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NPI 1063555316 · Stamford, CT · Optometrist
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Fredric Smilen is a optometrist provider located in Stamford, Connecticut. This profile covers 7 Medicare and 25 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 | Fredric Smilen |
| Address | 100 Greyrock Pl |
| City | Stamford |
| State | CT |
| ZIP | 06901 |
| Taxonomy | Optometrist |
| NPI Enumerated | February 15, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.9M |
| Medicare | $34.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 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… | 200 | $90 | $18.7K |
| 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,… | 180 | $30 | $5.1K |
| 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… | 140 | $20 | $3.1K |
| 83861 | The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye. | 120 | $20 | $2.6K |
| 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… | 30 | $80 | $2K |
| 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. | 20 | $130 | $2K |
| 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… | 10 | $50 | $640 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 9,160 | $30 | $311.3K |
| 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,… | 6,650 | $40 | $259.3K |
| 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… | 5,390 | $50 | $253.4K |
| 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… | 3,010 | $70 | $195.3K |
| V2020 | Frames, purchases | 4,700 | $30 | $126.9K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7,060 | $20 | $113K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 3,900 | $30 | $105.2K |
| 83861 | The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye. | 7,520 | $10 | $97.8K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 4,390 | $20 | $87.8K |
| 92025 | The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report. | 5,180 | $20 | $82.9K |
Showing 1–10 of 25
How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Connecticut median
25 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… | 687 | 1,590 | 740 | $50 | $331.8K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 47 | 440 | 1,200 | $30 | $118.2K |
| 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… | 53 | 410 | 700 | $40 | $99.1K |
| 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 | 10 | 1,540 | $60 | $98.7K |
| V2020 | Frames, purchases | 70 | 320 | 1,070 | $30 | $85.5K |
| 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. | 106 | 350 | 460 | $60 | $80.2K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 55 | 270 | 1,010 | $20 | $59.7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 18 | 250 | 800 | $30 | $58.1K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 38 | 210 | 770 | $30 | $58K |
| 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,… | 11 | 240 | 320 | $30 | $42.7K |
Showing 1–10 of 25
Other providers in the same ZIP code as Fredric Smilen, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| All About Kids Pediatric Dentistry | CT | Pediatric Dentistry | $0 | $39.5M |
| Stamford Public Schools | CT | Local Education Agency (LEA) | $0 | $12.9M |
| Liberation Programs Inc | CT | Adult Mental Health Clinic/Center | $128.5K | $9.6M |
| Liberation Programs Inc | CT | Substance Abuse Rehabilitation Facility | $0 | $9.5M |
| Vision Consultants | CT | Optometrist | $0 | $2.7M |
| Kenneth Blum | CT | Optometrist | $0 | $1.9M |
| Family Centers Inc | CT | Health Service Clinic/Center | $0 | $1.4M |
| Connecticut Renaissance, Inc. | CT | Substance Use Disorder Rehabilitation Clinic/Center | $0 | $1.4M |
| Stamford Counseling Center, Inc. | CT | Community/Behavioral Health Agency | $0 | $1.1M |
| Sreevathsa Boraiah | CT | Orthopaedic Surgery Physician | $340.5K | $20.8K |
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