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NPI 1427133586 · Irvington, NJ · Ophthalmology Physician
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Atul Agarwala is a ophthalmology physician provider located in Irvington, New Jersey. This profile covers 25 Medicare and 2 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 | Atul Agarwala |
| Address | 40 Union Ave |
| City | Irvington |
| State | NJ |
| ZIP | 07111 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | October 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $182.2K |
| Medicaid | $300 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 65778 | The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens. | 30 | $1,250 | $31.2K |
| 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… | 260 | $80 | $20.5K |
| 67210 | The provider destroys a lesion of the retina using a laser beam that heats up the tissue. | 40 | $450 | $19.3K |
| 76512 | The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures. | 340 | $40 | $13.4K |
| 92287 | It is used to detect abnormalities of the vasculature of the iris. The test is used most often to evaluate neovascularization of neoplasms of the anterior segment of the eye. | 100 | $130 | $12.6K |
| 92235 | The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken… | 110 | $120 | $12.4K |
| 66762 | The provider passes laser beam through the iris which alters its configuration and results in an increase in angle width and vision improvement. | 30 | $420 | $12.2K |
| 67028 | The 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. | 110 | $100 | $10.5K |
| 65855 | In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma. | 50 | $220 | $9.7K |
| 92201 | The 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… | 270 | $20 | $5.7K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
25 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 67028 | 90 | 100 | 810 | $100 | $91.1K |
| 65778 | 13 | 20 | 30 | $1,220 | $62.2K |
| 67210 | 5 | 10 | 30 | $440 | $20.3K |
| 92012 | 268 | 800 | 140 | $70 | $18.5K |
| 92235 | 26 | 70 | 60 | $120 | $17.3K |
| 68761 | 141 | 160 | 40 | $160 | $15K |
| 66762 | 2 | 10 | 40 | $410 | $14.7K |
| J9035 | 34 | 60 | 80 | $50 | $14.2K |
| 92287 | 7 | 20 | 90 | $130 | $14.2K |
| 92134 | 415 | 700 | 90 | $30 | $10K |
Showing 1–10 of 25
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.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 110 | $1 | $340 |
| 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… | 30 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New Jersey median
2 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 143 | 230 | 260 | $30 | $51.4K |
| 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… | 617 | 730 | 470 | $20 | $51K |
Other providers in the same ZIP code as Atul Agarwala, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Sunrise Clinical Lab, LLC | NJ | Clinical Medical Laboratory | $264.7K | $24.8M |
| Sunrise Clinical Services, LLC | NJ | Methadone Clinic | $210.9K | $20.5M |
| Easter Seals New Jersey | NJ | Mental Illness Community Based Residential Treatment Facility | $0 | $17.8M |
| Crosslinks Care LLC | NJ | Home Health Agency | $0 | $10.2M |
| Bio-medical Applications Of New Jersey, Inc. | NJ | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | $0 | $8.6M |
| Irvington Board Of Education | NJ | Local Education Agency (LEA) | $0 | $8.2M |
| Victoria Adeyinka | NJ | Physical Therapist | $104.4K | $0 |
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