NPI 1013952092 — Billing Profile & Reimbursement Data
NPI 1013952092 · XX · healthcare
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NPI 1013952092 is a healthcare provider located in Unspecified Location. This profile covers 30 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. Note: "XX" is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; claims coded under it are grouped and benchmarked here the same way a traditional state would be.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | NPI 1013952092 |
| Address | |
| City | |
| State | XX (Unspecified Location) |
| ZIP | |
| Taxonomy | N/A |
| NPI Enumerated | |
| NPI Deactivated | June 5, 2025 |
(source: CMS Medicare & Medicaid claims data)
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.
30 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 67938 | The provider removes an embedded foreign body from the eyelid to prevent damage to the eyeball. | 450 | $200 | $90.9K |
| 65778 | The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens. | 80 | $990 | $77.4K |
| 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… | 790 | $100 | $76.7K |
| 67700 | In this procedure, the provider surgically incises the eyelid to drain a pocket of infection. | 320 | $210 | $67.2K |
| 68530 | The provider removes a foreign body or dacryolith, i.e., a stone, from the lacrimal gland or sac to treat obstruction, or blockage, of the tear duct. | 180 | $330 | $58.1K |
| 68761 | The 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. | 310 | $120 | $37.4K |
| 65435 | During this procedure, the provider removes the corneal epithelium using abrasion or curettage and may or may not perform chemocauterization. This procedure is mainly performed to remove an injured… | 970 | $30 | $33K |
| 67850 | The provider destroys a small lesion of the lid margin, no larger than 1cm, on the area between the front lid edge and back edge of any of the four lids of the eye. | 200 | $150 | $30.2K |
| 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… | 430 | $70 | $29.3K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 530 | $50 | $25.6K |
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Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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