Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidSpencer Rogers
    Ask Trek AI about this page

    Spencer Rogers — Billing Profile & Reimbursement Data

    NPI 1962480780 · Summit, WI · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Spencer Rogers — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Spencer Rogers is a ophthalmology physician provider located in Summit, Wisconsin. This profile covers 16 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSpencer Rogers
    Address36500 Aurora Dr
    CitySummit
    StateWI
    ZIP53066
    TaxonomyOphthalmology Physician
    NPI EnumeratedJanuary 3, 2006

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

    Payer SourceTotal Paid
    Medicare$219.8K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg140$690$99.4K
    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…480$80$38.2K
    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…30$410$13.8K
    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.160$80$13.1K
    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…180$60$11K
    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$8.3K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.20$250$5.9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.70$90$5.8K
    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…50$90$4.6K
    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…70$60$4.5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01785260440$690$488.1K
    66984295310350$50$66.4K
    6702879110310$80$43.7K
    J90354570110$50$14.5K
    6682114518040$100$13K
    9201455720120$70$12.9K
    992146,0859,80080$70$9.2K
    920125916050$60$5.1K
    921348060060$30$4.7K
    992131,0999,38060$50$4.7K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Aurora Medical Group, Inc.WICertified Registered Nurse Anesthetist$2.2K$139.2M
    Lakeshore Medical Clinic, LLCWIFamily Medicine Physician$0$8.4M
    Aurora Health Care North, Inc.WIGeneral Acute Care Hospital$0$6.8M
    Aurora Health Care Southern Lakes, Inc.WIGeneral Acute Care Hospital$0$4.5M
    Jeffrey BahrWIInternal Medicine Physician$3.1M$356.4K
    Aurora Medical Group, Inc.WIMental Health Clinic/Center (Including Community Mental Health Center)$0$3.2M
    Aurora Health Care Metro, Inc.WIClinic/Center$0$2.1M
    Reed MitchellVAHematology & Oncology Physician$1M$0
    Topeka Physician Group, LLCKSInternal Medicine Physician$0$963.7K
    Jessica KotILFamily Nurse Practitioner$849.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rogers Memorial Hospital IncorporatedWIPsychiatric Hospital$0$54.1M
    Prader Willi Homes Of Oconomowoc LLCWIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$6.2M
    Genesee Community Services, LLCWICommunity/Behavioral Health Agency$0$5.4M
    John BitnerWIDentist$0$3.6M
    Bethany Christian ServicesWISubstance Abuse Rehabilitation Facility$0$3.3M
    Prohealth Oconomowoc Memorial Hospital, Inc.WIGeneral Acute Care Hospital$0$2.3M
    Oconomowoc Area School DistrictWILocal Education Agency (LEA)$0$1.9M
    Kpi,incWIHome Health Agency$0$1.3M
    Kimberly IrelandWIOphthalmology Physician$1M$0
    Western Lakes Fire DistrictWILand Ambulance$426.3K$395.5K

    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
    Spencer Rogers — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin