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NPI 1255614392 · North Smithfield, RI · Optometrist
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Erik Dingley is a optometrist provider located in North Smithfield, Rhode Island. This profile covers 9 Medicare and 9 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 | Erik Dingley |
| Address | 621 Pound Hill Rd Ste 104 |
| City | North Smithfield |
| State | RI |
| ZIP | 02896 |
| Taxonomy | Optometrist |
| NPI Enumerated | September 26, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $224.5K |
| Medicare | $31.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 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… | 160 | $80 | $12.2K |
| 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… | 110 | $60 | $6.3K |
| 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… | 30 | $90 | $2.7K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 20 | $100 | $2.4K |
| 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… | 2,390 | $1 | $2.4K |
| 92250 | Code 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,… | 90 | $30 | $2.4K |
| 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. | 90 | $20 | $2.1K |
| 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… | 20 | $40 | $880 |
| 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… | 20 | $20 | $400 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
9 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… | 1,980 | $40 | $79.3K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 1,990 | $20 | $45.7K |
| V2020 | Frames, purchases | 1,700 | $20 | $27.2K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 1,250 | $20 | $21.2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 490 | $40 | $18.7K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 870 | $20 | $17.3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 160 | $40 | $6.7K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 100 | $50 | $4.9K |
| 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… | 80 | $50 | $3.8K |
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
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1,462 | 2,050 | 300 | $50 | $72.3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 58 | 110 | 200 | $40 | $44K |
| 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… | 22 | 190 | 230 | $40 | $35K |
| V2020 | Frames, purchases | 35 | 180 | 380 | $20 | $31K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 23 | 200 | 360 | $20 | $23.8K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 61 | 120 | 100 | $70 | $22.1K |
| 92340 | Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal | 40 | 160 | 240 | $20 | $21.8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 9 | 60 | 100 | $20 | $19.5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 25 | 90 | 110 | $40 | $16.4K |
Other providers in the same ZIP code as Erik Dingley, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Spectrum Neuro Behavioral Care LLC | RI | Community/Behavioral Health Agency | $0 | $4.4M |
| North Smithfield Urgent Care,llc | RI | Internal Medicine Physician | $0 | $899.8K |
| North Smithfield Fire/rescue Service, Inc | RI | Land Ambulance | $153.4K | $138.6K |
| John Solomon | RI | Family Medicine Physician | $192.2K | $28K |
| Rhode Island Cvs Pharmacy, L.L.C. | RI | Pharmacy | $172.3K | $0 |
| Fadi Al-bilbeisi | RI | Internal Medicine Physician | $68.2K | $70K |
| Joseph Domenico | RI | Foot & Ankle Surgery Podiatrist | $102.3K | $5.1K |
| Thomas Mcgunigal | RI | Physical Medicine & Rehabilitation Physician | $36K | $50.9K |
| Dennis Aumentado | RI | Neurology Physician | $44.2K | $0 |
| Michael Luke | RI | Surgery Physician | $13.4K | $29.8K |
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