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    OpenPayerNPI Medicare & MedicaidDaniel Garibaldi
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    Daniel Garibaldi — Billing Profile & Reimbursement Data

    NPI 1194779678 · Rockville Centre, NY · Ophthalmology Physician

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    Daniel Garibaldi is a ophthalmology physician provider located in Rockville Centre, New York. This profile covers 29 Medicare and 4 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
    OrganizationDaniel Garibaldi
    Address2000 N Village Ave Ste 402
    CityRockville Centre
    StateNY
    ZIP11570
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 20, 2006

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

    Payer SourceTotal Paid
    Medicare$477.5K
    Medicaid$16.7K

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    68810The provider probes the nasolacrimal duct to identify a possible obstruction or stricture; he may or may not irrigate the duct.260$210$54.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…540$70$40.2K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.160$250$39.6K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…50$740$39.1K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…50$740$36.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…650$50$33K
    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…260$110$27.4K
    15260This code is for a free full–thickness skin graft of the nose, ears, eyelids, and/or lips that is 20 cm2 or less in size.40$710$27.1K
    67966The provider excises damaged or diseased tissue of the eyelid that may include the edges of the lid, the lid’s inner plate, the membrane lining of the lid, or the corner where the lids come together.…40$580$20.3K
    67900The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the…60$360$20.2K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J05852472809,400$1$63.4K
    67904143040$570$45.2K
    6796631030$580$31K
    920142,1912,220160$100$29.3K
    6790062030$410$26.3K
    15823104030$560$24.1K
    15260126020$830$23.2K
    140601612020$600$21.6K
    992146,89030,45090$100$19K
    6791792020$450$15.4K

    Showing 1–10 of 29

    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.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…370$40$13.2K
    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…70$40$2.6K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.10$40$460
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…10$30$330

    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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…9,47719,110360$70$321K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…5,0765,420210$70$154.3K
    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…1,0941,460310$60$88.1K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.379410100$50$24.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Glenn StollerNYOphthalmology Physician$4.6M$637.1K
    Ketan LaudNYOphthalmology Physician$2.7M$926.3K
    Eric SiglerNYOphthalmology Physician$3M$580.5K
    Peter BrennenNYRetina Specialist (Ophthalmology) Physician$3M$339.3K
    Christopher AdamNYOphthalmology Physician$3.1M$219.4K
    Daniel KiernanFLOphthalmology Physician$2.7M$572.1K
    Brian JewartPAOphthalmology Physician$2.2M$266.4K
    Fadi El-babaNYRetina Specialist (Ophthalmology) Physician$2M$18K
    Ravi PatelNJRetina Specialist (Ophthalmology) Physician$1.7M$84.4K
    Iuri GolubevNMOphthalmology Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Shore Lij, Urgent Care, P.C.NYUrgent Care Clinic/Center$0$111.7M
    Mercy Medical CenterNYGeneral Acute Care Hospital$0$43.9M
    Better Home Health Care Agency, Inc.NYHome Health Agency$0$22.3M
    Emmanouil VasilakisNYOrthopedic Physical Therapist$648.6K$4.3M
    Angelito TanNYNeurology Physician$1.4M$675.6K
    Jeff KopelmanNYPlastic Surgery within the Head & Neck (Otolaryngology) Physician$287.1K$1.1M
    Todd HalperNYFamily Medicine Physician$1.1M$196.6K
    Charles MitgangNYInternal Medicine Physician$1M$3K
    Khawaja HassanNYPlastic Surgery Physician$1M$0
    Farid ShahkoohiNYInternal Medicine Physician$840.4K$5.1K

    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
    Daniel Garibaldi — 4 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
    Daniel Garibaldi — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York