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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEsmeralda Mcclean
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    Esmeralda Mcclean — Billing Profile & Reimbursement Data

    NPI 1962817981 · San Diego, CA · Optometrist

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    Esmeralda Mcclean is a optometrist provider located in San Diego, California. This profile covers 12 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
    OrganizationEsmeralda Mcclean
    Address200 W Arbor Dr
    CitySan Diego
    StateCA
    ZIP92103
    TaxonomyOptometrist
    NPI EnumeratedJune 27, 2014

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

    Payer SourceTotal Paid
    Medicare$75.3K
    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…430$70$30.5K
    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…200$100$19.8K
    99204The provider sees a new 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 provider…60$120$7.6K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.40$140$5.9K
    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.130$30$4.3K
    92228The patient undergoes retinal imaging on one or both eyes in a location other than the reviewing provider’s location. The provider interprets the images remotely and prepares a report. The imaging…80$20$2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.10$90$1.3K
    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…10$80$1.1K
    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…10$80$1.1K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…30$30$840

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    920142,7382,890110$100$28.7K
    9921413,10237,970120$90$23.2K
    6876131148070$100$21.3K
    992134,00834,66080$70$13.2K
    921348872,15090$30$12.6K
    920041,7161,95050$110$9.7K
    992045,74019,36040$120$7.2K
    920831,8951,96070$50$7K
    922502,1272,17070$30$4.8K
    9920310,67712,74030$80$4.6K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rafal SosnowskiILDiagnostic Radiology Physician$1.7M$75.2K
    Kevin ChenCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Keith MillerFLRadiation Oncology Physician$1.7M$0
    Chris WuNVRetina Specialist (Ophthalmology) Physician$1.3M$0
    Philip BoschCAUrology Physician$1.3M$230
    William FreemanCAOphthalmology Physician$1.2M$0
    Eric KimCABody Imaging Physician$798.1K$0
    Joseph AbramsCADiagnostic Radiology Physician$509.9K$109.1K
    Joseph CrapottaNYRetina Specialist (Ophthalmology) Physician$605.9K$6.7K
    James HowardCAGeneral Practice Physician$606.7K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Esmeralda Mcclean — 0 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California