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NPI 1194892455 · Haddon Heights, NJ · Optometrist
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Paul Kossis is a optometrist provider located in Haddon Heights, New Jersey. This profile covers 6 Medicare and 13 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 | Paul Kossis |
| Address | 105 White Horse Pike |
| City | Haddon Heights |
| State | NJ |
| ZIP | 08035 |
| Taxonomy | Optometrist |
| NPI Enumerated | November 29, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $42K |
| Medicaid | $9.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
6 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… | 260 | $110 | $27.8K |
| 92201 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 290 | $20 | $6.1K |
| 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. | 40 | $120 | $5K |
| 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 |
| 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,… | 20 | $30 | $700 |
| 92260 | Code 92260 describes measurement of arterial blood pressure in the retina. | 30 | $20 | $560 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 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.
13 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… | 470 | $10 | $5.6K |
| 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. | 180 | $10 | $2.5K |
| 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. | 280 | $1 | $550 |
| 92260 | Code 92260 describes measurement of arterial blood pressure in the retina. | 120 | $1 | $460 |
| 92225 | N/A | 10 | $20 | $290 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 30 | $1 | $50 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 30 | $0 | $0 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 60 | $0 | $0 |
| V2020 | Frames, purchases | 710 | $0 | $0 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 80 | $0 | $0 |
Showing 1–10 of 13
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
13 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 362 | 730 | 470 | $20 | $51K |
| 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. | 389 | 690 | 260 | $30 | $27.2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 189 | 420 | 500 | $10 | $17.2K |
| 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. | 350 | 570 | 540 | $10 | $16.4K |
| 92225 | N/A | 94 | 100 | 200 | $20 | $14.5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 129 | 340 | 320 | $10 | $12.6K |
| V2020 | Frames, purchases | 280 | 630 | 580 | $1 | $10.7K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 371 | 460 | 620 | $1 | $8.4K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 111 | 130 | 210 | $1 | $2.9K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 102 | 170 | 80 | $10 | $2K |
Showing 1–10 of 13
Other providers in the same ZIP code as Paul Kossis, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Steven Datorre | NJ | Clinical Cardiac Electrophysiology Physician | $1.4M | $0 |
| Deborah Sambucci | NJ | Cardiovascular Disease Physician | $1.2M | $0 |
| Ronald Cohen | NJ | Cardiovascular Disease Physician | $1.1M | $0 |
| Gregg Fortino | NJ | Cardiovascular Disease Physician | $840.1K | $0 |
| Annie Peter | NJ | Cardiovascular Disease Physician | $802.8K | $0 |
| Mark Gelernt | NJ | Cardiovascular Disease Physician | $800.3K | $0 |
| Mitchell Rosenberg | NJ | Cardiovascular Disease Physician | $777.1K | $0 |
| Jillian Smith | NJ | Geriatric Medicine (Internal Medicine) Physician | $771.7K | $0 |
| Vijayendra Verma | NJ | Cardiovascular Disease Physician | $745.7K | $0 |
| Steven Levi | NJ | Clinical Cardiac Electrophysiology Physician | $661.8K | $0 |
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