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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPhilip Smith
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    Philip Smith — Billing Profile & Reimbursement Data

    NPI 1952351876 · Minocqua, WI · Ophthalmology Physician

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    Philip Smith is a ophthalmology physician provider located in Minocqua, Wisconsin. This profile covers 23 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
    OrganizationPhilip Smith
    Address9576 Hwy 70
    CityMinocqua
    StateWI
    ZIP54548
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 11, 2006

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

    Payer SourceTotal Paid
    Medicare$672.3K
    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg350$690$242.6K
    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…400$430$169.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.140$270$37.7K
    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…360$90$31.3K
    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…50$560$25.6K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.260$90$23.8K
    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…30$600$19.8K
    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.530$30$17K
    65855In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.90$180$15K
    66988The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves.30$600$14.9K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01783960440$690$488.1K
    66984154310350$50$66.4K
    6699183030$1,270$53.3K
    6702870110310$80$43.7K
    6698841030$1,100$33.1K
    6617441030$920$31.2K
    66982288020$490$21.7K
    J799941040$230$20.2K
    668211918040$100$13K
    92014103720120$70$12.9K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mchs Hospitals IncWIRural Acute Care Hospital$0$45.3M
    Peach Tree HealthcareCAFederally Qualified Health Center (FQHC)$0$44.9M
    Peach Tree HealthcareCAFederally Qualified Health Center (FQHC)$0$26.4M
    Family Health Center Of Marshfield IncWIDental Clinic/Center$0$20.4M
    Marshfield Clinic IncWIClinic/Center$526.8K$19.6M
    Mchs Hospitals IncWIGeneral Acute Care Hospital$0$12.4M
    Mchs Hospitals IncWIClinic/Center$0$11.8M
    Lakeview Medical Center Inc Of Rice LakeWIRural Acute Care Hospital$0$10M
    Mchs Hospitals IncWICritical Access Hospital$0$7.4M
    Flambeau Hospital IncWICritical Access Hospital$0$7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mchs Hospitals IncWIRural Acute Care Hospital$0$2.9M
    Alan BrillWIChiropractor$55K$139.7K
    Michael McgillWICardiovascular Disease Physician$177.4K$100
    Wal-mart Stores East LPWICommunity/Retail Pharmacy$119.4K$1.7K
    James TomicWIDiagnostic Radiology Physician$99.8K$0
    Dai ZhangWIDiagnostic Radiology Physician$96.9K$0
    Nicholas BodmerWIDiagnostic Radiology Physician$71.9K$0
    Shirley LimbergWIMental Health Counselor$46.7K$0
    Jeffrey KrollWIEmergency Medicine Physician$38.9K$0
    Matthew ThomasWIUrology Physician$26.8K$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. Wisconsin Distribution
    Philip Smith — 0 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin