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    OpenPayerNPI Medicare & MedicaidLauren Wright
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    Lauren Wright — Billing Profile & Reimbursement Data

    NPI 1992142350 · Nashville, TN · Retina Specialist (Ophthalmology) Physician

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    Lauren Wright is a retina specialist (ophthalmology) physician provider located in Nashville, Tennessee. This profile covers 16 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
    OrganizationLauren Wright
    Address345 23rd Ave N Ste 350
    CityNashville
    StateTN
    ZIP37203
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 25, 2013

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

    Payer SourceTotal Paid
    Medicare$2M
    Medicaid$0

    Key Findings

    This NPI corresponds to a retina specialist whose Medicare billing is heavily concentrated in intravitreal biologic therapy and associated injection procedures. The top codes are J0178 (1.8K claims, $688 avg paid/claim, $1.3M revenue (62.3% of this provider's total Medicare revenue)), J2777 (12.2K claims, $29 avg paid/claim, $355K revenue (17.4% of this provider's total Medicare revenue)), and 67028 (1.6K claims, $86 avg paid/claim, $135.1K revenue (6.6% of this provider's total Medicare revenue)); together these three codes drive a precomputed 86.3% share of Medicare revenue, indicating a procedure- and drug-focused practice rather than one driven by broad primary eye-care office visits alone.

    Medicare is effectively the sole public payer for this provider: lifetime Medicare revenue is $2M while there is no Medicaid billing on file. That single-payer concentration means the practice’s public-sector revenue stream is large but narrowly sourced, with no Medicaid volume to diversify payer exposure.

    Competitive standing on the high-revenue drug codes is modest rather than dominant. J0178 ranks #600 of 3204 providers nationally (81th percentile; typical, unremarkable volume for this code), J2777 ranks #866 of 2039 (57th percentile; typical, unremarkable volume), and 67028 ranks #724 of 4255 (83th percentile; typical, unremarkable volume), so the provider bills meaningful volumes but sits within expected national ranges for these retina-focused services.

    The practice shows unusually high utilization of retinal imaging and comprehensive ophthalmology visits relative to peers, signaling a clinic workflow that pairs injections with diagnostic follow-up. 92014 appears at 1.3K claims, $82 avg paid/claim, $110.4K revenue and ranks #822 of 35415 providers nationally (98th percentile; notably above typical national volume), while 92134 shows 2.3K claims, $26 avg paid/claim, $60.9K revenue and ranks #762 of 26868 providers nationally (97th percentile; extreme outlier, far above typical national volume). These patterns suggest sustained, clinic-level capacity for diagnostic OCT/imaging and frequent post-injection monitoring.

    Other billed codes reflect routine ophthalmic visit mix but contribute relatively little to total revenue, consistent with a procedure- and drug-driven revenue model. Examples include J9035 (628 claims, $55 avg paid/claim, $34.5K revenue; ranks #179 of 1852 nationally, 90th percentile), 92012 (365 claims, $59 avg paid/claim, $21.5K revenue; ranks #2722 of 17177, 84th percentile), and 92004 (170 claims, $95 avg paid/claim, $16.2K revenue; ranks #1622 of 26467, 94th percentile), indicating routine E/M and non-injection services occur but are secondary to the biologic injection business.

    Tenure data show the provider has an established billing history: the NPI was enumerated 2013-05-25 (~13 years ago). Coupled with $2M in lifetime Medicare revenue, this suggests a sustained retina practice with an entrenched outpatient injection and imaging workflow rather than a recently established or transient operation.

    The concentration of Medicare revenue in high-cost biologic injection codes (notably J0178) creates operational sensitivity to changes in utilization, payer policy, or drug pricing/formulary shifts. Because 86.3% of Medicare revenue is tied to the top three codes, any reimbursement or utilization changes for those specific codes would materially affect the provider’s Medicare revenue profile, and the absence of Medicaid volume limits alternative public-payer cushioning.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,850$690$1.3M
    J2777Injection, faricimab‑svoa, 0.1 mg12,240$30$355K
    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.1,570$90$135.1K
    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…1,350$80$110.4K
    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.2,340$30$60.9K
    J9035Injection, bevacizumab, 10 mg630$60$34.5K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…370$60$21.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.170$100$16.1K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…10$870$10.4K
    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…100$90$8.4K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781680790$680$769.8K
    J2777345015,060$30$592.1K
    6702829801,130$90$98.5K
    67108243020$970$29.2K
    J359021050$300$21.7K
    9201414810120$80$19.2K
    J90351170140$50$17.1K
    992146,44411,370120$80$16.6K
    921342560060$30$8.2K
    920122039060$50$6.3K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tennessee Retina PCTNRetina Specialist (Ophthalmology) Physician$0$6M
    Roy WallaceTNRetina Specialist (Ophthalmology) Physician$5.4M$0
    David ReichsteinTNRetina Specialist (Ophthalmology) Physician$4.9M$141.7K
    Carl AwhTNRetina Specialist (Ophthalmology) Physician$4.7M$0
    Brandon BusbeeTNRetina Specialist (Ophthalmology) Physician$4.3M$0
    Eric SchneiderTNRetina Specialist (Ophthalmology) Physician$4.1M$0
    Franco RecchiaTNRetina Specialist (Ophthalmology) Physician$3.6M$2.6K
    Avtar GhumanFLRetina Specialist (Ophthalmology) Physician$3.3M$0
    Akshay ThomasTNRetina Specialist (Ophthalmology) Physician$3.2M$52K
    Everton ArrindellTNRetina Specialist (Ophthalmology) Physician$3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hca Health Services Of Tennessee, Inc.TNGeneral Acute Care Hospital$0$45.9M
    Pediatrix Medical Group Of Tennessee, P.C.TNNeonatal-Perinatal Medicine Physician$0$32.3M
    Saint Thomas Medical PartnersTNInternal Medicine Physician$0$21.9M
    Radiology Alliance PCTNDiagnostic Radiology Physician$0$13.2M
    Emergency Medicine Services Of Tn, PCTNEmergency Medicine Physician$0$12.9M
    Tennessee Maternal-fetal Medicine LLCTNSpecialist$0$12.5M
    The Next Door, Inc.TNSubstance Abuse Rehabilitation Facility$0$8.6M
    Tennessee Oncology PLLCTNHematology & Oncology Physician$0$8.5M
    Vcphcs Ix, LLCTNSubstance Use Disorder Rehabilitation Clinic/Center$257.7K$6.6M
    Pediatric Associates Of Davidson County, P.C.TNPediatrics Physician$0$5.8M

    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. Tennessee Distribution
    Lauren Wright — 5 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee