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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRaymond Magauran
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    Raymond Magauran — Billing Profile & Reimbursement Data

    NPI 1932157203 · Springfield, MA · Ophthalmology Physician

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    Raymond Magauran is a ophthalmology physician provider located in Springfield, Massachusetts. This profile covers 24 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
    OrganizationRaymond Magauran
    Address55 Saint George Rd
    CitySpringfield
    StateMA
    ZIP01104
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 5, 2006

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

    Payer SourceTotal Paid
    Medicare$273.2K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…70$670$43.5K
    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…570$60$36.7K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.130$210$27.3K
    J0585Injection, onabotulinumtoxina, 1 unit5,210$10$26.1K
    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…40$660$25.9K
    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…330$70$23.8K
    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…30$470$14.4K
    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…140$100$13.8K
    67916During this procedure, the provider uses tarsal wedge excision to repair an ectropion, an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of the…30$470$11.7K
    67923During this procedure, the provider uses tarsal wedge excision to repair an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye which can lead to excessive tearing…20$500$7.4K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0585621006,500$1$60.7K
    920141,0061,070160$90$30.1K
    67904102040$650$27.3K
    1582374030$610$24.8K
    992146,51115,410110$80$15.6K
    6784033030$200$13.7K
    920129956090$70$12.4K
    6791752020$460$11.1K
    68761728040$110$9.6K
    6791611020$470$9K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The General Hospital CorporationMAGeneral Acute Care Hospital$0$438M
    Community Physicians Of Indiana IncINFamily Medicine Physician$0$185M
    Massachusetts General Physicians Organization IncMADermatology Physician$0$60.2M
    Boston Emergency Physician Foundation, Inc.MAEmergency Medicine Physician$0$24.3M
    Colorado Permanente Medical Group, P.C.COInternal Medicine Physician$0$23.2M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Torsten WiegandMARetina Specialist (Ophthalmology) Physician$7.6M$0
    Chirag ShahMARetina Specialist (Ophthalmology) Physician$5M$0
    Roger GoldbergCARetina Specialist (Ophthalmology) Physician$4.6M$0
    Miriam Englander-paschalis IliosMARetina Specialist (Ophthalmology) Physician$4.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavioral Health Network IncMAMental Health Clinic/Center (Including Community Mental Health Center)$0$238.6M
    Gandara Mental Health Center IncMAMental Health Counselor$0$133.1M
    Behavioral Health Network, IncMAMethadone Clinic$1.3M$108.4M
    The Mercy Hospital IncMAGeneral Acute Care Hospital$0$98.9M
    Behavioral Health Network, IncMAAdult Day Care Clinic/Center$0$76.5M
    American Medical Response Of Massachusetts IncMAAmbulance$8.7M$51.7M
    Greater Springfield Senior Services, Inc.MACase Management Agency$0$55.1M
    Viability, Inc.MAAdult Care Home Facility$0$46.8M
    Riverbend Medical Group, Inc.MAInternal Medicine Physician$0$38.8M
    International Health Solutions,incMAHome Health Agency$0$27.3M

    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. Massachusetts Distribution
    Raymond Magauran — 3 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts