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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPeter Sakol
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    Peter Sakol — Billing Profile & Reimbursement Data

    NPI 1336226141 · Mechanicsburg, PA · Ophthalmology Physician

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    Peter Sakol is a ophthalmology physician provider located in Mechanicsburg, Pennsylvania. This profile covers 15 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
    OrganizationPeter Sakol
    Address2025 Technology Parkway
    CityMechanicsburg
    StatePA
    ZIP17050
    TaxonomyOphthalmology Physician
    NPI EnumeratedNovember 1, 2006

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

    Payer SourceTotal Paid
    Medicare$52.6K
    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.

    15 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…180$60$11.3K
    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.40$200$7.8K
    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$610$6.7K
    92002The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.90$50$5.1K
    67921During this procedure, the provider uses sutures to repair an entropion, which is an inward turning of the lower eyelid and eyelashes toward the eye, which can lead to excessive tearing and…10$350$4.6K
    67900The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the…10$290$3.7K
    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…50$70$3.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.30$90$2.2K
    99204The 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…20$100$2.1K
    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…20$70$1.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    67904636030$580$22.7K
    920141,1761,570130$80$21K
    9201226493080$60$14K
    67900152020$390$12K
    9921318,53122,37070$60$7.7K
    67840105020$190$5.8K
    992046,67510,29030$110$5K
    920046171,06030$100$5K
    6792131010$230$3.7K
    992035,6797,33030$70$3.5K

    Showing 1–10 of 15

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    West Shore Surgery, LtdPAAmbulatory Surgical Clinic/Center$939.4K$0
    Salman LateefPAHospitalist Physician$538.3K$35.1K
    John RossiPASurgery Physician$482.7K$0
    Donald HarperPAAllergy & Immunology Physician$296.8K$0
    Jagdish ShahPAClinical Neurophysiology Physician$220K$0
    West Shore Pain And Spine Institute, LLCPAAmbulatory Surgical Clinic/Center$187.4K$0
    Kala RavertPANurse Practitioner$180.5K$0
    Jonathan MillironPAPhysical Therapist$179.4K$0
    Deborah FarrellPAPediatrics Physician$151.3K$0
    Arun KanmanthareddyPAInterventional Cardiology Physician$144.2K$0

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Peter Sakol — 0 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania