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    OpenPayerNPI Medicare & MedicaidBennett Oberg
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    Bennett Oberg — Billing Profile & Reimbursement Data

    NPI 1336301902 · Washington, DC · Ophthalmology Physician

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    Bennett Oberg is a ophthalmology physician provider located in Washington, District of Columbia. 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
    OrganizationBennett Oberg
    AddressWramc Bldg 2 Department Of Ophthalmology
    CityWashington
    StateDC
    ZIP20307
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 25, 2008

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

    Payer SourceTotal Paid
    Medicare$374.2K
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is modest in scale: Total Medicare revenue is $374.2K and there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the available data. That concentration means Medicare policy and beneficiary population trends will largely drive near‑term revenue performance.

    Revenue is heavily concentrated in a small set of services: the precomputed top three Medicare codes (J0178, 92014, 66984) account for 64.4% of total Medicare revenue. In particular, J0178 contributes $127.2K (34.0% of total), while 92014 and 66984 contribute $57.5K (15.3%) and $56.6K (15.1%) respectively, indicating dependence on a few high‑value treatments.

    The code mix indicates an ophthalmology practice oriented around both medical retina and cataract care: high revenue from J0178 (aflibercept injections) and 67028 (intravitreal injections, $32.1K, 8.6%) points to office‑based anti‑VEGF therapy, while 66984 (standard cataract extraction with IOL, $56.6K, 15.1%) and related codes (66982, 92136) show a meaningful surgical cataract component. Supporting services such as 92134 (retinal imaging, $15.6K, 4.2%) and J7999 (compounded drugs, $19.7K, 5.2%) are consistent with a practice that integrates diagnostic imaging and intraocular drug administration.

    Claims volume and utilization patterns show a mix of frequent office care and procedure work: 92014 has 684 claims and $57.5K in revenue, reflecting a steady stream of established‑patient comprehensive exams, while J0178 has 186 claims generating $127.2K, consistent with higher per‑claim payments for anti‑VEGF therapy. This blend suggests routine outpatient management of chronic retinal disease coupled with cataract procedures rather than a high‑volume surgical-only center.

    Competitive standing is mixed across service lines. For J0178 the provider ranks #2645 of 3204 providers nationally (17th percentile; typical, unremarkable volume for this code), indicating relatively low national volume for aflibercept compared with peers; by contrast 92014 ranks #3445 of 35415 (90th percentile; typical, unremarkable volume for this code) and 92134 ranks #3555 of 26868 (87th percentile; typical, unremarkable volume for this code), showing above‑typical activity on office exams and retinal imaging relative to large national cohorts. Overall these percentiles point to pockets of above‑typical outpatient/diagnostic activity alongside more modest procedural volume for specific drugs.

    Tenure data show the NPI was enumerated on 2008-06-25 (~18 years ago), indicating a long‑established billing presence in Medicare. That length of enumeration is consistent with an established referral base and the steady annual volumes implied by the claims counts reported for core codes.

    Operational risk and opportunity: the practice’s dependence on a narrow set of Medicare services (top three codes = 64.4% of Medicare revenue) plus the absence of any Medicaid billing on file suggest both vulnerability to payer‑specific reimbursement changes and an opportunity to diversify payer mix or service lines if desired. Payer diversification would be the main lever to reduce concentration risk given the current single‑payer (Medicare) orientation.

    Secondary revenue contributors reinforce the medical retina/cataract profile but are individually small: 67028 ($32.1K, 8.6%), J7999 ($19.7K, 5.2%), 92012 ($19.4K, 5.2%), 66821 ($16.1K, 4.3%) and 92004 ($12.5K, 3.3%). These codes support a practice model that pairs clinical follow‑up and diagnostic imaging with periodic procedures rather than a volume‑driven surgical practice alone.

    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
    J0178Injection, aflibercept, 1 mg190$680$127.2K
    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…680$80$57.5K
    66984The 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…130$430$56.6K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.340$90$32.1K
    J7999Compounded drug, not otherwise classified310$60$19.7K
    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…310$60$19.4K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.60$280$16.1K
    92134The 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.490$30$15.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.130$100$12.5K
    66982The 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…20$600$9.5K

    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
    J0178310160$690$390.2K
    6698463070$460$45.8K
    92014650100$90$26.2K
    67028310170$100$25K
    6698271020$650$12.3K
    6682132030$290$9.6K
    J7999110110$60$9.1K
    92134950120$30$8.3K
    9201243050$70$6.9K
    9200443030$100$5.9K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Delta County Memorial HospitalCORural Acute Care Hospital$0$4.9M
    Delta County Memorial HospitalCORural Acute Care Hospital$0$4M
    Robert RifkinCOHematology & Oncology Physician$3.3M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K
    Joseph DaiALDermatology Physician$1.6M$0
    John StorheimCOAnesthesiology Physician$1.3M$0
    Christopher EricksonCAAnatomic Pathology & Clinical Pathology Physician$1.3M$4.7K
    Navid MoradshahiCADiagnostic Radiology Physician$1.2M$0
    Stephen MarkewichAKPain Medicine Physician$1.1M$0
    Christopher HuotSDOphthalmology Physician$753.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lisa ZiliakDCOptometrist$0$778.9K
    Andrew HammerDCOphthalmology Physician$216.4K$1.9K
    Richard ErnstDCPsychiatry Physician$0$165.7K
    Brendan DohertyDCDiagnostic Radiology Physician$139.7K$460
    Inger RosnerDCUrology Physician$123.4K$0
    Melissa ScorzaDCDermatology Physician$114.9K$0
    Brian CuneoDCPulmonary Disease Physician$83.7K$0
    Sharon SeltzerDCDiagnostic Radiology Physician$66K$0
    Jeffery NelsonDCSurgery Physician$63.3K$0
    Matthew ParkDCInternal Medicine Physician$62.5K$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.

    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. District of Columbia Distribution
    Bennett Oberg — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia