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NPI 1225276678 · Providence, RI · Ophthalmology Physician
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Sarah Anis is a ophthalmology physician provider located in Providence, Rhode Island. This profile covers 21 Medicare and 5 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 | Sarah Anis |
| Address | 150 E Manning St |
| City | Providence |
| State | RI |
| ZIP | 02906 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | January 22, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $396.2K |
| Medicaid | $42.8K |
Medicare overwhelmingly drives this provider’s revenue, with Total Medicare revenue reported as $396.2K versus Total Medicaid revenue of $42.8K, indicating Medicare is the primary payer on file rather than a balanced dual‑payer practice. The billing pattern is concentrated in a few high-yield services rather than broadly distributed across many low‑revenue codes.
Medicare revenue is heavily concentrated in a small set of office and ophthalmic diagnostic codes: the precomputed top three Medicare codes account for 55.9% of Medicare revenue, led by 99214 ($111.2K revenue, 28.1%), 92014 ($79.5K revenue, 20.1%), and 92083 ($30.9K revenue, 7.8%). This mix suggests an outpatient ophthalmology practice model focused on established patient visits, comprehensive eye exams, and extended visual field testing.
Medicaid revenue shows even greater concentration: the precomputed top three Medicaid codes account for 93.3% of Medicaid revenue, dominated by 99214 ($25.3K, 58.9%), followed by 92133 ($8.2K, 19.1%) and 92014 ($6.6K, 15.3%). Medicaid billing is therefore tightly focused on E&M visits and optic nerve imaging, implying a limited set of services billed to state programs.
99214 is a standout volume driver on Medicare, with 1.2K claims and $111.2K revenue and a national rank of #6579 of 479517 providers (99th percentile; extreme outlier). High national standing for this established‑patient E&M code indicates a heavy caseload of follow‑up and management visits, consistent with longitudinal ambulatory care rather than episodic or primarily surgical practice.
Several diagnostic imaging and visual field codes are statistical outliers on Medicare, reinforcing a diagnostic emphasis: 92083 (718 claims, $30.9K revenue) ranks #241 of 25484 (99th percentile; extreme outlier) and 92133 (998 claims, $26.9K revenue) ranks #64 of 24968 (100th percentile; extreme outlier). These high relative volumes point to significant glaucoma/retina monitoring and objective imaging in routine workflows.
Surgical codes are present but appear more typical relative to peers: 66984 reports 1.4K claims and $26.4K revenue (6.7% of Medicare revenue) with a national rank of #1579 of 15965 (90th percentile; typical), while 66991 ($25.1K revenue, 56 claims) ranks #267 of 1445 (81st percentile; typical). In short, the practice performs cataract and some intraocular procedures but these services do not dominate the revenue profile the way E&M and diagnostics do.
State‑level competitive standing for Medicaid is modest rather than dominant. For example, Medicaid 99214 ranks #626 of 1731 in‑state (64th percentile; typical) and 92133 ranks #10 of 28 (67th percentile; typical), indicating the provider is an active in‑state participant for these services but not a top statewide leader across the measured codes. Overall, the provider is comparatively more prominent on Medicare than on Medicaid.
The provider’s NPI was enumerated on 2009-01-22 (~17 years ago), indicating a long tenure in practice; combined with concentrated, repeat billing for follow‑up visits and repeat diagnostic testing, this pattern is consistent with an established ambulatory ophthalmology practice managing a steady panel of patients over time.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 1,240 | $90 | $111.2K |
| 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… | 940 | $90 | $79.5K |
| 92083 | The 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… | 720 | $40 | $30.9K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 1,000 | $30 | $26.9K |
| 66984 | The 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… | 1,390 | $20 | $26.4K |
| 66991 | The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in… | 60 | $450 | $25.1K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 70 | $310 | $20.3K |
| 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… | 110 | $120 | $13.3K |
| 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… | 170 | $70 | $10.9K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 20 | $680 | $10.1K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 14 | 40 | 370 | $80 | $71.1K |
| 66991 | 1 | 10 | 30 | $800 | $26.5K |
| 65820 | 5 | 10 | 30 | $740 | $22.3K |
| 92014 | 6 | 190 | 120 | $80 | $16.3K |
| 66821 | 21 | 30 | 40 | $270 | $14.8K |
| 66174 | 1 | 10 | 20 | $450 | $13.6K |
| 99214 | 2 | 1,950 | 100 | $80 | $11.7K |
| 99213 | 425 | 1,950 | 70 | $60 | $7.4K |
| 92134 | 23 | 120 | 50 | $30 | $6.6K |
| 65855 | 2 | 10 | 40 | $180 | $6.4K |
Showing 1–10 of 21
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.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 440 | $60 | $25.3K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 360 | $20 | $8.2K |
| 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… | 160 | $40 | $6.6K |
| 92083 | The 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… | 80 | $30 | $2.5K |
| 92020 | The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and… | 20 | $20 | $350 |
How this provider's Medicaid billing volume and revenue compare to other Rhode Island providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Rhode Island median
5 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… | 626 | 1,730 | 220 | $70 | $75.2K |
| 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… | 107 | 190 | 230 | $40 | $35K |
| 92083 | The 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… | 15 | 30 | 100 | $40 | $10.4K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 10 | 30 | 140 | $20 | $7.8K |
| 92020 | The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and… | 1 | 10 | 20 | $10 | $190 |
Other providers in the same ZIP code as Sarah Anis, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| The Miriam Hospital | RI | General Acute Care Hospital | $0 | $138.6M |
| Family Service Of Rhode Island Inc. | RI | Taxi | $0 | $12M |
| Butler Hospital | RI | Psychiatric Hospital | $0 | $9.6M |
| Phoenix Houses Of New England, Inc. | RI | Substance Abuse Rehabilitation Facility | $0 | $7.3M |
| Thomas Mulvey | RI | Pediatric Dentistry | $0 | $6.3M |
| Silver Fern Practice, LLC | RI | Physical Therapist | $0 | $5M |
| Providence Interventional Associates Ii LLC | RI | Ambulatory Surgical Clinic/Center | $1.9M | $8.3K |
| Robert Eden | RI | Pediatrics Physician | $0 | $1.7M |
| Brian Ackerman | RI | Psychiatry Physician | $24.8K | $1.5M |
| Steven Hirsch | RI | Clinical Neuropsychologist | $0 | $1.2M |
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