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    OpenPayerNPI Medicare & MedicaidMichael Gingold
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    Michael Gingold — Billing Profile & Reimbursement Data

    NPI 1275581621 · Farmington, CT · Ophthalmology Physician

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    Michael Gingold is a ophthalmology physician provider located in Farmington, Connecticut. This profile covers 17 Medicare and 0 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 TypeIndividual
    OrganizationMichael Gingold
    Address499 Farmington Ave
    CityFarmington
    StateCT
    ZIP06032
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 5, 2006

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

    Payer SourceTotal Paid
    Medicare$90.3K
    Medicaid$0

    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.

    17 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…360$70$24.9K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.150$70$9.9K
    67810The provider takes a sample of a suspicious area on the skin of the eyelid or its edges. He submits the specimen to a laboratory for analysis to determine its nature.60$160$9.8K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…10$620$7.4K
    11106The provider biopsies a skin lesion using an incisional or wedge technique; he may perform this type of biopsy for large or deep skin lesions.50$130$6.8K
    92014An 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…70$90$6K
    67800In this procedure, the provider removes a chalazion, a small nodule that results from a blockage of an oil gland and ongoing inflammation.40$100$4.2K
    99213The 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…50$70$3.5K
    68840This procedure is the probing of the lacrimal canaliculi with or without irrigation.30$120$3.3K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.10$250$3.2K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014373580100$90$18.6K
    9201259300120$70$15.2K
    6790471020$600$14.4K
    992145,0726,48090$90$14.2K
    992133,7906,44070$60$8.1K
    6781011050$150$6.4K
    6784061020$200$5.1K
    992041,4752,66030$120$4.6K
    6884031020$130$4.5K
    1110611030$120$4.5K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas WardCTOphthalmology Physician$1.3M$0
    Consulting Ophthalmologists, PCCTOphthalmology Physician$0$1.2M
    Inna StrohCTOphthalmology Physician$550.2K$0
    Geoffrey EmerickCTOphthalmology Physician$282K$0
    Michael KovalCTOphthalmology Physician$262.3K$0
    Martin EdwardsCTOphthalmology Physician$210.3K$0
    Ari BrandsdorferCTOphthalmology Physician$160.8K$0
    David BushleyCTOphthalmology Physician$146.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Prohealth Physicians PCCTFamily Medicine Physician$0$80.5M
    Interim Healthcare Of Hartford, Inc.CTHome Health Agency$0$7.9M
    New Britain Medical Supplies IncCTDurable Medical Equipment & Medical Supplies$0$3.2M
    Pediatric Associates Of Farmington LLCCTPediatrics Physician$0$2.3M
    Wound Surgeons LLCCTGeneral Practice Physician$0$2M
    Connecticut Mental Health Specialists IncCTPsychiatry Physician$0$1.1M
    Dialysis Clinic Inc.CTEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.1M
    University Of Connecticut Health CenterCTClinical Medical Laboratory$396.3K$580.4K
    Nauman PirachaCTHospitalist Physician$489.5K$104.3K
    Connecticut Surgery Center Limited PartnershipCTAmbulatory Surgical Clinic/Center$532.7K$37.3K

    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. Connecticut Distribution
    Michael Gingold — 3 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut