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NPI 1013943950 · Carlisle, PA · Ophthalmology Physician
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Melvin Wagner is a ophthalmology physician provider located in Carlisle, Pennsylvania. This profile covers 22 Medicare and 1 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 | Melvin Wagner |
| Address | 338 Alexander Spring Rd |
| City | Carlisle |
| State | PA |
| ZIP | 17015 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | June 23, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $682.5K |
| Medicaid | $360 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 490 | $690 | $340.9K |
| 99214 | The 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… | 1,160 | $80 | $94.8K |
| 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… | 200 | $350 | $71.7K |
| 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. | 380 | $90 | $32.6K |
| 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… | 420 | $60 | $24.5K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 100 | $230 | $24.3K |
| 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. | 760 | $30 | $19.8K |
| 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 | $80 | $13.6K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 20 | $560 | $12.9K |
| 99204 | The provider sees a new 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 provider… | 120 | $100 | $11.2K |
Showing 1–10 of 22
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
22 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 84 | 140 | 830 | $690 | $865.1K |
| 66984 | 186 | 670 | 80 | $530 | $97.8K |
| 67028 | 107 | 180 | 600 | $90 | $87.5K |
| J7999 | 46 | 110 | 100 | $120 | $33.3K |
| 66982 | 114 | 200 | 30 | $640 | $23.2K |
| 92014 | 663 | 1,570 | 130 | $80 | $21K |
| 66821 | 100 | 420 | 50 | $230 | $18.3K |
| 99214 | 157 | 23,230 | 100 | $80 | $14.5K |
| 92012 | 855 | 930 | 80 | $60 | $14K |
| 92134 | 112 | 1,320 | 60 | $30 | $8.4K |
Showing 1–10 of 22
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The 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… | 10 | $30 | $360 |
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
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The 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… | 7,514 | 8,160 | 210 | $60 | $68.4K |
Other providers in the same ZIP code as Melvin Wagner, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Cataract And Laser Surgery Center | PA | Ambulatory Surgical Clinic/Center | $1.1M | $138.2K |
| Carlisle Endoscopy Center, Ltd. | PA | Ambulatory Surgical Clinic/Center | $684.8K | $32.3K |
| Julian Ngo | PA | MOHS-Micrographic Surgery Physician | $507.4K | $0 |
| Drew Stoken | PA | Ophthalmology Physician | $387.3K | $0 |
| Darryl Guistwite | PA | Family Medicine Physician | $351.1K | $17.2K |
| Andrew Dussinger | PA | Urology Physician | $209.4K | $1.8K |
| David Dell | PA | Family Medicine Physician | $117.1K | $39.5K |
| Ankit Shah | PA | Cardiovascular Disease Physician | $117.4K | $25.3K |
| Peter Giesswein | PA | Plastic Surgery Physician | $95.7K | $0 |
| Kavitha Ramaswamy | PA | Hospitalist Physician | $83.2K | $0 |
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