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NPI 1407838451 · New York, NY · Ophthalmology Physician
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Herbert Wisnicki is a ophthalmology physician provider located in New York, New York. This profile covers 10 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 | Individual |
| Organization | Herbert Wisnicki |
| Address | 32 Union Sq E Fl 7 |
| City | New York |
| State | NY |
| ZIP | 10003 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | November 16, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $66.1K |
| Medicaid | $34.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 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… | 240 | $90 | $22.9K |
| 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… | 250 | $70 | $17.7K |
| 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. | 120 | $110 | $12.6K |
| 67311 | The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is… | 10 | $370 | $4.1K |
| 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,… | 150 | $30 | $4.1K |
| 92002 | The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program. | 20 | $70 | $1.3K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 20 | $50 | $1.3K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 40 | $20 | $840 |
| 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. | 20 | $30 | $650 |
| 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… | 10 | $40 | $570 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
10 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 92014 | 849 | 2,220 | 160 | $100 | $29.3K |
| 92012 | 458 | 1,640 | 100 | $70 | $17.4K |
| 92134 | 1,340 | 1,580 | 90 | $30 | $11.2K |
| 67311 | 4 | 10 | 10 | $400 | $9.7K |
| 92004 | 309 | 1,750 | 50 | $110 | $9.2K |
| 92083 | 1,562 | 1,630 | 70 | $50 | $6.9K |
| 92250 | 556 | 1,700 | 80 | $30 | $5.2K |
| 92060 | 104 | 150 | 40 | $50 | $3.7K |
| 92133 | 1,050 | 1,530 | 70 | $30 | $3.6K |
| 92002 | 163 | 300 | 20 | $70 | $3.3K |
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 |
|---|---|---|---|---|
| 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. | 320 | $50 | $17.3K |
| 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… | 260 | $30 | $8.8K |
| 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… | 280 | $30 | $7.5K |
| 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. | 260 | $1 | $520 |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 20 | $20 | $320 |
| 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. | 10 | $20 | $240 |
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 |
|---|---|---|---|---|---|---|
| 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… | 1,315 | 2,440 | 330 | $70 | $92.6K |
| 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… | 756 | 1,460 | 310 | $60 | $88.1K |
| 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. | 1,121 | 2,240 | 320 | $80 | $83K |
| 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. | 699 | 730 | 370 | $20 | $30K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 625 | 720 | 170 | $30 | $21.6K |
| 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. | 699 | 1,520 | 200 | $10 | $14.7K |
Other providers in the same ZIP code as Herbert Wisnicki, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Home Health Management Services, Inc. | NY | Home Health Agency | $0 | $85.7M |
| Nyu Langone Hospitals | NY | General Acute Care Hospital | $0 | $32.2M |
| Realization Center, Inc. | NY | Clinic/Center | $0 | $27.2M |
| Gpddc, LLC | NY | Ambulatory Surgical Clinic/Center | $401.4K | $11.7M |
| Jasminka Balderacchi | NY | Anatomic Pathology & Clinical Pathology Physician | $1.9M | $0 |
| Navin Mehta | NY | Ophthalmology Physician | $460K | $875.8K |
| Alan Dayan | NY | Retina Specialist (Ophthalmology) Physician | $838.6K | $226.1K |
| Wen Fan | NY | Anatomic Pathology & Clinical Pathology Physician | $1.1M | $0 |
| Peter Weseley | NY | Retina Specialist (Ophthalmology) Physician | $964K | $11K |
| Patrick Kang | NY | Diagnostic Radiology Physician | $804.7K | $74.6K |
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