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    OpenPayerNPI Medicare & MedicaidTimothy Blake
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    Timothy Blake — Billing Profile & Reimbursement Data

    NPI 1891790986 · Nashua, NH · Ophthalmology Physician

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    Timothy Blake is a ophthalmology physician provider located in Nashua, New Hampshire. 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
    OrganizationTimothy Blake
    Address5 Coliseum Ave
    CityNashua
    StateNH
    ZIP03063
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 16, 2005

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

    Payer SourceTotal Paid
    Medicare$339.7K
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is concentrated in ophthalmic surgery and office-based eye care: the top codes are 66984 (cataract extraction with IOL), 92014 (established comprehensive eye exam), and 99213 (established office E/M), and the precomputed top-3 Medicare codes account for 63.8% of total Medicare revenue. The mix of high-volume cataract surgery (66984) alongside large volumes of comprehensive eye exams (92014) and routine E/M visits (99213) indicates a practice that blends procedural surgical work with ongoing outpatient ophthalmology care.

    Revenue concentration on Medicare is driven heavily by a single procedural code: 66984 contributes $108.5K (31.9% of total Medicare revenue) and, together with 92014 ($79.6K, 23.4%) and 99213 ($28.8K, 8.5%), these three codes represent 63.8% of Medicare revenue. This concentration implies the provider’s financial performance is closely tied to cataract surgical throughput and routine ophthalmic follow-up, making surgical volume and exam visit volume key operational levers.

    Payer mix is effectively single-payer at the claim level: the record shows Total Medicare revenue of $339.7K and no Medicaid billing on file. Because there is no Medicaid activity to compare, the provider should be considered essentially Medicare-dependent in the available billing data, which limits insights about safety-net or low-income population exposure.

    Competitive standing for the practice is mixed by code: for 92014 the provider ranks #1816 of 35415 (95th percentile), characterized as notably above typical national volume and suggesting a strong market presence for comprehensive established exams. By contrast, 66984 ranks #4561 of 15965 (71th percentile), which the source labels as typical or unremarkable volume—indicating that while cataract surgery is a major revenue driver locally, the provider is not among the highest-volume cataract surgeons nationally.

    Several other specialty ophthalmology codes show consistently above-typical national volumes for diagnostic and imaging services (for example, 92250 ranks in the 93th percentile and 92133/92134 rank in the mid-80s to low-80s percentiles). This pattern supports the view that the practice performs substantial diagnostic imaging and retinal/optic nerve evaluation in support of medical retina or glaucoma follow-up, consistent with a clinic that manages chronic eye disease in addition to surgical cases.

    Tenure is long: the provider’s NPI was enumerated on 2005-06-16 (~21 years ago). This extended tenure is consistent with an established solo or small-group ophthalmology practice and may underpin steady referral relationships and surgical case volume over time.

    There are no Medicaid codes on file to profile state-level competitive standing or service mix for that payer; the absence of Medicaid billing is itself notable and suggests minimal to no Medicaid patient panel in the claims captured here. For payers or networks interested in Medicaid access, this provider would not be a source of Medicaid-covered ophthalmology services based on the available data.

    A few procedural codes are lower-volume but clinically relevant: 66821 (YAG capsulotomy) contributes $22.3K and ranks in the 74th percentile, indicating routine post-cataract laser capsulotomy practice; similarly, 66982 (complex cataract/IOL) contributes $10.5K but ranks in the 20th percentile, implying less frequent complex cataract cases relative to peers. These patterns suggest routine cataract case mix with occasional complex cases rather than a specialty center for complex cataract surgery.

    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
    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…250$430$108.5K
    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…960$80$79.6K
    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…440$70$28.8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.90$240$22.3K
    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…250$80$20.3K
    99204The provider sees a new 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 provider…110$100$10.7K
    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,…410$30$10.7K
    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…20$580$10.5K
    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…200$40$8.4K
    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.290$30$7.8K

    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
    669842560220$310$144.6K
    66982243030$660$26.5K
    920149210170$80$21.2K
    6682194060$250$19.4K
    992147173,150110$80$13.2K
    92012677060$60$8.2K
    992131322,90070$50$6.9K
    921361350200$30$6K
    921342017060$30$5.2K
    920045518040$90$5K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kendra Klein-masciaMAOphthalmology Physician$1.4M$0
    Jeffrey MarxMAOphthalmology Physician$933.2K$0
    Fina BarouchMARetina Specialist (Ophthalmology) Physician$450.7K$0
    Nashua Eye Associates, P.A.NHOphthalmology Physician$0$381.8K
    Faith BirnbaumNHOphthalmology Physician$335.1K$0
    Sonalee Desai-bartoliNHGlaucoma Specialist (Ophthalmology) Physician$322.3K$0
    Purak ParikhNHOphthalmology Physician$298.3K$0
    John DagianisNHOphthalmology Physician$199K$0
    Victoria NorthMAOphthalmic Plastic and Reconstructive Surgery Physician$143.5K$0
    Patrick RiddleNHOphthalmology Physician$139.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Life Services For Recovery, LLCNHSubstance Use Disorder Rehabilitation Clinic/Center$0$11.2M
    Bell Tower Home Health Care LLCNHHome Health Agency$0$9.9M
    Greater Nashua Council On Alcoholism-keystone HallNHSubstance Abuse Rehabilitation Facility$0$3.7M
    Novamed Surgery Center Of Nashua, LLCNHAmbulatory Surgical Clinic/Center$1.6M$36.7K
    Nashua Regional Cancer Center IncNHRadiation Oncology Clinic/Center$1.2M$0
    Wanderlust Therapeutic Services, PLLCNHClinical Social Worker$0$1.1M
    Eye Practice Of Nashua PLLCNHOptometrist$0$430.1K
    Nashua Dentistry And Braces IncNHGeneral Practice Dentistry$0$383.7K
    Tracey SkellyNHOptometrist$5.2K$269.4K
    Tech Med Inc Of HudsonNHDurable Medical Equipment & Medical Supplies$0$204.3K

    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 Hampshire Distribution
    Timothy Blake — 2 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire