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NPI 1306249453 · Bronx, NY · Ambulatory Surgical Clinic/Center
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Mark Fromer, LLC is a ambulatory surgical clinic/center provider located in Bronx, New York. This profile covers 5 Medicare and 6 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 | Organization |
| Organization | Mark Fromer, LLC |
| Address | 3130 Grand Concourse |
| City | Bronx |
| State | NY |
| ZIP | 10458 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | October 3, 2014 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.9M |
| Medicare | $409.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 190 | $990 | $192.6K |
| 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… | 90 | $980 | $88.2K |
| 66988 | The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves. | 30 | $1,790 | $50K |
| 66987 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices such as an iris expansion device or by providing suture support to… | 20 | $1,800 | $39.6K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 40 | $990 | $38.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,140 | $790 | $1.7M |
| 66761 | The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of… | 210 | $390 | $82.1K |
| 67400 | The provider incises and explores the orbit, the bony cavity that holds the eyes, through an incision in the eye area, without creating a bone flap. She examines the orbital cavity for the presence… | 90 | $830 | $77.6K |
| 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… | 50 | $830 | $42.1K |
| 68700 | The provider repairs a laceration of the canaliculus of the eye. He performs this procedure to prevent infection or other complications and to relieve pain or discomfort. | 60 | $530 | $31.4K |
| 67904 | The 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… | 40 | $570 | $19.8K |
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
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 17 | 160 | 140 | $720 | $423.8K |
| 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… | 18 | 30 | 70 | $570 | $128.4K |
| 66761 | The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of… | 17 | 40 | 100 | $170 | $68.9K |
| 67400 | The provider incises and explores the orbit, the bony cavity that holds the eyes, through an incision in the eye area, without creating a bone flap. She examines the orbital cavity for the presence… | 2 | 10 | 70 | $880 | $52.9K |
| 67904 | The 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… | 1 | 10 | 40 | $570 | $19.8K |
| 68700 | The provider repairs a laceration of the canaliculus of the eye. He performs this procedure to prevent infection or other complications and to relieve pain or discomfort. | 2 | 10 | 90 | $230 | $19.7K |
Other providers in the same ZIP code as Mark Fromer, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Horizon Home Care Services, Inc. | NY | Home Health Agency | $0 | $329.6M |
| Cooperative Home Care Associates, Inc | NY | Home Health Agency | $0 | $269.4M |
| Union Community Health Center, Inc. | NY | Clinic/Center | $0 | $88.7M |
| Cooperative Home Care Associates, Inc | NY | Home Health Agency | $0 | $38.9M |
| Medalliance Medical Health Services Inc | NY | Clinic/Center | $0 | $32.5M |
| Mitchell Butin | NY | Psychiatry Physician | $423.7K | $0 |
| Medassure LLC | NY | Community/Retail Pharmacy | $86.5K | $87.8K |
| Darren Esposito | NY | Internal Medicine Physician | $121.5K | $10.7K |
| Rachel Spiers | NY | Occupational Therapist | $7.8K | $0 |
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