Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Hampshire for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Hampshire only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Hampshire (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Anthony Iorfino (NPI 1255303582)

Field	Value
Entity Type	Individual
Organization	Anthony Iorfino
Address	3073 White Mountain Highway
City	North Conway
State	NH
ZIP	03860
Taxonomy	Specialist
NPI Enumerated	February 2, 2006
NPI Deactivated	July 17, 2007

Payer Source	Total Paid
Medicare	$359.4K
Medicaid	$0

Key Findings

This provider’s Medicare activity is concentrated in ophthalmology procedures and diagnostic imaging: the top Medicare revenue drivers are 92014 (comprehensive established eye exam), 66984 (intraocular lens insertion after cataract removal), and 99213 (established office E/M), which together account for 40.8% of the provider’s total Medicare revenue. The procedure mix (cataract surgery codes 66984/66982 and laser/post‑op codes like 66821, plus high-volume imaging codes 92133/92134) indicates an operation organized around surgical cataract care supported by high-throughput diagnostic imaging and routine E&M visits.

Total Medicare revenue on file is $359.4K while there is no Medicaid billing on file; this provider is effectively single‑payer in the available claims data and has no documented Medicaid revenue. That absence of Medicaid billing suggests limited exposure to, or participation in, state Medicaid reimbursement streams and a payer mix dominated by traditional Medicare.

Competitive standing is mixed by service line: the provider ranks in the 90th percentile nationally for 92014 (ranks #3398 of 35415; typical, unremarkable volume for this code) and in the midpack for cataract surgery 66984 (ranks #7265 of 15965; 54th percentile), indicating strong exam volume but only typical national surgical volume. Office E/M volumes for 99213 and 99212 are high relative to peers (99213 ranks #25597 of 457151, 94th percentile; 99212 ranks #1987 of 99011, 98th percentile), which supports a busy clinic workflow focused on follow-up and routine visits.

One clear statistical outlier in the clinical profile is 92133 (computerized imaging of the optic nerve), which ranks #82 of 24968 providers nationally and is labeled an "extreme outlier, far above typical national volume for this code." This suggests unusually high utilization of optic nerve imaging relative to peers and may reflect a subspecialty focus, patient case‑mix with increased glaucoma/optic neuropathy surveillance, or local referral patterns driving advanced imaging.

Other diagnostic imaging codes also show elevated use: 92134 ranks in the 91st percentile (ranks #2359 of 26868; typical) and 92136 is present though lower (ranks #5568 of 8731; 36th percentile), indicating a sustained investment in posterior segment and IOL biometry testing consistent with a cataract and retina‑capable practice. The combination of high imaging volume plus cataract procedural codes supports a model where imaging is integral to preoperative planning and postoperative monitoring.

Revenue per unit varies by service line: higher average payments are associated with surgical procedures (e.g., 66984 with $434 avg paid/claim and 66982 with $567 avg paid/claim) while high-volume diagnostic and E/M codes have lower avg paid/claim (e.g., 92133 $25 avg, 92014 $85 avg, 99213 $69 avg). This pattern yields a revenue mix where relatively few high‑priced surgical encounters and many lower‑priced imaging/E&M encounters together produce the reported $359.4K Medicare lifetime revenue.

Tenure in the Medicare program is long: the provider’s NPI was enumerated on 2006-02-02 (~20 years ago), indicating an established practice presence in the market. That longevity, combined with sustained exam and imaging volumes, points to an entrenched regional practice rather than a recent entrant.

Although many CPT codes are at typical volumes for national peers, selected codes show notable elevation (e.g., 99213 at the 94th percentile and 99212 at the 98th percentile), which together with the 92133 extreme outlier status implies the provider operates a high‑throughput clinic with particular emphasis on follow‑up visits and optic nerve imaging rather than broad representation across payers; these operational strengths should be weighed when evaluating network contracting or referral partnerships.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	690	$90	$58.7K
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…	120	$430	$52.5K
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…	520	$70	$35.6K
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…	290	$100	$28.6K
92134	The 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.	890	$30	$26.6K
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…	930	$30	$23.3K
66982	The 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…	30	$570	$18.7K
92012	For 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…	360	$50	$16.9K
67028	The 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.	180	$80	$15.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	370	$40	$15.2K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Anthony Iorfino — 4 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	43	60	220	$310	$144.6K
67028	12	20	600	$90	$67K
66982	11	30	30	$660	$26.5K
92014	20	210	170	$80	$21.2K
66821	27	40	60	$250	$19.4K
99214	575	3,150	110	$80	$13.2K
J9035	7	10	150	$50	$10.6K
92012	6	70	60	$60	$8.2K
65855	10	30	40	$170	$8K
99213	90	2,900	70	$50	$6.9K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Androscoggin Valley Hospital, Inc.	NH	Critical Access Hospital	$0	$8.3M
Kinley Beck	NH	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Eliot Foley	NH	Retina Specialist (Ophthalmology) Physician	$935.8K	$0
Jason Szelog	NH	Ophthalmology Physician	$541.5K	$0
Timothy Sullivan	NH	Ophthalmology Physician	$471.2K	$0
Julius Tabe	MA	Family Medicine Physician	$449.6K	$2.5K
Warren Goldblatt	NH	Ophthalmology Physician	$434K	$0
Androscoggin Valley Hospital Inc	NH	General Practice Physician	$0	$333.2K
Akshat Paliwal	NH	Diagnostic Radiology Physician	$309.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Memorial Hospital	NH	Critical Access Hospital	$0	$7.4M
North Country Independent Living Inc	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.7M
Memorial Hospital	NH	Rural Health Clinic/Center	$0	$2.2M
Visiting Nurse Home Care & Hospice Of Carroll County	NH	Home Health Agency	$0	$1.3M
Norcross Circle Associates	NH	Clinical Social Worker	$0	$909.8K
Memorial Hospital	NH	Family Medicine Physician	$0	$745.5K
Granite State Aba Services	NH	Behavior Analyst	$0	$565.5K
The Youth&child Center For Wellness	NH	Mental Health Counselor	$0	$453.7K
Conway School District	NH	Local Education Agency (LEA)	$0	$284.5K
William Martin	NH	Family Medicine Physician	$227.9K	$0

Anthony Iorfino — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References