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    OpenPayerNPI Medicare & MedicaidMatthew Johnson
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    Matthew Johnson — Billing Profile & Reimbursement Data

    NPI 1912133638 · Sycamore, IL · Ophthalmology Physician

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    Matthew Johnson is a ophthalmology physician provider located in Sycamore, Illinois. This profile covers 15 Medicare and 2 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 TypeIndividual
    OrganizationMatthew Johnson
    Address2240 Gateway Dr
    CitySycamore
    StateIL
    ZIP60178
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 9, 2009

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

    Payer SourceTotal Paid
    Medicare$387.6K
    Medicaid$5.9K

    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
    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…530$400$209.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.150$230$34.1K
    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…300$110$31.6K
    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…350$80$28.2K
    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…950$20$17.1K
    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…230$60$13K
    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$12.7K
    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…150$70$11.3K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…20$490$10.8K
    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…150$40$5.9K

    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
    66984260570360$70$97.8K
    66991244030$1,180$44.7K
    6698212119030$590$27.1K
    920146471,420130$80$24.7K
    992143,22218,540110$80$17.1K
    668215937050$70$16.4K
    921343021,08080$30$9K
    992133,06517,39070$60$8.8K
    9200446399040$100$6.3K
    99204278,58030$110$5.6K

    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.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…280$20$5.9K
    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…10$20$190

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…644670230$30$16K
    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…1650100$20$10.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$62.7M
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$38.9M
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$16.4M
    Sara FlemingILAnatomic Pathology & Clinical Pathology Physician$24.6K$12.9M
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$10.6M
    Crusaders Central Clinic AssociationILFederally Qualified Health Center (FQHC)$0$10.5M
    Wendewessen AmdeILOphthalmology Physician$1.5M$2.7M
    Andrew JunILOtolaryngology Physician$2.3M$0
    Robert PearlmanILOphthalmology Physician$1M$1.2M
    Mircea CocaPAOphthalmology Physician$1.7M$55.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Greater Family HealthILFederally Qualified Health Center (FQHC)$0$4M
    Sycamore Cusd #427ILLocal Education Agency (LEA)$0$3.9M
    Paul NguyenILCardiovascular Disease Physician$678.4K$616K
    Asad ShahILInternal Medicine Physician$598.4K$500.7K
    Dekalb Surgical Services, LLCILAmbulatory Surgical Clinic/Center$914.7K$0
    Ibrahim AlghafeerILRheumatology Physician$583K$125.4K
    Dhaval ThakkarILInternal Medicine Physician$490.1K$47.2K
    Manav SalwanILInternal Medicine Physician$357.4K$123.3K
    Rajeev JainILOrthopaedic Surgery Physician$450.5K$15.9K
    Amanda FriedrichsILDermatology Physician$338.8K$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. Illinois Distribution
    Matthew Johnson — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Matthew Johnson — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois