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    OpenPayerNPI Medicare & MedicaidHoward Charles
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    Howard Charles — Billing Profile & Reimbursement Data

    NPI 1427078310 · Rye, NY · Ophthalmology Physician

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    Howard Charles is a ophthalmology physician provider located in Rye, New York. This profile covers 19 Medicare and 4 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)

    FieldValue
    Entity TypeIndividual
    OrganizationHoward Charles
    Address101 S Bedford Rd Ste 404
    CityRye
    StateNY
    ZIP10580
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 20, 2006

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$13.9K

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,120$690$1.5M
    J2777Injection, faricimab‑svoa, 0.1 mg10,630$30$308.4K
    92014An 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…2,100$100$216.2K
    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.1,700$110$178.3K
    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.4,610$40$161.4K
    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…1,990$80$152.9K
    J2778Injection, ranibizumab, 0.1 mg800$180$144.6K
    J9035Injection, bevacizumab, 10 mg390$60$21.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.150$130$19.7K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…20$1,040$16.6K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017834230560$690$693K
    J2777411207,740$30$364.9K
    J27782370510$180$131.6K
    6702827300400$100$65.9K
    67210424040$430$46.9K
    92014102,220160$100$29.3K
    67036295020$940$23.5K
    9921427,52930,45090$100$19K
    6704172020$1,050$18.9K
    67108193020$1,040$17.7K

    Showing 1–10 of 19

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.1,220$10$6.1K
    92014An 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…220$20$4.2K
    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…140$20$2.4K
    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.40$40$1.5K

    Medicaid: Competitive Analysis & Benchmarks

    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

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…12,04719,110360$70$321K
    92014An 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…1,3822,440330$70$92.6K
    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.229260420$70$65.6K
    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.204730370$20$30K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Optum Medical Care, P.C.NYCardiovascular Disease Physician$0$105.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Amir SalemNYVascular & Interventional Radiology Physician$5M$605.9K
    Long Island Digestive Endoscopy Center, LLCNYAmbulatory Surgical Clinic/Center$1.6M$1.4M
    Matthew PomykalaNYOphthalmology Physician$1.7M$1M
    Changping JiaNYNuclear Imaging & Therapy Physician$2.2M$58.7K
    Eric FitzNYOphthalmology Physician$2.2M$1.3K
    Paul GuerrieroNYRetina Specialist (Ophthalmology) Physician$2M$7K
    Howard KaplanNYRetina Specialist (Ophthalmology) Physician$1.9M$11.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert SamaniegoNYFamily Medicine Physician$760.5K$470.4K
    The Rye Ambulatory Surgery Center, LLCNYAmbulatory Surgical Clinic/Center$794.3K$9.1K
    Niti DubeNYRadiation Oncology Physician$666.3K$32.2K
    Michael CantorNYPhysical Medicine & Rehabilitation Physician$440.4K$0
    Dan MoskowitzNYFacial Plastic Surgery Physician$440.3K$0
    Bruno DicosmoNYPulmonary Disease Physician$263.3K$0
    Rye Beach Pharmacy, IncNYCommunity/Retail Pharmacy$232.1K$0
    Daniel FassNYRadiation Oncology Physician$121.9K$0
    Sandra AngNYInternal Medicine Physician$87.1K$0
    Rajni SinghNYRadiation Oncology Physician$66.9K$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 York Distribution
    Howard Charles — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Howard Charles — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York