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    OpenPayerNPI Medicare & MedicaidRobert Kleiner
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    Robert Kleiner — Billing Profile & Reimbursement Data

    NPI 1063408987 · North Wales, PA · Retina Specialist (Ophthalmology) Physician

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    Robert Kleiner is a retina specialist (ophthalmology) physician provider located in North Wales, Pennsylvania. This profile covers 11 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Kleiner
    Address124 Dekalb Pike
    CityNorth Wales
    StatePA
    ZIP19454
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedSeptember 26, 2005

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

    Payer SourceTotal Paid
    Medicare$3.1M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only billing entity: lifetime Medicare revenue is $3.1M and there is no Medicaid billing on file. The NPI was enumerated 2005-09-26 (~21 years ago), indicating long tenure in the Medicare program which supports an established referral and billing footprint.

    Revenue is highly concentrated in three intravitreal drug codes: J0178, J2778, and J2777 together account for 80.0% of the provider's total Medicare revenue. Individually those codes generate $1M (33.7%) from J0178, $812.8K (26.2%) from J2778, and $622.9K (20.1%) from J2777, signaling dependency on anti-VEGF and related biologic therapies for the majority of billings.

    The code mix and volumes point to a retina-focused practice model driven by frequent intravitreal injections and drug administration: J0178 (1.5K claims), J2778 (4.5K claims), and J2777 (21.5K claims) are the top revenue drivers, and 67028 (2.1K claims, $199.7K revenue) further confirms high-volume intraocular injection procedures. This pattern is consistent with a clinical operation that manages chronic retinal disease requiring regular office-based injections.

    Clinical support services are also a major component of activity: 92012 appears at 3.2K claims with $235.2K revenue and is labeled an extreme outlier (rank #13 of 17177, 100th percentile), while 92134 has 3.6K claims, $117.4K revenue and is an extreme outlier as well (rank #213 of 26868, 99th percentile). High volumes of intermediate eye exams and retinal imaging indicate the practice pairs frequent injections with substantial diagnostic imaging and follow-up visits to manage treatment decisions.

    Competitive standing varies by code: for drug administration this provider is a national leader on J2778 (rank #55 of 1208, 96th percentile) indicating unusually high ranibizumab volume relative to peers, while J0178 and J2777 sit at more typical national volumes (ranks #798 of 3204, 75th percentile and #481 of 2039, 76th percentile respectively). Procedural codes such as 67028 also run notably above typical national volume (rank #350 of 4255, 92th percentile), suggesting the practice competes strongly in both drug use and injection procedures.

    Visit mix emphasizes frequent, focused follow-up over comprehensive new-patient exams: 92014 (comprehensive established exam) accounts for 405 claims and $30.8K revenue (1.0% of Medicare revenue), whereas injection and intermediate-exam codes have thousands of claims and far larger revenue shares. This distribution suggests a workflow optimized around repeat therapeutic encounters and surveillance rather than a high volume of comprehensive evaluations.

    Several codes are flagged as statistical outliers or notably above typical volume—specifically 92012 (extreme outlier), 92134 (extreme outlier), 67028 (notably above typical), and 99204 (notably above typical). These flags, combined with the high concentration in anti-VEGF codes, indicate an operational profile with exceptional throughput for retinal imaging and intermediate visits that support a high-frequency injection service line.

    The lack of any Medicaid billing places the provider in a single-payer Medicare exposure: this simplifies payer mix analysis but also concentrates reimbursement risk and patient access on Medicare populations. For payer/provider strategists, that concentration suggests opportunities and vulnerabilities tied to Medicare policy, reimbursement changes for anti-VEGF drugs, and utilization management for high-volume injection and imaging services.

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,530$680$1M
    J2778Injection, ranibizumab, 0.1 mg4,540$180$812.8K
    J2777Injection, faricimab‑svoa, 0.1 mg21,480$30$622.9K
    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…3,180$70$235.2K
    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.2,100$100$199.7K
    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.3,560$30$117.4K
    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…410$80$30.8K
    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…170$120$20.4K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…110$120$12.3K
    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,…50$30$1.4K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017844140830$690$865.1K
    J277815701,030$190$417.1K
    J2777181007,950$30$360.2K
    6702825180600$90$87.5K
    920143101,570130$80$21K
    92012693080$60$14K
    92235137040$100$10K
    92134241,32060$30$8.4K
    9920422610,29030$110$5K
    922507141,27060$30$2.9K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Richard KaiserPAOphthalmology Physician$6.6M$0
    Jeremy AikeyPAOphthalmology Physician$2.3M$0
    David RhoPAOphthalmology Physician$1.7M$6.7K
    Lili KaplanPARetina Specialist (Ophthalmology) Physician$987.9K$0
    Jon PeetPAOphthalmology Physician$849.8K$0
    Francis ClarkPAOphthalmology Physician$653.6K$0
    Joshua GreenePARetina Specialist (Ophthalmology) Physician$509.7K$3K
    Hugo LinaresPARetina Specialist (Ophthalmology) Physician$422.8K$2.3K
    Stephen SollPAOphthalmology Physician$160.7K$0
    Paul JohnsonPAOphthalmic Plastic and Reconstructive Surgery Physician$133.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeffrey EllisPAInternal Medicine Physician$362.3K$15.7K
    Wellness Pharmacy Services LLCPALong Term Care Pharmacy$366K$0
    Emily SchwarzPADermatology Physician$197.7K$0
    Roy JackelPASpecialist$155.6K$0
    Daniel SkubickPASpecialist$154K$0
    Michael StierstorferPADermatology Physician$146.1K$0
    Deborah BuckPAPsychiatric/Mental Health Nurse Practitioner$137.4K$8.4K
    Yan QiPASpecialist$123.7K$0
    Costco Wholesale CorporationPACommunity/Retail Pharmacy$48.9K$0

    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. Pennsylvania Distribution
    Robert Kleiner — 3 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania