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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDaniel Adelberg
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    Daniel Adelberg — Billing Profile & Reimbursement Data

    NPI 1225000557 · Mesa, AZ · Retina Specialist (Ophthalmology) Physician

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    Daniel Adelberg is a retina specialist (ophthalmology) physician provider located in Mesa, Arizona. This profile covers 22 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
    OrganizationDaniel Adelberg
    Address1055 S Stapley Dr
    CityMesa
    StateAZ
    ZIP85204
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedFebruary 2, 2006

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

    Payer SourceTotal Paid
    Medicare$854.7K
    Medicaid$0

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg12,420$30$360.2K
    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…1,420$60$88.2K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg320$220$69.8K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…60$870$52.8K
    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,…1,720$30$44.6K
    J3490Unclassified drugs30$1,640$44.2K
    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.440$90$40.1K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…30$870$29.5K
    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…180$120$21.7K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…20$900$19.8K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J277719509,000$30$525.8K
    Q51281120520$220$207.5K
    6702848601,240$90$119K
    6704152030$1,220$51K
    J79993750490$70$46.8K
    67042164030$1,160$46.5K
    67113122020$1,190$40.3K
    67036173030$1,030$37.9K
    6710872020$1,230$33.2K
    6682118621070$220$26.5K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwestern Eye Center LtdAZOphthalmology Physician$0$15.9M
    Barnet Dulaney Perkins Eye Center, PCAZOphthalmology Physician$0$10.9M
    Sujit IttyAZOphthalmology Physician$6.2M$11.3K
    Neal PalejwalaAZOphthalmology Physician$4.4M$2.9K
    Sachin MehtaAZRetina Specialist (Ophthalmology) Physician$4.4M$11.8K
    Ronald HobbsAZOphthalmology Physician$4.1M$0
    Barnet Dulaney Perkins Eye Center, PCAZAmbulatory Surgical Clinic/Center$2.8M$1.1M
    Mahmood El-gasimAZUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician$3.7M$0
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    Karim JamalAZOphthalmology Physician$3.1M$7.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lexington Learning CenterAZCommunity/Behavioral Health Agency$0$60.8M
    My House LLCAZIn Home Supportive Care Agency$0$24.8M
    Native Country Healthcare SystemsAZAdult Mental Health Clinic/Center$0$14.3M
    Terros, Inc.AZFederally Qualified Health Center (FQHC)$0$6.6M
    Mukesh AhluwaliaAZPulmonary Disease Physician$324.3K$585.3K
    Joel ScheinAZDiagnostic Radiology Physician$262K$463.6K
    Jeffrey WineAZOptometrist$673.6K$0
    Sankalp ChoudhriAZPulmonary Disease Physician$598.6K$0
    Seyed JavadpoorAZPulmonary Disease Physician$435.6K$0
    Phillip BoyerAZOphthalmology Physician$363.8K$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. Arizona Distribution
    Daniel Adelberg — 2 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona