Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidErwin Puente
    Ask Trek AI about this page

    Erwin Puente — Billing Profile & Reimbursement Data

    NPI 1003105677 · Hagerstown, MD · Retina Specialist (Ophthalmology) Physician

    Customize your policy alerts

    Sign up for Erwin Puente — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Erwin Puente is a retina specialist (ophthalmology) physician provider located in Hagerstown, Maryland. This profile covers 17 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationErwin Puente
    Address1800 Dual Highway
    CityHagerstown
    StateMD
    ZIP21740
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 4, 2011

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

    Payer SourceTotal Paid
    Medicare$1.6M
    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,410$690$967.2K
    J2777Injection, faricimab‑svoa, 0.1 mg6,840$30$191.5K
    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…1,750$90$161.3K
    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.1,040$100$99.8K
    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.2,370$30$75.8K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg220$160$35.6K
    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…310$70$23.2K
    J7999Compounded drug, not otherwise classified250$70$17.1K
    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$9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.80$100$7.5K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017834100950$690$887.3K
    J277740708,520$30$487.3K
    6702845120700$100$101.5K
    J73121420270$160$53.1K
    9201433620210$90$44K
    992146,25310,270150$90$24.1K
    92235579070$110$19.5K
    9213440490110$30$17.3K
    J90353640240$50$16.8K
    992131,8309,280100$60$12.5K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David WarrowMDOphthalmology Physician$15.1M$8.3K
    Cumberland Valley Retina Consultants PCMDRetina Specialist (Ophthalmology) Physician$0$10.2M
    Allen HuMDOphthalmology Physician$8.9M$32.5K
    Jay BerdiaMDOphthalmology Physician$2.5M$680
    Prisca DialaMDRetina Specialist (Ophthalmology) Physician$1.8M$0
    Olga ShifMDOphthalmology Physician$1.8M$0
    John WroblewskiMDOphthalmology Physician$1.4M$0
    Bruce JonesMDOphthalmology Physician$1M$0
    Jordan HeffezMDRetina Specialist (Ophthalmology) Physician$855.2K$0
    Tamara FacklerMDRetina Specialist (Ophthalmology) Physician$783.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dr. David M. Vieth 2, P.C.MDGeneral Practice Dentistry$0$77.8M
    Potomac Case Management Services, Inc.MDCase Management Agency$0$28M
    Phoenix Health Center LLCMDMethadone Clinic$507.7K$21.4M
    Awakenings Recovery Center, LLCMDSubstance Abuse Rehabilitation Facility$0$19.8M
    Qualitycare Internet, LLPMDMental Health Counselor$0$19.4M
    Walnut Street Community Health Center, Inc.MDFederally Qualified Health Center (FQHC)$0$19.3M
    Board Of Education Of Washington CountyMDLocal Education Agency (LEA)$0$19.1M
    Center For Pain Management, LLCMDInterventional Pain Medicine Physician$0$18.9M
    Metro Treatment Of Maryland LPMDCommunity/Behavioral Health Agency$361K$16.6M
    The Western Maryland Counseling CenterMDCommunity/Behavioral Health Agency$0$16.5M

    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. Maryland Distribution
    Erwin Puente — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland