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

Why is the Medicaid comparison limited to New Hampshire 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 Hampshire (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.

Erin Fogel (NPI 1417941808)

Field	Value
Entity Type	Individual
Organization	Erin Fogel
Address	2 Pillsbury St Ste 100
City	Concord
State	NH
ZIP	03301
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 31, 2005

Payer Source	Total Paid
Medicare	$335.6K
Medicaid	$0

Key Findings

This NPI is an Ophthalmology Physician with Total Medicare revenue: $335.6K and no Medicaid billing on file, indicating the provider operates effectively as a Medicare-focused practice rather than a dual-payer clinic. The code mix makes clear clinical focus and payer exposure are concentrated in senior/Medicare services rather than Medicaid populations.

Surgical cataract care is the primary revenue driver: 66984 alone accounts for $122.4K revenue (36.5% of this provider's total Medicare revenue), and related services such as 66821 ($20.2K) and biometry 92136 ($11.9K) appear among the top codes. This pattern indicates the practice generates a large share of income from cataract extraction with intraocular lens implantation plus customary pre/post-operative diagnostics.

Revenue concentration is high: the precomputed top-3 codes account for 58.6% of this provider's total Medicare revenue, so a majority of Medicare dollars flow through a small set of services. That concentration implies revenue sensitivity to surgical case volume and reimbursement changes for those core cataract and comprehensive/E&M codes.

Ambulatory evaluation and management are also significant: 92014 ($40K, 11.9% of Medicare revenue) and 99214 ($34.3K, 10.2%) are large contributors and the provider ranks in relatively high national percentiles for these codes (92014 at the 83rd percentile and 99214 at the 86th percentile), showing above-average office visit activity. Together with the surgical mix, this suggests a blended practice model of procedural surgery plus substantial office-based follow-up and chronic eye care.

There are specific statistical outliers in the billing pattern that merit attention: 99204 is flagged as an "extreme outlier" (98th percentile; far above typical national volume), indicating an unusually high share of high-level new-patient visits relative to peers, and 76514 is labeled "notably above typical national volume" (98th percentile) for corneal thickness imaging. These signals suggest atypical utilization patterns for select evaluation codes that differentiate this provider from most peers.

Although most high-revenue codes reflect routine cataract and office care, the provider also bills several specialized procedures at lower volumes—examples include 65756 (complete corneal transplant) with $11.2K revenue (3.3% of Medicare revenue) and 68761 (punctal plug) with $11.2K revenue (3.3%). The presence of 65756 and cornea-related codes alongside dry-eye testing 83861 and punctal procedures indicates capability for cornea/surface disease management in addition to cataract surgery, but transplant activity appears limited in claim count.

The provider has an established NPI tenure (NPI enumerated: 2005-08-31, ~21 years ago), which supports the view that observed patterns reflect a mature practice rather than a new or rapidly changing operation. Longevity combined with a concentrated Medicare revenue base suggests the practice is stable and oriented toward Medicare-aged patients and procedure-driven income.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	290	$430	$122.4K
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…	450	$90	$40K
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…	410	$80	$34.3K
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…	460	$60	$27.9K
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…	220	$110	$24.6K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	80	$240	$20.2K
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…	180	$70	$12.4K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	390	$30	$11.9K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	100	$110	$11.2K
65756	During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.	10	$930	$11.2K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Erin Fogel — 4 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	21	60	220	$310	$144.6K
92014	39	210	170	$80	$21.2K
66821	16	40	60	$250	$19.4K
65756	3	10	10	$1,170	$16.4K
99214	310	3,150	110	$80	$13.2K
92012	18	70	60	$60	$8.2K
99213	121	2,900	70	$50	$6.9K
92136	5	50	200	$30	$6K
92134	104	170	60	$30	$5.2K
92004	78	180	40	$90	$5K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Concord Ophthalmologic Associates PA	NH	Ophthalmology Physician	$0	$2.3M
Paul Degregorio	NH	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Tahsin Khundkar	PA	Ophthalmology Physician	$1.5M	$0
Eliot Foley	NH	Retina Specialist (Ophthalmology) Physician	$935.8K	$0
Tomasz Stryjewski	MA	Ophthalmology Physician	$935.2K	$0
Christopher Chapman	MI	Ophthalmology Physician	$297.2K	$0
Mark Szal	NH	Ophthalmology Physician	$288.8K	$0
Bradford Hall	NH	Ophthalmology Physician	$276.1K	$3.1K
Lisa Tom	MD	Glaucoma Specialist (Ophthalmology) Physician	$263.9K	$0
Maxwell Snead	NH	Ophthalmology Physician	$260.7K	$1.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Bridges	NH	Case Management Agency	$0	$265.5M
Riverbend Community Mental Health, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$118.4M
Granite State Independent Living	NH	In Home Supportive Care Agency	$0	$74.7M
Ascentria Community Services, Inc	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$52.6M
Ascentria Community Care, Inc	NH	Voluntary or Charitable Agency	$0	$50.3M
Concord Hospital, Inc.	NH	General Acute Care Hospital	$0	$28.8M
Concord Pediatric Dentistry	NH	Pediatric Dentistry	$0	$13.6M
New England Life Care, Inc.	NH	Home Infusion Therapy Pharmacy	$0	$11.4M
New Hampshire Home Care Providers LLC	NH	In Home Supportive Care Agency	$0	$11M
Brain Injury Association Of Nh	NH	Case Management Agency	$0	$11M

Erin Fogel — 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