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    OpenPayerNPI Medicare & MedicaidBergman Eye Surgery Center, LLC
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    Bergman Eye Surgery Center, LLC — Billing Profile & Reimbursement Data

    NPI 1235304312 · Hagerstown, MD · Ambulatory Surgical Clinic/Center

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    Bergman Eye Surgery Center, LLC is a ambulatory surgical clinic/center provider located in Hagerstown, Maryland. This profile covers 10 Medicare and 4 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)

    FieldValue
    Entity TypeOrganization
    OrganizationBergman Eye Surgery Center, LLC
    Address220 Champion Dr
    CityHagerstown
    StateMD
    ZIP21740
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedApril 29, 2008

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$8K

    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.

    10 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…1,140$780$885K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml3,700$80$281.2K
    66991The 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$2,360$150.8K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…80$780$61.4K
    V2785Processing, preserving and transporting corneal tissue20$3,680$55.1K
    0449TThe provider inserts the first aqueous drainage device into the interior of the eye with its end in the subconjunctival space; the device does not include a reservoir to hold the fluid. The device…20$2,030$40.5K
    66174The 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.40$820$32.6K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.150$180$27.1K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…60$430$25.6K
    65756During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.20$1,420$21.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J10977202,270$80$202.6K
    6698411250130$630$172.5K
    V278581030$3,530$84.6K
    6699153030$1,580$64.7K
    66174143030$790$36.4K
    669822113030$710$34.3K
    0449T11020$1,940$33.1K
    65756142030$1,210$29.1K
    1582393040$530$27.8K
    668211822050$250$16.8K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 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…30$140$4.5K
    C9447Injection, phenylephrine and ketorolac, 4 ml vial10$280$3.6K
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…30$0$0
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis30$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Maryland median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…253060$200$103.2K
    G8918Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis405090$70$28.2K
    G8907Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer…7190110$30$11.9K
    C9447Injection, phenylephrine and ketorolac, 4 ml vial11010$270$3.6K

    Nearby Providers

    Other providers in the same ZIP code as Bergman Eye Surgery Center, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dr. David M. Vieth 2, P.C.MDGeneral Practice Dentistry$0$77.8M
    Potomac Case Management Services, Inc.MDCase Management Agency$0$28M
    Phoenix Health Center LLCMDMethadone Clinic$507.7K$21.4M
    Awakenings Recovery Center, LLCMDSubstance Abuse Rehabilitation Facility$0$19.8M
    Qualitycare Internet, LLPMDMental Health Counselor$0$19.4M
    Walnut Street Community Health Center, Inc.MDFederally Qualified Health Center (FQHC)$0$19.3M
    Board Of Education Of Washington CountyMDLocal Education Agency (LEA)$0$19.1M
    Center For Pain Management, LLCMDInterventional Pain Medicine Physician$0$18.9M
    Metro Treatment Of Maryland LPMDCommunity/Behavioral Health Agency$361K$16.6M
    The Western Maryland Counseling CenterMDCommunity/Behavioral Health Agency$0$16.5M

    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. Maryland Distribution
    Bergman Eye Surgery Center, LLC — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland
    Medicaid Revenue by Year vs. Maryland Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Bergman Eye Surgery Center, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland