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NPI 1013275478 · Des Plaines, IL · Retina Specialist (Ophthalmology) Physician
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Robert Garoon is a retina specialist (ophthalmology) physician provider located in Des Plaines, Illinois. This profile covers 18 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 | Robert Garoon |
| Address | 9301 Golf Rd |
| City | Des Plaines |
| State | IL |
| ZIP | 60016 |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| NPI Enumerated | April 23, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $112.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 31,380 | $30 | $910K |
| J0178 | Injection, aflibercept, 1 mg | 620 | $690 | $428.9K |
| 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. | 950 | $90 | $86K |
| 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. | 1,840 | $30 | $58.9K |
| 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… | 840 | $70 | $58.5K |
| J3590 | Unclassified biologics | 20 | $1,980 | $33.7K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 180 | $180 | $32.9K |
| 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,… | 580 | $30 | $16.7K |
| 67036 | The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. | 10 | $730 | $10.2K |
| 67105 | The provider repairs a detached retina using a laser beam that heats up the tissue. He also drains subretinal fluid, if required. | 30 | $250 | $7.5K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 76 | 140 | 700 | $690 | $688.4K |
| J2777 | 14 | 90 | 9,180 | $30 | $451K |
| 67028 | 58 | 190 | 400 | $90 | $64.4K |
| J3590 | 8 | 10 | 40 | $320 | $36.1K |
| 92014 | 1,184 | 1,420 | 130 | $80 | $24.7K |
| J9035 | 108 | 130 | 140 | $60 | $24.6K |
| 67210 | 18 | 20 | 30 | $410 | $22K |
| 67036 | 19 | 30 | 20 | $800 | $17.6K |
| 92012 | 23 | 670 | 100 | $60 | $12.4K |
| 92134 | 56 | 1,080 | 80 | $30 | $9K |
Showing 1–10 of 18
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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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. | 390 | $200 | $76.2K |
| 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… | 440 | $40 | $15.9K |
| 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. | 900 | $20 | $15.3K |
| 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,… | 140 | $30 | $4.7K |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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. | 72 | 120 | 540 | $160 | $166.3K |
| 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… | 5,923 | 14,190 | 280 | $20 | $38.9K |
| 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,… | 156 | 310 | 140 | $30 | $25.5K |
| 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. | 95 | 250 | 510 | $20 | $20.1K |
Other providers in the same ZIP code as Robert Garoon, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| City Of Desplaines | IL | Land Ambulance | $784.7K | $13.1M |
| Med Rush Clinical Lab Inc | IL | Clinical Medical Laboratory | $2.4M | $9.3M |
| Presence Home Care | IL | Home Health Agency | $0 | $7.3M |
| Michael Blair | IL | Retina Specialist (Ophthalmology) Physician | $3M | $2.6M |
| Alan Hirsch | IL | Neurology Physician | $50.8K | $3.8M |
| Srikanth Ravindran | IL | Family Medicine Physician | $198.8K | $3.4M |
| North Maine Fire Protection District | IL | Land Ambulance | $163.2K | $3.3M |
| George Wyhinny | IL | Retina Specialist (Ophthalmology) Physician | $2.9M | $33.9K |
| John Galasso | IL | Retina Specialist (Ophthalmology) Physician | $1.6M | $1.2M |
| Daniel Alter | IL | Retina Specialist (Ophthalmology) Physician | $2.7M | $9K |
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