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NPI 1013963057 · Forest Hills, NY · Optometrist
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Boris Kapelnik is a optometrist provider located in Forest Hills, New York. This profile covers 18 Medicare and 22 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 | Boris Kapelnik |
| Address | 6373 108th St |
| City | Forest Hills |
| State | NY |
| ZIP | 11375 |
| Taxonomy | Optometrist |
| NPI Enumerated | May 25, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2M |
| Medicare | $750.7K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,070 | $120 | $122.8K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 760 | $140 | $102.6K |
| 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. | 820 | $100 | $83.9K |
| 76512 | The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures. | 1,990 | $40 | $81.5K |
| 92083 | The 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… | 1,350 | $60 | $78.4K |
| 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,… | 1,670 | $30 | $51.6K |
| 92286 | In this procedure, the provider examines the structures in the anterior, or front, segment of the eye. He identifies abnormalities in the vasculature, such as those associated with neoplasia. He then… | 1,430 | $30 | $47.2K |
| 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… | 560 | $80 | $46.6K |
| 92025 | The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report. | 1,280 | $30 | $39.6K |
| 92020 | The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and… | 1,340 | $30 | $33.6K |
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.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 92014 | 119 | 2,220 | 160 | $100 | $29.3K |
| 92012 | 179 | 1,640 | 100 | $70 | $17.4K |
| 68761 | 6 | 370 | 70 | $120 | $16.3K |
| 92134 | 476 | 1,580 | 90 | $30 | $11.2K |
| 92004 | 7 | 1,750 | 50 | $110 | $9.2K |
| 92083 | 7 | 1,630 | 70 | $50 | $6.9K |
| 76512 | 2 | 340 | 50 | $50 | $6.6K |
| 92100 | 12 | 20 | 40 | $80 | $6.3K |
| 92250 | 9 | 1,700 | 80 | $30 | $5.2K |
| 92286 | 2 | 250 | 50 | $30 | $3.7K |
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.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
22 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92286 | In this procedure, the provider examines the structures in the anterior, or front, segment of the eye. He identifies abnormalities in the vasculature, such as those associated with neoplasia. He then… | 4,230 | $60 | $258K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 5,690 | $40 | $244.5K |
| 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,… | 5,700 | $40 | $222.5K |
| 92083 | The 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… | 5,160 | $40 | $221.9K |
| 92285 | Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison. | 4,220 | $50 | $198.5K |
| 76512 | The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures. | 4,090 | $40 | $151.1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6,380 | $20 | $146.7K |
| V2020 | Frames, purchases | 7,450 | $20 | $141.6K |
| 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… | 2,940 | $40 | $126.4K |
| 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. | 1,690 | $60 | $94.9K |
Showing 1–10 of 22
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
22 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 2,774 | 3,820 | 100 | $130 | $99.7K |
| 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… | 305 | 2,440 | 330 | $70 | $92.6K |
| 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. | 51 | 260 | 270 | $80 | $88.3K |
| 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… | 401 | 1,460 | 310 | $60 | $88.1K |
| 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… | 48 | 330 | 370 | $50 | $83.8K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 74 | 2,240 | 320 | $80 | $83K |
| 76512 | The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures. | 20 | 240 | 270 | $50 | $67.3K |
| 92083 | The 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… | 48 | 900 | 310 | $40 | $53.1K |
| 92273 | The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess… | 66 | 80 | 230 | $70 | $51.1K |
| 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,… | 79 | 1,490 | 340 | $40 | $48.7K |
Showing 1–10 of 22
Other providers in the same ZIP code as Boris Kapelnik, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Health Acquisition Corp. | NY | Home Health Agency | $0 | $1B |
| Caring Professionals, Inc | NY | Home Health Agency | $0 | $951.9M |
| Caring Professionals, Inc. | NY | Home Health Agency | $0 | $391.3M |
| Infiniti Home Care Inc | NY | Home Health Agency | $0 | $378.6M |
| New Millenium Ny, Inc | NY | Home Health Agency | $0 | $214.6M |
| Bilinguals Inc. | NY | Early Intervention Provider Agency | $0 | $103.6M |
| Infiniti Home Care, Inc Dba Continental Home Care | NY | Home Health Agency | $0 | $59.3M |
| The Child Center Of Ny, Inc. | NY | Adolescent and Children Mental Health Clinic/Center | $0 | $57.6M |
| Eva Homecare Agency, Inc. | NY | Home Health Agency | $0 | $55.3M |
| Attentive Home Care, Inc | NY | Home Health Agency | $0 | $31.4M |
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