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NPI 1205839552 · Canton, OH · Retina Specialist (Ophthalmology) Physician
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Mark Gersman is a retina specialist (ophthalmology) physician provider located in Canton, Ohio. This profile covers 14 Medicare and 3 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 | Mark Gersman |
| Address | 4676 Douglas Cir Nw |
| City | Canton |
| State | OH |
| ZIP | 44718 |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| NPI Enumerated | May 31, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.4M |
| Medicaid | $1.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 1,200 | $690 | $829K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 4,080 | $30 | $118.3K |
| 67028 | The 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. | 1,150 | $90 | $104.8K |
| 92134 | The 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. | 2,010 | $30 | $60.2K |
| 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… | 700 | $80 | $58.3K |
| 99213 | The 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… | 730 | $70 | $47.2K |
| 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… | 380 | $90 | $33.8K |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 200 | $160 | $31.4K |
| J3590 | Unclassified biologics | 590 | $50 | $26.9K |
| 99204 | The 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… | 140 | $110 | $16K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 38 | 100 | 840 | $680 | $729K |
| J2777 | 54 | 70 | 9,480 | $30 | $353.3K |
| 67028 | 42 | 150 | 470 | $90 | $64K |
| J7312 | 14 | 20 | 240 | $160 | $41.7K |
| J3590 | 16 | 100 | 200 | $100 | $30K |
| 67042 | 49 | 50 | 20 | $960 | $29.7K |
| 67041 | 8 | 20 | 20 | $1,180 | $23.5K |
| 92014 | 47 | 1,390 | 100 | $70 | $12.9K |
| 99214 | 2,089 | 20,010 | 100 | $70 | $11.7K |
| 92012 | 62 | 330 | 50 | $60 | $8K |
Showing 1–10 of 14
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.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92134 | The 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. | 50 | $10 | $610 |
| 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… | 20 | $40 | $610 |
| 67028 | The 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. | 20 | $30 | $550 |
How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Ohio median
3 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… | 4,164 | 4,510 | 500 | $60 | $377.8K |
| 67028 | The 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. | 49 | 50 | 310 | $70 | $202.5K |
| 92134 | The 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. | 81 | 100 | 420 | $20 | $55.8K |
Other providers in the same ZIP code as Mark Gersman, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Northeast Professional Home, Inc. | OH | Home Health Agency | $0 | $25.2M |
| Northeast Professional Home Care, Inc. | OH | Home Health Agency | $0 | $18.5M |
| Child And Adolescent Behavioral Health | OH | Community/Behavioral Health Agency | $0 | $15.8M |
| Pathway Caring For Children | OH | Community/Behavioral Health Agency | $0 | $9.4M |
| Stark Ambulatory Surgery Center, LLC | OH | Ambulatory Surgical Clinic/Center | $377.2K | $3.5M |
| Arnold Nothnagel | OH | Retina Specialist (Ophthalmology) Physician | $2.9M | $0 |
| Eyes On Stark Surgery Center, LLC | OH | Ambulatory Surgical Clinic/Center | $1.1M | $847.1K |
| Nashat Gabrail | OH | Specialist | $641.1K | $48.4K |
| Alison Durham | OH | MOHS-Micrographic Surgery Physician | $651.7K | $0 |
| Joyce Williams | OH | Rheumatology Physician | $500.7K | $0 |
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