medicaid Revenue by Year vs. Washington Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Northwest Eyelid And Orbital Specialists Ps — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington