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 Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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.

Thomas Berenberg (NPI 1407084544)

Field	Value
Entity Type	Individual
Organization	Thomas Berenberg
Address	1201 W Main St
City	Waterbury
State	CT
ZIP	06708
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 28, 2009

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

THOMAS BERENBERG is a Retina Specialist (Ophthalmology) physician in WATERBURY, CT with an NPI enumerated on 2009-06-28 (~17 years ago). His lifetime Medicare revenue on file is $1.5M and there is no Medicaid billing on file, indicating an essentially single-payer Medicare revenue base at the claims level available here.

Revenue is highly concentrated in intravitreal injection products and the injection procedure: J0178 accounts for $1.1M (68.5% of Medicare revenue), J2777 accounts for $207.1K (13.5%), and 67028 accounts for $87.8K (5.7%), and the precomputed top-three share is 87.7% of total Medicare revenue. This concentration means the practice’s Medicare income is driven overwhelmingly by anti-VEGF / intravitreal therapy utilization rather than by a broad mix of office or ancillary services.

The code mix and top-revenue drivers identify a procedural retina practice model focused on anti-VEGF therapy and in-office injections: high-revenue J0178 and J2777 plus the injection procedure 67028 are primary. Secondary service lines include diagnostic imaging and office visits (notably 92134 and 99213 appear on the top codes list), which is consistent with ongoing follow-up and monitoring typical of retina practices.

Competitive standing on the highest-revenue injection codes is modest rather than dominant: J0178 ranks #782 of 3204 providers nationally (76th percentile) and is labeled typical/unremarkable volume, J2777 ranks #1261 of 2039 (38th percentile) and is also characterized as typical/unremarkable, and 67028 ranks #1519 of 4255 (64th percentile) with a similar characterization. In short, the provider is an active injector but not a national outlier or top-volume center for these products.

Some non-injection services are comparatively strong: 92134 shows 1.4K claims and $46.3K in revenue and ranks #1578 of 26868 providers (94th percentile) and is described as notably above typical national volume, and 99213 shows 718 claims and $49.5K and ranks #13509 of 457151 providers (97th percentile) also described as notably above typical. These elevated percentiles for imaging and a mid-level established-patient E/M code indicate above-peer clinic throughput for diagnostic follow-up and routine office care that supports the injection volume.

Medicaid participation is effectively nil for this provider — the file states "none below — this provider has no Medicaid billing on file" — so payer mix is Medicare-dominant. This single-payer skew increases dependence on Medicare reimbursement patterns and utilization of high-cost injectable drugs for revenue, and may limit visibility into how the provider competes for or serves Medicaid populations.

The provider uses branded injectable agents predominantly: J0178 (aflibercept) is the largest revenue driver at $1.1M, while bevacizumab J9035 appears minimal with 32 claims and $1.8K in revenue and ranks low nationally (#1662 of 1852, 10th percentile). This pattern suggests reliance on higher-cost, branded anti-VEGF therapies rather than substantial bevacizumab-based treatment in the Medicare dataset.

Operationally, the long tenure (NPI enumerated 2009-06-28, ~17 years) combined with the $1.5M Medicare lifetime revenue and the high top-three concentration suggests an established, injection-centric retina practice in the local market: established clinic throughput (notably high imaging and E/M percentiles) supports a business model built around recurring intravitreal treatment visits rather than broad primary ophthalmology services.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,550	$680	$1.1M
J2777	Injection, faricimab‑svoa, 0.1 mg	7,140	$30	$207.1K
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.	900	$100	$87.8K
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…	540	$100	$52.7K
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…	720	$70	$49.5K
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.	1,450	$30	$46.3K
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…	250	$100	$25.1K
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…	80	$80	$5.7K
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,…	110	$30	$3.1K
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…	20	$140	$2K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Thomas Berenberg — 3 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	9	40	830	$690	$713.1K
J2777	17	30	8,190	$30	$340.4K
67028	15	50	540	$100	$66.4K
92014	150	580	100	$90	$18.6K
92012	197	300	120	$70	$15.2K
92235	32	30	40	$110	$14.8K
99214	292	6,480	90	$90	$14.2K
J9035	30	30	130	$50	$10.4K
99213	100	6,440	70	$60	$8.1K
92134	14	320	60	$30	$7.7K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nauman Chaudhry	CT	Retina Specialist (Ophthalmology) Physician	$5.1M	$0
Juner Colina-biscotto	CT	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Glenn Gandelman	CT	Cardiovascular Disease Physician	$1.7M	$593.4K
Jaime Strachan	CT	Vascular Surgery Physician	$1.5M	$0
Stephanie Sugin	CT	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Robert Schoen	CT	Rheumatology Physician	$1.3M	$0
Angela Bosjolie	CT	Ophthalmology Physician	$1.2M	$0
Jeffrey Green	CT	Cardiovascular Disease Physician	$1M	$0
Robert Wiznia	CT	Ophthalmology Physician	$228.5K	$644.2K
Marcus Mayus	CT	Internal Medicine Physician	$748.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prospect Waterbury, Inc.	CT	General Acute Care Hospital	$0	$84.6M
Access Rehab Centers, LLC	CT	Rehabilitation Clinic/Center	$0	$36.9M
Emergency Physicians Of Connecticut PC	CT	Emergency Medicine Physician	$0	$10.8M
Connecticut Counseling Centers Inc	CT	Methadone Clinic	$196.2K	$9.9M
Pediatric Assoc Of Conn PC	CT	Pediatrics Physician	$0	$8.5M
Refocus Eye Health Of Central Connecticut, P.C.	CT	Ophthalmology Physician	$0	$8.2M
Myeyedr Optometry Of Connecticut, LLC	CT	Optometrist	$0	$4.7M
General Hearing	CT	Hearing Instrument Specialist	$0	$4.3M
Connecticut Neurodevelopmental Services	CT	Neurology with Special Qualifications in Child Neurology Physician	$0	$4M
Easter Seal Rehabilitation Center	CT	Rehabilitation Clinic/Center	$0	$3.9M

Thomas Berenberg — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References