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    v1.0.28
    OpenPayerNPI Medicare & MedicaidKenneth Morgenstern
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    Kenneth Morgenstern — Billing Profile & Reimbursement Data

    NPI 1427019207 · Wayne, PA · Ophthalmic Plastic and Reconstructive Surgery Physician

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    Kenneth Morgenstern is a ophthalmic plastic and reconstructive surgery physician provider located in Wayne, Pennsylvania. This profile covers 21 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKenneth Morgenstern
    Address123 Bloomingdale Ave
    CityWayne
    StatePA
    ZIP19087
    TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
    NPI EnumeratedMarch 31, 2006

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

    Payer SourceTotal Paid
    Medicare$252.6K
    Medicaid$0

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99204The 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…280$120$33.6K
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…30$680$22.5K
    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…200$90$18.3K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…30$650$18.1K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.30$580$17.4K
    68700The provider repairs a laceration of the canaliculus of the eye. He performs this procedure to prevent infection or other complications and to relieve pain or discomfort.30$470$14.6K
    J0585Injection, onabotulinumtoxina, 1 unit2,840$10$14.2K
    64612In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.100$140$13.6K
    67908The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat…30$460$12.9K
    15845The provider transfers muscle tissue from one area of the head or face to a part of the face afflicted with facial nerve paralysis to restore a more normal appearance to the face. The provider…10$890$11.6K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J05851221407,600$1$47.7K
    67904256030$580$22.7K
    14061103020$760$21.3K
    15823387030$520$20.7K
    6790861030$490$15.1K
    3123114332060$130$15K
    992146,81823,230100$80$14.5K
    6790082020$390$12K
    1584511010$890$11.6K
    6870021030$400$11.3K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alok BansalCAOphthalmology Physician$3M$4.7M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Omesh GuptaPAOphthalmology Physician$7.1M$80
    Mitchell FinemanPAOphthalmology Physician$7M$0
    Richard KaiserPAOphthalmology Physician$6.6M$0
    Carl RegilloPAOphthalmology Physician$6.5M$0
    Allen HoPAOphthalmology Physician$6.4M$0
    James VanderPAOphthalmology Physician$6.3M$0
    Marc SpirnPAOphthalmology Physician$6.3M$0
    Arunan SivalingamPAOphthalmology Physician$6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Midlantic Urology Surgery Center, LLCPAAmbulatory Surgical Clinic/Center$2.9M$0
    Scott SchafrankPASpecialist$670.8K$0
    David BernsteinPAFoot Surgery Podiatrist$652.4K$0
    Nikhil ShyamPADermatology Physician$468.4K$0
    Jamea CampbellPASpecialist$401.8K$0
    David ManionPADermatology Physician$264.9K$75.9K
    Philip BernsteinPAFoot & Ankle Surgery Podiatrist$331.5K$0
    Troels Glysing-jensenPAPodiatrist$234.9K$5.5K
    Alexis CurreriPASpecialist$224.8K$0
    Kelli PokornyPADiagnostic Radiology Physician$196.4K$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. Pennsylvania Distribution
    Kenneth Morgenstern — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania