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    OpenPayerNPI Medicare & MedicaidGerald Negvesky
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    Gerald Negvesky — Billing Profile & Reimbursement Data

    NPI 1003872284 · East Stroudsburg, PA · Ophthalmology Physician

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    Gerald Negvesky is a ophthalmology physician provider located in East Stroudsburg, Pennsylvania. This profile covers 26 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
    OrganizationGerald Negvesky
    Address300 Plaza Court Suite A
    CityEast Stroudsburg
    StatePA
    ZIP18301
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 25, 2006

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

    Payer SourceTotal Paid
    Medicare$446.1K
    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,010$80$80.1K
    66984The 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…130$400$52.5K
    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…900$60$52K
    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…570$90$49.8K
    92083The 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…650$40$27.8K
    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.880$30$24.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.100$240$23.8K
    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…370$60$22.8K
    65855In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.120$180$22.6K
    68761The 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.190$110$19.7K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698425367080$530$97.8K
    92014621,570130$80$21K
    6682111142050$230$18.3K
    992141,34323,230100$80$14.5K
    920123793080$60$14K
    687611414040$140$11.9K
    92134981,32060$30$8.4K
    992131,68422,37070$60$7.7K
    65855617030$160$7.1K
    66761276030$200$6.9K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alan ListhausPAOphthalmology Physician$2.6M$0
    Frank BalohPAOphthalmology Physician$305.9K$0
    Carl WeissPASports Medicine (Orthopaedic Surgery) Physician$185.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Matrix Behavior Solutions, LLCPABehavior Analyst$0$75.6M
    Loving Care Agency, Inc.PAHome Health Agency$0$27.4M
    Lehigh Valley Hospital PoconoPAGeneral Acute Care Hospital$0$11.9M
    Family Care Centers Inc.PAInternal Medicine Physician$0$11.1M
    Family Care Centers IncPAFamily Medicine Physician$0$6.1M
    Laszlo SzollasPAInterventional Pain Medicine Physician$417.3K$0
    Gordon FriedPAInterventional Cardiology Physician$305.5K$130
    Roger ComponovoPAAdult Reconstructive Orthopaedic Surgery Physician$299.8K$0
    Javed MalikPADiagnostic Radiology Physician$205.4K$65.7K
    Alan WestheimPADermatology Physician$250.1K$0

    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. Pennsylvania Distribution
    Gerald Negvesky — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania