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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPhilip Kramer
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    Philip Kramer — Billing Profile & Reimbursement Data

    NPI 1437150547 · Staten Island, NY · Ophthalmology Physician

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    Philip Kramer is a ophthalmology physician provider located in Staten Island, New York. This profile covers 27 Medicare and 1 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
    OrganizationPhilip Kramer
    Address1460 Victory Blvd
    CityStaten Island
    StateNY
    ZIP10301
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 10, 2005

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

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$540

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,340$690$928.7K
    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…3,800$110$414.2K
    65778The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.260$1,290$331.5K
    92273The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…2,280$120$273.2K
    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.2,720$40$95.1K
    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.810$100$80.8K
    93890N/A210$220$44.5K
    93886The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…210$180$37.5K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.70$480$35K
    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…260$130$34.3K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017861230560$690$693K
    6577833050$1,240$101.9K
    6702891300400$100$65.9K
    67210114040$430$46.9K
    6770091030$280$32.9K
    938901914070$210$32.9K
    938862322060$200$26.5K
    938921713070$150$23.4K
    99214530,45090$100$19K
    9227318080$110$17.7K

    Showing 1–10 of 27

    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.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…60$10$560

    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

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…11,96216,550220$90$186.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephanie BeckerNYOphthalmology Physician$757.2K$41.4K
    Jerome GiovinazzoNYOphthalmology Physician$749K$1.2K
    Ilan CohenNYOphthalmology Physician$638.2K$57K
    Noaman SanniNYOphthalmology Physician$321.2K$168.8K
    Mark ListerNJOphthalmology Physician$97.6K$310
    Sara HannaNJOptometrist$31K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mark GoldsteinNYRheumatology Physician$817.6K$520
    People's Choice Pharmacy Ny CorpNYPharmacy$770.5K$190
    Abhirami VivekanandarajahNYHematology & Oncology Physician$632.1K$83.6K
    Seetha MurukutlaNYHematology & Oncology Physician$499.7K$2.9K
    Meilin ZhangNYNephrology Physician$310.1K$103.4K
    Ewa D'silvaNYPodiatrist$313.4K$82.5K
    Christos DossaNYVascular Surgery Physician$349.8K$0
    Richard UrbanekNYSpecialist$327.1K$0
    Helen KimNYOtolaryngology Physician$246.4K$10.6K
    Georgina PecoraroNYSpeech-Language Pathologist$80.6K$171.5K

    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
    Philip Kramer — 6 of 25 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 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Philip Kramer — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York