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NPI 1295754778 · Seneca, PA · Optometrist
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David Wagner is a optometrist provider located in Seneca, Pennsylvania. This profile covers 12 Medicare and 18 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 | David Wagner |
| Address | 3285 State Route 257 |
| City | Seneca |
| State | PA |
| ZIP | 16346 |
| Taxonomy | Optometrist |
| NPI Enumerated | July 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $149.9K |
| Medicare | $87.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 440 | $90 | $37.6K |
| 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… | 170 | $60 | $10.8K |
| 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. | 250 | $30 | $6.8K |
| 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,… | 270 | $30 | $6.8K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 140 | $50 | $6.3K |
| 99204 | The provider sees a new 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 provider… | 60 | $100 | $5.5K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 20 | $170 | $3.9K |
| 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… | 80 | $40 | $3.1K |
| 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… | 30 | $80 | $2.7K |
| 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… | 80 | $20 | $1.9K |
Showing 1–10 of 12
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
12 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 491 | 670 | 80 | $530 | $97.8K |
| 99214 | 2,265 | 23,230 | 100 | $80 | $14.5K |
| 92134 | 252 | 1,320 | 60 | $30 | $8.4K |
| 99213 | 5,115 | 22,370 | 70 | $60 | $7.7K |
| 99204 | 2,525 | 10,290 | 30 | $110 | $5K |
| 99205 | 1,530 | 3,090 | 20 | $150 | $4.9K |
| 92083 | 467 | 1,310 | 50 | $40 | $4.1K |
| 92250 | 125 | 1,270 | 60 | $30 | $2.9K |
| 92060 | 8 | 80 | 40 | $50 | $2.6K |
| 92133 | 456 | 1,270 | 50 | $20 | $2.4K |
Showing 1–10 of 12
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.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,000 | $50 | $45.8K |
| V2020 | Frames, purchases | 740 | $50 | $35.3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 410 | $50 | $20.2K |
| 99204 | The provider sees a new 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 provider… | 220 | $90 | $19K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 340 | $30 | $11.5K |
| 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. | 1,640 | $10 | $9.8K |
| 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,… | 140 | $40 | $5.8K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 50 | $40 | $1.8K |
| 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… | 20 | $40 | $840 |
| 1036F | N/A | 1,160 | $0 | $0 |
Showing 1–10 of 18
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
18 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1,794 | 8,160 | 210 | $60 | $68.4K |
| V2020 | Frames, purchases | 397 | 1,020 | 400 | $30 | $45.5K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 25 | 60 | 280 | $40 | $38.5K |
| 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… | 751 | 860 | 240 | $40 | $37K |
| 99204 | The provider sees a new 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 provider… | 355 | 1,410 | 60 | $90 | $30.5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 253 | 520 | 400 | $10 | $28.1K |
| 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,… | 122 | 250 | 130 | $40 | $19.2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 74 | 110 | 100 | $40 | $13.6K |
| 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. | 70 | 650 | 180 | $10 | $4.6K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 144 | 160 | 130 | $1 | $140 |
Showing 1–10 of 18
Other providers in the same ZIP code as David Wagner, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Savita Joneja | PA | Internal Medicine Physician | $162.1K | $28.3K |
| Seneca PA Asc LLC | PA | Ambulatory Surgical Clinic/Center | $165.4K | $24.7K |
| Gerard Kenney | PA | Gastroenterology Physician | $83.2K | $18K |
| Robert Conley | PA | Cytopathology Physician | $20.2K | $42.7K |
| Donald Bittner | PA | Diagnostic Radiology Physician | $19.4K | $4.1K |
| Darren Loughran | PA | Anesthesiology Physician | $11.1K | $0 |
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