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    OpenPayerNPI Medicare & MedicaidNew York Eye & Ear Infirmary
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    New York Eye & Ear Infirmary — Billing Profile & Reimbursement Data

    NPI 1245251222 · New York City, NY · Special Hospital

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    New York Eye & Ear Infirmary is a special hospital provider located in New York City, New York. This profile covers 0 Medicare and 142 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 TypeOrganization
    OrganizationNew York Eye & Ear Infirmary
    Address310 East 14th Street
    CityNew York City
    StateNY
    ZIP10003
    TaxonomySpecial Hospital
    NPI EnumeratedJuly 22, 2006

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

    Payer SourceTotal Paid
    Medicaid$38.9M
    Medicare$0

    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.

    142 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…94,250$100$9.3M
    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…3,110$1,650$5.1M
    67311The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is…1,560$2,500$3.9M
    95810Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…2,250$770$1.7M
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.13,130$130$1.7M
    30140This CPT code is for a submucous resection of the inferior turbinate (partial or complete by any method).760$2,100$1.6M
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.1,030$1,520$1.6M
    J0178Injection, aflibercept, 1 mg2,780$510$1.4M
    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,…17,140$70$1.2M
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.640$1,700$1.1M

    Showing 1–10 of 142

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    142 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0463Hospital outpatient clinic visit for assessment and management of a patient1341803,200$90$1M
    67311The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is…110400$1,690$1M
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…2597501,800$80$785.8K
    67113The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with…110170$2,980$494.3K
    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…8160140$720$423.8K
    J0178Injection, aflibercept, 1 mg4100280$650$369.9K
    42820The provider removes the tonsils and adenoids in a patient younger than 12 years old.106090$1,190$359.7K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.123260300$170$325.9K
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.1,0832,0601,300$60$322.2K
    69436This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.68080$1,020$306.3K

    Showing 1–10 of 142

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with New York Eye & Ear Infirmary, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jonathan FeistmannNYOphthalmology Physician$2.7M$3.1M
    Brian CampolattaroNYPediatric Ophthalmology and Strabismus Specialist Physician Physician$122.7K$4.2M
    Brooke NesmithKSRetina Specialist (Ophthalmology) Physician$3.7M$0
    Llewelyn RaoOHRetina Specialist (Ophthalmology) Physician$3.7M$0
    Juan RomeroNYOphthalmology Physician$3.1M$441.8K
    Vatsal DoshiNJRetina Specialist (Ophthalmology) Physician$2.2M$130
    Eric FitzNYOphthalmology Physician$2.2M$1.3K
    Jessica LeeNYOphthalmology Physician$1.9M$120.9K
    Lisa LawNYOphthalmology Physician$59.5K$1.5M
    Wilson KoNYOphthalmology Physician$320.8K$1.1M

    Nearby Providers

    Other providers in the same ZIP code as New York Eye & Ear Infirmary, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Home Health Management Services, Inc.NYHome Health Agency$0$85.7M
    Nyu Langone HospitalsNYGeneral Acute Care Hospital$0$32.2M
    Realization Center, Inc.NYClinic/Center$0$27.2M
    Gpddc, LLCNYAmbulatory Surgical Clinic/Center$401.4K$11.7M
    Louis AngiolettiNYRetina Specialist (Ophthalmology) Physician$2.2M$31.6K
    Jasminka BalderacchiNYAnatomic Pathology & Clinical Pathology Physician$1.9M$0
    Navin MehtaNYOphthalmology Physician$460K$875.8K
    Alan DayanNYRetina Specialist (Ophthalmology) Physician$838.6K$226.1K
    Wen FanNYAnatomic Pathology & Clinical Pathology Physician$1.1M$0
    Peter WeseleyNYRetina Specialist (Ophthalmology) Physician$964K$11K

    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.

    Medicaid Revenue by Year vs. New York Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    New York Eye & Ear Infirmary — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York