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NPI 1003918475 · Scranton, PA · Ophthalmology Physician
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Randall Peairs is a ophthalmology physician provider located in Scranton, Pennsylvania. This profile covers 17 Medicare and 4 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 | Randall Peairs |
| Address | 200 Mifflin Ave |
| City | Scranton |
| State | PA |
| ZIP | 18503 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | September 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $5.6M |
| Medicaid | $13.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 5,930 | $690 | $4.1M |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 28,260 | $30 | $819.5K |
| 67028 | The 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. | 3,000 | $90 | $273.3K |
| J2778 | Injection, ranibizumab, 0.1 mg | 930 | $180 | $167.9K |
| 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. | 3,340 | $30 | $93.5K |
| J3590 | Unclassified biologics | 20 | $2,240 | $38.1K |
| 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… | 310 | $80 | $26K |
| 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… | 520 | $50 | $25.9K |
| J7999 | Compounded drug, not otherwise classified | 310 | $80 | $23.4K |
| 99213 | The 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… | 280 | $70 | $18.2K |
Showing 1–10 of 17
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 1 | 140 | 830 | $690 | $865.1K |
| J2778 | 39 | 70 | 1,030 | $190 | $417.1K |
| J2777 | 11 | 100 | 7,950 | $30 | $360.2K |
| 67028 | 16 | 180 | 600 | $90 | $87.5K |
| J3590 | 9 | 10 | 40 | $1,690 | $78K |
| J7999 | 18 | 110 | 100 | $120 | $33.3K |
| 92014 | 413 | 1,570 | 130 | $80 | $21K |
| 67108 | 18 | 20 | 20 | $910 | $20.1K |
| 92012 | 93 | 930 | 80 | $60 | $14K |
| 92235 | 11 | 70 | 40 | $100 | $10K |
Showing 1–10 of 17
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.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 67028 | The 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. | 330 | $30 | $9.9K |
| 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. | 350 | $10 | $3.8K |
| J0178 | Injection, aflibercept, 1 mg | 20 | $0 | $0 |
| J9035 | Injection, bevacizumab, 10 mg | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 36 | 40 | 120 | $340 | $182.5K |
| 67028 | The 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. | 50 | 100 | 330 | $70 | $85.4K |
| J9035 | Injection, bevacizumab, 10 mg | 43 | 50 | 250 | $50 | $33.8K |
| 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. | 85 | 180 | 290 | $20 | $24.8K |
Other providers in the same ZIP code as Randall Peairs, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Family Enrichment Center, Inc | PA | Psychologist | $0 | $12.9M |
| Affiliated Pediatric Dentistry | PA | Point of Service | $0 | $10.9M |
| Nei Ambulatory Surgery Center Inc PC | PA | Ambulatory Surgical Clinic/Center | $2.7M | $353.3K |
| Michael O'donnell | PA | MOHS-Micrographic Surgery Physician | $675.9K | $0 |
| Mark Suchter | PA | Dermatology Physician | $548.7K | $0 |
| Donald Preate | PA | Urology Physician | $432.4K | $12K |
| Joseph Giacometti | PA | Ophthalmic Plastic and Reconstructive Surgery Physician | $282K | $0 |
| Mark Marsili | PA | Dermatology Physician | $237.1K | $0 |
| Conor Knight | PA | Physician Assistant | $215.7K | $0 |
| Jennifer Randle | PA | Optometrist | $213.6K | $0 |
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