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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJay Egolf
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    Jay Egolf — Billing Profile & Reimbursement Data

    NPI 1225085251 · Portsmouth, OH · Ophthalmology Physician

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    Jay Egolf is a ophthalmology physician provider located in Portsmouth, Ohio. This profile covers 18 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
    OrganizationJay Egolf
    Address1400 Gay St
    CityPortsmouth
    StateOH
    ZIP45662
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 27, 2006

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

    Payer SourceTotal Paid
    Medicare$341.6K
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…340$350$119.4K
    J0178Injection, aflibercept, 1 mg120$690$81.7K
    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…720$60$41.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.210$100$20.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.80$200$15.9K
    92134The 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.530$30$14.3K
    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.150$80$11.6K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…390$30$10.1K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…120$40$4.9K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…50$100$4.7K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017895100840$680$729K
    66984208530210$110$92.8K
    67028111150470$90$64K
    J359070100200$100$30K
    6682110236050$180$15.8K
    920121033050$60$8K
    9921310,99320,00070$50$6.6K
    921341061,01050$30$6.3K
    9213627340130$30$4.2K
    92235237040$90$4.2K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    Cei Physicians Psc LLCOHOphthalmology Physician$0$8.5M
    Cei Physicians Psc LLCOHOphthalmologic Surgery Clinic/Center$4.1M$1M
    James OsherOHOphthalmology Physician$3.7M$0
    Bruce BuerkOHRetina Specialist (Ophthalmology) Physician$3.4M$0
    Juan LebronOHRetina Specialist (Ophthalmology) Physician$2.7M$0
    Kendall WannamakerNCOphthalmology Physician$2.7M$0
    Hang PhamOHOphthalmology Physician$2.6M$0
    Ahmed AlkalibyFLOphthalmology Physician$2.6M$0
    Cei Physicians Psc LLCOHAmbulatory Surgical Clinic/Center$1.9M$680.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Scioto County Counseling Center, IncOHAddiction (Substance Use Disorder) Counselor$0$166.5M
    Southern Ohio Medical CenterOHGeneral Acute Care Hospital$0$144.9M
    Phoenix Group Home, LLCOHCommunity/Behavioral Health Agency$0$98.8M
    Mahajan Therapeutics, LLCOHCommunity/Behavioral Health Agency$0$33.9M
    Scioto County Counseling Center, Inc.OHMental Health Counselor$0$27.7M
    Amazing Grace Center IncOHMethadone Clinic$349.1K$26.2M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Portsmouth Emergency Ambulance Service IncOHAmbulance$3.6M$18.7M
    Genesis Respiratory Services IncOHDurable Medical Equipment & Medical Supplies$0$20.4M
    Portsmouth Hospital CorporationOHGeneral Acute Care Hospital$0$19.7M

    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. Ohio Distribution
    Jay Egolf — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio