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NPI 1003075094 · El Paso, TX · Ophthalmology Physician
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Mario Di Pascuale is a ophthalmology physician provider located in El Paso, Texas. This profile covers 11 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 | Mario Di Pascuale |
| Address | 2900 Pershing Dr |
| City | El Paso |
| State | TX |
| ZIP | 79903 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | June 4, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $113.5K |
| Medicare | $75.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The 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… | 90 | $360 | $31.9K |
| 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… | 170 | $70 | $12.3K |
| 92012 | For 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… | 170 | $60 | $9.7K |
| 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. | 100 | $80 | $8.3K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 30 | $230 | $7K |
| 92136 | The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting… | 90 | $30 | $2.5K |
| 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,… | 70 | $20 | $1.6K |
| 92133 | The 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… | 40 | $20 | $920 |
| 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… | 10 | $40 | $590 |
| 92134 | The 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. | 20 | $30 | $470 |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 510 | 990 | 100 | $560 | $113.9K |
| 92014 | 1,036 | 2,700 | 100 | $80 | $21K |
| 66821 | 491 | 700 | 50 | $230 | $20K |
| 92012 | 537 | 1,690 | 80 | $60 | $10.9K |
| 92134 | 1,440 | 1,690 | 70 | $30 | $8.3K |
| 92004 | 413 | 2,070 | 40 | $90 | $6.1K |
| 92136 | 413 | 650 | 130 | $20 | $5.1K |
| 92083 | 1,484 | 1,590 | 50 | $40 | $4.1K |
| 92250 | 761 | 1,840 | 50 | $30 | $3K |
| 92133 | 861 | 1,470 | 50 | $20 | $2.4K |
Showing 1–10 of 11
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… | 620 | $90 | $56.2K |
| 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. | 190 | $110 | $20.8K |
| 92012 | For 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… | 300 | $60 | $18.6K |
| 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. | 960 | $10 | $13.4K |
| V2020 | Frames, purchases | 210 | $20 | $4.4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 10 | $20 | $300 |
| 3072F | The provider reports this code, if any previous examination within the last 12 months shows that there is no evidence of retinopathy or low risk of retinopathy. An automated result is not necessary. | 750 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 238 | 750 | 240 | $60 | $68.4K |
| 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. | 284 | 630 | 140 | $90 | $56.7K |
| 92012 | For 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… | 166 | 380 | 200 | $40 | $43.3K |
| V2020 | Frames, purchases | 857 | 1,300 | 500 | $20 | $27.9K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 900 | 930 | 400 | $20 | $20.1K |
| 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. | 204 | 870 | 210 | $10 | $13.5K |
| 3072F | The provider reports this code, if any previous examination within the last 12 months shows that there is no evidence of retinopathy or low risk of retinopathy. An automated result is not necessary. | 13 | 90 | 70 | $1 | $1.1K |
Other providers in the same ZIP code as Mario Di Pascuale, ranked by combined Medicare and Medicaid revenue.
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