Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Nj Eye And Ear LLC (NPI 1356860811)

Nj Eye And Ear LLC is a ophthalmology physician provider located in Englewood, New Jersey. This profile covers 0 Medicare and 85 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Nj Eye And Ear LLC
Address	17 W Palisade Ave
City	Englewood
State	NJ
ZIP	07631
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 15, 2017

Payer Source	Total Paid
Medicaid	$23.6M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

85 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	87,880	$50	$4.7M
V5261	Hearing aid, digital, binaural, bte	2,460	$1,470	$3.6M
92012	For 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…	57,960	$50	$2.6M
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	38,760	$70	$2.6M
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…	18,450	$90	$1.6M
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…	32,860	$50	$1.5M
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…	16,540	$50	$876.4K
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.	81,140	$10	$730.3K
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…	23,020	$30	$713.6K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	4,520	$160	$699.8K

Showing 1–10 of 85

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Jersey Distribution

Nj Eye And Ear LLC — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. New Jersey median

85 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V5261	Hearing aid, digital, binaural, bte	2	20	80	$1,680	$2.3M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	28	30	290	$590	$379.3K
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…	19	60	110	$370	$327.3K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	9	50	460	$150	$285.7K
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…	8	10	80	$330	$266.2K
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…	141	4,450	740	$40	$229.8K
V5160	Dispensing fee, binaural	2	30	90	$260	$224.1K
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…	129	3,790	580	$60	$204K
J9035	Injection, bevacizumab, 10 mg	7	30	240	$150	$190.5K
67028	The 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.	10	40	690	$70	$154.6K

Showing 1–10 of 85

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Avni Badami	PA	Ophthalmology Physician	$240.7K	$0
Michael Richard	NC	Ophthalmology Physician	$230.7K	$0
Xintong Li	NV	Ophthalmology Physician	$178.9K	$0
James Kirszrot	NJ	Ophthalmic Plastic and Reconstructive Surgery Physician	$162.6K	$70
Yasmina Ahmed	MN	Otolaryngology Physician	$138K	$0
Daniel Stegman	NJ	Ophthalmology Physician	$108.7K	$9.6K
Mary Labowsky	CO	Neuro-ophthalmology Physician	$54.1K	$0
Khelly Savant	NJ	Glaucoma Specialist (Ophthalmology) Physician	$17.2K	$0
Yonah Orlofsky	NJ	Audiologist	$7.6K	$0
Jonathan Agosto	NJ	Audiologist	$4.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Englewood Hospital And Medical Center	NJ	General Acute Care Hospital	$0	$136.9M
Medical Associates Of Englewood, PC	NJ	Internal Medicine Physician	$0	$36.9M
Our Home Adult Day Care, LLC	NJ	Adult Day Care Clinic/Center	$0	$28.5M
L&l Staffing And Home Care Services, Inc.	NJ	Home Health Agency	$0	$25.4M
Vantage Health System, Inc.	NJ	Community/Behavioral Health Agency	$0	$8.2M
Benjamin Freilich	NJ	Ophthalmology Physician	$1.5M	$111.3K
Patient Care Associates, LLC	NJ	Clinic/Center	$1.1M	$0
Joseph Schwartz	NJ	Endocrinology, Diabetes & Metabolism Physician	$953.3K	$0
Kurt Wengerter	NJ	Vascular Surgery Physician	$584.8K	$0
Donald Liss	NJ	Physical Medicine & Rehabilitation Physician	$575.1K	$0

Nj Eye And Ear LLC — Billing Profile & Reimbursement Data

Sign up for Nj Eye And Ear LLC — Billing Profile & Reimbursement Data policy alerts

Nj Eye And Ear LLC — Billing Profile & Reimbursement Data

Sign up for Nj Eye And Ear LLC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References