Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidLarisa Kayserman
    Ask Trek AI about this page

    Larisa Kayserman — Billing Profile & Reimbursement Data

    NPI 1417926361 · Ridgewood, NJ · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Larisa Kayserman — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Larisa Kayserman is a ophthalmology physician provider located in Ridgewood, New Jersey. This profile covers 24 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLarisa Kayserman
    Address1200 E Ridgewood Ave
    CityRidgewood
    StateNJ
    ZIP07450
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 14, 2006

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

    Payer SourceTotal Paid
    Medicare$3.1M
    Medicaid$0

    Key Findings

    Practice is heavily retina-focused and injection-driven: the billing mix is dominated by intravitreal drug administration and retina diagnostics, with high-volume use of J0178 (aflibercept), J2777 (faricimab), J2781 (pegcetacoplan), and procedure 67028 (vitreous injection). Imaging and extended ophthalmoscopy codes such as 92134 and 92201 also appear frequently, consistent with a clinic that performs both therapeutic injections and ongoing retinal monitoring.

    Medicare revenue is highly concentrated in a few codes: the top 3 Medicare codes account for 75.4% of this provider's total Medicare revenue, led by J0178 at 62.9% ($2M), followed by J2777 at 6.8% ($212.3K) and 67028 at 5.8% ($182.1K). That concentration indicates the practice’s financial performance is largely dependent on repeat intravitreal drug administration.

    This provider is effectively single-payer: total Medicare revenue is $3.1M and there is no Medicaid billing on file. The absence of Medicaid activity means payer mix exposure is concentrated in Medicare rather than split across both public programs.

    On competitive standing for high-volume codes, the provider ranks well above peers for key services: J0178 ranks #201 of 3204 providers nationally (94th percentile) and is described as notably above typical national volume for this code. Retinal imaging 92134 is an extreme outlier (ranks #235 of 26868 providers nationally, 99th percentile), indicating unusually high throughput for diagnostic OCT relative to national peers.

    Clinical continuity and ambulatory care are meaningful revenue contributors: 99214 (961 claims, $97.1K, 3.1% of Medicare revenue) ranks in the 97th percentile and 99213 (798 claims, $59.9K, 1.9% of Medicare revenue) ranks in the 98th percentile nationally. These high percentiles for established E&M codes signal substantial follow-up clinic volume and ongoing patient management consistent with chronic retinal disease care.

    Use of unclassified and compounded drug codes is notable: J3490 accounts for $153.5K (4.9% of Medicare revenue) and J7999 contributes $18.7K (0.6%). This pattern suggests clinic-administered or non-standard medication billing in addition to billed branded intravitreal agents, which aligns with a practice delivering a range of injectable therapies.

    The provider performs a mix of advanced procedures and surgeries in smaller volumes: codes such as 67042 (22 claims, $18.9K), 67210 (80 claims, $36.8K), and 67028 (1.8K claims, $182.1K) show capacity for both minor surgical interventions and high-volume injection procedures. This breadth indicates the practice is equipped to manage both in-office therapeutic injections and selected retinal procedures.

    Long-tenured enrollment supports an established local presence: the NPI was enumerated 2006-03-14 (~20 years ago), consistent with sustained Medicare billing over an extended period. Combined with the concentrated injection and imaging revenue, tenure suggests an established retina-focused practice with stable referral and follow-up volume.

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,870$690$2M
    J2777Injection, faricimab‑svoa, 0.1 mg7,320$30$212.3K
    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.1,750$100$182.1K
    J3490Unclassified drugs90$1,740$153.5K
    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.3,450$30$113.8K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg930$120$111.6K
    99214The 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…960$100$97.1K
    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…800$80$59.9K
    92201The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…1,930$20$40.4K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.80$460$36.8K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178290880$690$693.6K
    J277733608,820$30$319K
    6702814100810$100$91.1K
    J2781620570$120$88.8K
    920145421,130160$100$34.9K
    J34904212070$230$30.2K
    6704292020$1,250$30.1K
    6580071030$460$29.8K
    9921453913,640130$90$23.6K
    6721031030$440$20.3K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marc SpirnPAOphthalmology Physician$6.3M$0
    Jeremy AikeyPAOphthalmology Physician$2.3M$0
    David RhoPAOphthalmology Physician$1.7M$6.7K
    Robert VallarNJOphthalmology Physician$1.7M$0
    Song Eun LeeNJOphthalmology Physician$1.5M$0
    Ronald SachsNJRetina Specialist (Ophthalmology) Physician$1.2M$0
    Rony GelmanNJRetina Specialist (Ophthalmology) Physician$754.3K$0
    Bradford LivaNJRetina Specialist (Ophthalmology) Physician$578.4K$0
    Jai ParekhNJOphthalmology Physician$464.6K$0
    Hugo LinaresPARetina Specialist (Ophthalmology) Physician$422.8K$2.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Life Opportunities Unlimited A Non Profit Corp.NJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$21.5M
    West Bergen Mentalhealthcare, IncNJMental Health Counselor$0$20.9M
    West Bergen Mental Healthcare, Inc.NJClinic/Center$0$8.4M
    Tatiana SharahyNJInternal Medicine Physician$5.7M$0
    Kenneth LevinNJNeurology Physician$590.2K$0
    Tina SichrovskyNJClinical Cardiac Electrophysiology Physician$507.1K$0
    Traian ZisuNJPsychiatry Physician$442.5K$0
    Mark PizzurroNJAdult Reconstructive Orthopaedic Surgery Physician$442.4K$0
    Howard GoldschmidtNJCardiovascular Disease Physician$383.8K$0
    Mitchell WeiserNJCardiovascular Disease Physician$368.8K$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. New Jersey Distribution
    Larisa Kayserman — 7 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey