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    OpenPayerNPI Medicare & MedicaidPaul Proffer
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    Paul Proffer — Billing Profile & Reimbursement Data

    NPI 1962488676 · Amarillo, TX · Ophthalmology Physician

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    Paul Proffer is a ophthalmology physician provider located in Amarillo, Texas. This profile covers 22 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
    OrganizationPaul Proffer
    Address1611 Wallace Blvd
    CityAmarillo
    StateTX
    ZIP79106
    TaxonomyOphthalmology Physician
    NPI EnumeratedDecember 15, 2005

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

    Payer SourceTotal Paid
    Medicare$214.3K
    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.60$630$37.5K
    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…40$610$25.5K
    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$620$22.3K
    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…280$80$20.9K
    11102The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.200$70$14.4K
    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…200$60$12.3K
    17000The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.300$40$12K
    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$360$11.4K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.10$610$7.9K
    15240This code is for a free full–thickness skin graft of the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet that is 20 cm2 or less in size.10$560$7.8K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    67904327030$550$32.9K
    158234812030$530$27.5K
    15260711020$710$19.2K
    14061416020$660$19.2K
    9921428,91532,500110$80$17.6K
    67917154020$430$15.4K
    15240101020$710$13.5K
    68840293020$140$10.7K
    111023691,260120$60$10.7K
    170004251,400170$30$9.7K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Liana ProfferTXMOHS-Micrographic Surgery Physician$851.5K$0
    Summer ClarkTXMOHS-Micrographic Surgery Physician$670K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwest Texas Healthcare System IncTXGeneral Acute Care Hospital$0$44.8M
    Amarillo Independent School DistrictTXLocal Education Agency (LEA)$0$17.5M
    Epic Health Services, Inc.TXHome Health Agency$0$13.8M
    Britkare Home Medical Of Texas LtdTXDurable Medical Equipment & Medical Supplies$0$12.6M
    Texas Panhandle Mental Health Mental RetardationTXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$11.6M
    Jason YsasagaTXOphthalmology Physician$9.9M$0
    Ryan RushTXOphthalmology Physician$9.7M$0
    Antonio AragonTXOphthalmology Physician$7.3M$0
    Apc-amarillo Surgical Operating Company, LLCTXAmbulatory Surgical Clinic/Center$4.8M$380
    Amarillo Cataract And Eye Surgery Center LtdTXOphthalmologic Surgery Clinic/Center$3.8M$77.7K

    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. Texas Distribution
    Paul Proffer — 2 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas