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    OpenPayerNPI Medicare & MedicaidAmanda Smith
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    Amanda Smith — Billing Profile & Reimbursement Data

    NPI 1912236761 · Milton, DE · Optometrist

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    Amanda Smith is a optometrist provider located in Milton, Delaware. This profile covers 18 Medicare and 4 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
    OrganizationAmanda Smith
    Address28322 Lewes Georgetown Hwy
    CityMilton
    StateDE
    ZIP19968
    TaxonomyOptometrist
    NPI EnumeratedDecember 8, 2009

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

    Payer SourceTotal Paid
    Medicare$278.2K
    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.

    18 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…1,170$90$100.8K
    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…820$60$50.7K
    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…290$110$32.2K
    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…1,150$30$28.8K
    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…490$40$21.2K
    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.690$30$20K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.70$170$11.4K
    67700In this procedure, the provider surgically incises the eyelid to drain a pocket of infection.20$230$4.2K
    99203The provider sees a new 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 provider…20$70$1.7K
    92025The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.50$30$1.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    920144120250$80$29.9K
    992141,8091,830150$80$25.5K
    92012740230$60$21.4K
    6876121030$160$7.7K
    921341110080$30$7.5K
    992041695030$110$6.5K
    9920346667040$70$5.3K
    92083511060$40$5.2K
    6770011020$230$4.2K
    92133211070$30$3.9K

    Showing 1–10 of 18

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S0620Routine ophthalmological examination including refraction; new patient70$0$0
    S0621Routine ophthalmological examination including refraction; established patient10$0$0
    V2020Frames, purchases170$0$0
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens20$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Delaware median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens4450540$40$53.9K
    V2020Frames, purchases4860530$30$46.3K
    S0621Routine ophthalmological examination including refraction; established patient3840420$40$42.2K
    S0620Routine ophthalmological examination including refraction; new patient3140170$40$18.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Millsboro Eye Care LLCDEOphthalmology Physician$0$1.1M
    Myeyedr Optometry Of Delaware PADEOptometrist$0$961.5K
    Edward JaoudeDEOphthalmology Physician$871.1K$0
    Myeyedr Optometry Of Delaware PADEOptometrist$0$711.6K
    Myeyedr Optometry Of Delaware PADEOptometrist$0$444K
    Myeyedr Optometry Of Delaware PADEOptometrist$0$406.4K
    Timothy SmithDEOptometrist$385.3K$4K
    Myeyedr Optometry Of Delaware PADEOptometrist$0$386.8K
    Myeyedr Optometry Of Delaware PADEOptometrist$0$306K
    Myeyedr Optometry Of Delaware PADEOptometrist$0$271.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lowell F Scott Jr Md PADEPediatrics Physician$0$974.3K
    Jimmy MoonDEHome Modifications Contractor$0$964.8K
    Susan CoreyDEPsychiatric/Mental Health Nurse Practitioner$134K$347.4K
    Jonathan PattersonDEDiagnostic Radiology Physician$399.5K$0
    Grace Visitation ServicesDEIn Home Supportive Care Agency$0$389.7K
    Fellowship Health Resources, Inc.DEPsychiatric Residential Treatment Facility$0$319.8K
    Thomas KellyDEInternal Medicine Physician$282.9K$0
    Milton Fire Department IncDELand Ambulance$210.3K$14.7K
    Mercer Dental AssociatesDEDentist$0$212.3K
    Uday JaniDEInternal Medicine Physician$172.2K$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. Delaware Distribution
    Amanda Smith — 4 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware
    Medicaid Revenue by Year vs. Delaware Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Delaware Distribution
    Amanda Smith — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware