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    OpenPayerNPI Medicare & MedicaidDwayne Sturtevant
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    Dwayne Sturtevant — Billing Profile & Reimbursement Data

    NPI 1972528560 · Omaha, NE · Optometrist

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    Dwayne Sturtevant is a optometrist provider located in Omaha, Nebraska. This profile covers 4 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDwayne Sturtevant
    Address513 S 13th St
    CityOmaha
    StateNE
    ZIP68102
    TaxonomyOptometrist
    NPI EnumeratedJuly 13, 2006

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

    Payer SourceTotal Paid
    Medicaid$290.9K
    Medicare$3.9K

    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.

    4 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…50$50$2.1K
    92201The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…50$20$690
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.50$10$590
    92081The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for a limited…40$10$480

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992132,2143,22090$50$7.9K
    9208141020$20$1.7K
    92285102050$10$900
    9220121020$20$670

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.1,860$70$131.8K
    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…730$70$48.4K
    V2020Frames, purchases1,280$30$34.4K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.1,730$20$27.6K
    92370The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye.890$10$12.4K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens500$20$12K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.180$50$8.6K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal150$40$6.7K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens200$20$4.4K
    V2784Lens, polycarbonate or equal, any index, per lens220$20$4.1K

    Showing 1–10 of 13

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Nebraska median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal97140390$50$70.3K
    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…49140220$50$45K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.15130250$60$44.3K
    V2020Frames, purchases62180520$30$39.5K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens51100220$30$29K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.62210660$10$25.5K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens44110290$20$18.4K
    V2784Lens, polycarbonate or equal, any index, per lens43100180$20$12.4K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.3611090$40$10.8K
    92370The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye.11070$20$6K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brandon RidderNEOptometrist$142.3K$47.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Of OmahaNELand Ambulance$2.2M$10.5M
    Intelliride, A Division Of TransdevNETransportation Broker$0$5.9M
    Centerpointe, IncNESubstance Abuse Rehabilitation Facility$0$4.7M
    Centerpointe, IncNESubstance Abuse Rehabilitation Facility$0$4.4M
    Arron Cleaver-mcwilliamsNEPediatric Dentistry$0$1.4M
    Advanced Surgery Center, LLCNEAmbulatory Surgical Clinic/Center$673.9K$0
    Neepa ModiNEGeneral Practice Dentistry$0$612.9K
    Step Ahead Aba LLCNECommunity/Behavioral Health Agency$0$584.6K
    Oneworld Community Health Centers, Inc.NEFederally Qualified Health Center (FQHC)$0$571K
    Summit Dental Health - Old Market LLCNEGeneral Practice Dentistry$0$543.5K

    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. Nebraska Distribution
    Dwayne Sturtevant — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska
    Medicaid Revenue by Year vs. Nebraska Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nebraska Distribution
    Dwayne Sturtevant — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska