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    OpenPayerNPI Medicare & MedicaidAlyssa Hoehn
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    Alyssa Hoehn — Billing Profile & Reimbursement Data

    NPI 1962728725 · Moscow, ID · Ophthalmology Physician

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    Alyssa Hoehn is a ophthalmology physician provider located in Moscow, Idaho. This profile covers 17 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
    OrganizationAlyssa Hoehn
    Address1205 E 6th St
    CityMoscow
    StateID
    ZIP83843
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 19, 2010

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

    Payer SourceTotal Paid
    Medicare$1M
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer: Total Medicare revenue is $1M and there is no Medicaid billing on file, so Medicare dominates the revenue mix and any payer‑mix analysis should treat this as a Medicare-centric practice. The absence of Medicaid claims limits comparisons on state Medicaid participation or dual‑payer strategy for this NPI.

    Revenue is highly concentrated in a small set of procedure/drug codes: the precomputed top 3 Medicare codes (J0178, J2777, 66984) account for 79.3% of this provider’s total Medicare revenue. In dollar terms those top codes include J0178 ($622.2K, 61.4%), J2777 ($132.3K, 13.1%), and 66984 ($49K, 4.8%), indicating most receipts are tied to a narrow set of services.

    The code mix points to a retina/medical retina focus with supplemental cataract surgery: J0178 (injection, aflibercept) and J2777 (injection, faricimab) together drive the bulk of revenue, and the practice also bills for cataract extraction with IOL insertion (66984). High volume of intravitreal injections (903 claims for J0178 and 4.6K claims for J2777 as reported) combined with cataract procedure billing suggests an ophthalmology practice organized around frequent office‑based therapeutic injections plus some surgical activity.

    Despite dominant revenue share from anti‑VEGF/anti‑angiogenic injections, this provider is not a national outlier on those codes: J0178 ranks #1383 of 3204 providers (57th percentile) and is described as typical, unremarkable volume for the code, while J2777 ranks #1590 of 2039 providers (22th percentile) and is also characterized as typical, unremarkable volume. Cataract surgery (66984) ranks #7147 of 15965 providers (55th percentile) and likewise represents a middling national position, so the practice is a modest participant rather than a dominant national provider for its top services.

    Ambulatory evaluation and imaging activity is a meaningful secondary revenue stream supporting procedural care: 92014 (640 claims, $46.1K, 4.5% of revenue) ranks #3831 of 35415 providers (89th percentile) and 92250 (434 claims, $10K, 1.0%) ranks #1551 of 25087 providers (94th percentile), both reported as typical volumes but at relatively high percentiles versus peers. These results suggest the clinic maintains steady follow‑up visits and retinal imaging capacity that enable high injection throughput and postoperative care.

    The provider’s billing concentration creates operational and reimbursement sensitivity: with J0178 alone representing 61.4% of Medicare revenue and the top three codes totaling 79.3% of revenue, changes in coverage, utilization management, or purchasing for these drugs would disproportionately affect revenue. Analysts should flag the dependency on intravitreal drug administration when modeling reimbursement risk, contract negotiations, or service‑line investments.

    The NPI has been enumerated since 2010-04-19 (~16 years ago), indicating an established practice history; combined with $1M lifetime Medicare revenue, this profile aligns with a steady, mid‑sized ophthalmology operator focused on outpatient therapeutic injections and associated diagnostics rather than a high‑volume surgical center. Tenure supports continuity of care and an entrenched referral/visit pattern in the local market.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg900$690$622.2K
    J2777Injection, faricimab‑svoa, 0.1 mg4,560$30$132.3K
    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…130$390$49K
    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…640$70$46.1K
    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.450$90$40.3K
    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…330$90$28.1K
    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…460$60$26K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.70$310$21K
    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.570$30$16.6K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…430$20$10K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781020670$690$541.7K
    J277712108,640$30$454.7K
    669844615040$520$76K
    670281530470$90$66.6K
    66821226060$200$18.3K
    9201421230120$70$15.5K
    992143202,69090$70$10.4K
    921341919060$30$5.9K
    992131012,77070$50$5.7K
    921362150170$20$5.1K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Heidi EisemanWAOphthalmology Physician$440.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Association Of SpokaneIDFederally Qualified Health Center (FQHC)$0$7.4M
    Disability Action Center - Nw, Inc.IDIn Home Supportive Care Agency$0$3.8M
    Gritman Medical Center IncIDCritical Access Hospital$0$3.7M
    Community Health Association Of SpokaneIDFederally Qualified Health Center (FQHC)$0$2.7M
    Crt Children Services LLCIDBehavior Analyst$0$2.5M
    County Of Latah School District 281IDLocal Education Agency (LEA)$0$2M
    Gritman Medical Center, Inc.IDFamily Medicine Physician$0$1.4M
    Shawn RichardsIDOphthalmology Physician$1.4M$0
    Lotus Early LearningIDDevelopmental Disabilities Clinic/Center$0$1.2M
    Circles Of Caring Adult Day Health Foundation, Inc.IDAdult Day Care Clinic/Center$0$744.2K

    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. Idaho Distribution
    Alyssa Hoehn — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho