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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDavid Perlmutter
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    David Perlmutter — Billing Profile & Reimbursement Data

    NPI 1033420260 · Albany, NY · Ophthalmology Physician

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    David Perlmutter is a ophthalmology physician provider located in Albany, New York. This profile covers 30 Medicare and 12 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)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Perlmutter
    Address35 Hackett Blvd
    CityAlbany
    StateNY
    ZIP12208
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 22, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.9M
    Medicaid$126.4K

    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 CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,430$690$1.7M
    J2777Injection, faricimab‑svoa, 0.1 mg6,840$30$198.4K
    66984The 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…410$410$166.1K
    Q5124Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg840$170$143.6K
    67028The 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.1,390$90$125.1K
    99214The 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…860$90$74.2K
    J3590Unclassified biologics270$270$72.1K
    92134The 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.2,080$30$62.4K
    J3490Unclassified drugs40$1,730$62.2K
    92014An 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…600$90$50.7K

    Showing 1–10 of 30

    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.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017827230560$690$693K
    J2777631207,740$30$364.9K
    Q512820201,170$220$268.3K
    669847268090$430$104.3K
    J359012030$1,430$72.7K
    Q5124320310$170$69.7K
    6702845300400$100$65.9K
    66991145030$1,830$65.9K
    J34908212060$470$50.8K
    65820249030$1,170$48K

    Showing 1–10 of 30

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg310$310$93.6K
    92014An 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…460$30$12K
    67028The 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$30$10.4K
    92134The 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.680$10$5.4K
    99214The 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…40$40$1.8K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…150$10$890
    J2403Chloroprocaine hcl ophthalmic, 3% gel, 1 mg20$50$690
    92012For 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…30$20$470
    99204The 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…10$30$410
    J9035Injection, bevacizumab, 10 mg20$10$230

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

    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

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178Injection, aflibercept, 1 mg49100280$650$369.9K
    99214The 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…12,78316,550220$90$186.8K
    99204The 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…3,1763,820100$130$99.7K
    92014An 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…1,0722,440330$70$92.6K
    92012For 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…1,2571,460310$60$88.1K
    67028The 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.137260420$70$65.6K
    92250Code 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,…1,3931,490340$40$48.7K
    J9035Injection, bevacizumab, 10 mg125150170$80$36.7K
    92134The 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.296730370$20$30K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…74150140$20$9.9K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with David Perlmutter, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Geisinger Medical CenterPAGeneral Acute Care Hospital$0$27.8M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Geisinger Medical CenterPAAir Ambulance$0$6.6M
    Jeremy WolfeMIRetina Specialist (Ophthalmology) Physician$3.7M$0
    Jennifer KrawitzNYOphthalmology Physician$2.9M$0
    Ehsan RahimyCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Sarah KucharNJOphthalmology Physician$460.2K$0
    Jesse RichmanRIOphthalmology Physician$454.1K$0
    Katie SchrackPAOphthalmology Physician$313.3K$0
    Alessandra IntiliPAOphthalmology Physician$278.5K$0

    Nearby Providers

    Other providers in the same ZIP code as David Perlmutter, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Albany Medical Center HospitalNYGeneral Acute Care Hospital$0$79.8M
    Parsons Child And Family CenterNYCustodial Care Facility$0$65.7M
    St. Peter's Hospital Of The City Of AlbanyNYGeneral Acute Care Hospital$0$35.4M
    St. Peter's Health Partners Medical Associates, P.C.NYMulti-Specialty Clinic/Center$480$6.6M
    Rahul RavillaNYHematology & Oncology Physician$1.8M$320
    Stephen WrzesinskiNYMedical Oncology Physician$1.2M$0
    Muhammad HussainNYHematology & Oncology Physician$1M$0
    Madhavi Latha KambamNYHematology & Oncology Physician$682.5K$700
    Ami NegandhiNYHematology & Oncology Physician$597.2K$0
    Makenzi EvangelistNYHematology & Oncology Physician$479.7K$1.5K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    David Perlmutter — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    David Perlmutter — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York