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NPI 1972560241 · Burke, VA · Optometrist
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Gene Sweetnam is a optometrist provider located in Burke, Virginia. This profile covers 10 Medicare and 7 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Gene Sweetnam |
| Address | 5204a Rolling Rd |
| City | Burke |
| State | VA |
| ZIP | 22015 |
| Taxonomy | Optometrist |
| NPI Enumerated | April 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $116.1K |
| Medicaid | $106.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 300 | $100 | $29.8K |
| 92014 | An 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… | 300 | $100 | $29.5K |
| 68761 | The 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. | 130 | $200 | $24.7K |
| 92250 | Code 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,… | 390 | $30 | $11K |
| 92025 | The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report. | 340 | $30 | $10K |
| 83861 | The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye. | 180 | $20 | $3.9K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 40 | $100 | $3.5K |
| 92083 | The 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 an extended… | 40 | $50 | $2.1K |
| 92284 | The provider performs a diagnostic test to evaluate how the patient's eyes adjust to changes in light and darkness. This test measures the function of retinal photoreceptors and may include… | 20 | $40 | $940 |
| 92285 | Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison. | 30 | $20 | $710 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92014 | An 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… | 290 | $100 | $29.4K |
| 92250 | Code 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,… | 860 | $30 | $24.8K |
| 92025 | The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report. | 780 | $30 | $23.4K |
| 92015 | The 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. | 800 | $20 | $12.7K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 210 | $60 | $11.6K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 30 | $110 | $3.2K |
| 99214 | The 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… | 20 | $100 | $1.5K |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 3,217 | 3,520 | 370 | $70 | $280.7K |
| 92014 | An 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… | 231 | 450 | 300 | $60 | $89.6K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 24 | 40 | 640 | $50 | $82.7K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 427 | 510 | 270 | $70 | $68.4K |
| 92250 | Code 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,… | 34 | 150 | 150 | $20 | $20.4K |
| 92015 | The 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. | 180 | 500 | 350 | $10 | $15.3K |
| 92025 | The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report. | 1 | 10 | 40 | $70 | $13K |
Other providers in the same ZIP code as Gene Sweetnam, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Best Health Care Services, LLC | VA | Home Health Agency | $0 | $31.7M |
| Bella Home Care Service, LLC | VA | Home Health Agency | $0 | $14.6M |
| Healing Hands Homecare Services LLC | VA | Home Health Agency | $0 | $10.1M |
| Brighthome Healthcare, LLC | VA | Home Health Agency | $0 | $6.4M |
| Anis Rehman | VA | Endocrinology, Diabetes & Metabolism Physician | $159.7K | $196.8K |
| Charles Mcbride | VA | Specialist | $183.5K | $0 |
| Stuart Henochowicz | VA | Internal Medicine Physician | $137.5K | $0 |
| Virginia Cvs Pharmacy, L.L.C. | VA | Pharmacy | $97.6K | $0 |
| Talal Nsouli | VA | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | $93.4K | $0 |
| Emily Guzewich | VA | Occupational Therapist | $91.7K | $0 |
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