Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidStephen Pecsenyicki
    Ask Trek AI about this page

    Stephen Pecsenyicki — Billing Profile & Reimbursement Data

    NPI 1447275771 · Burlington, VT · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Stephen Pecsenyicki — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Stephen Pecsenyicki is a ophthalmology physician provider located in Burlington, Vermont. This profile covers 11 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStephen Pecsenyicki
    Address111 Colchester Ave
    CityBurlington
    StateVT
    ZIP05401
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 13, 2006

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

    Payer SourceTotal Paid
    Medicare$107.7K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…120$410$48.6K
    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…510$40$22.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.40$220$9.1K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…10$570$7.4K
    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…100$70$7.1K
    99203The provider sees a new 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 provider…90$50$4.5K
    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…40$80$3.4K
    92136The 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…130$20$2.9K
    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.70$20$1.1K
    92082The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation.30$20$470

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669841520180$210$121.4K
    66982131030$630$21.3K
    66821112050$250$13.2K
    9921443996090$70$10.6K
    992133691080$50$6.7K
    921361220180$30$5.6K
    92134389050$20$4.3K
    9920410133030$100$4.1K
    992034631030$60$2.7K
    92133729070$20$2.1K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    University Of Vermont Medical Center IncVTInternal Medicine Physician$0$17.6M
    Northeastern Vermont Regional Hospital, IncVTPrimary Care Clinic/Center$0$2.8M
    James StaffordTXRadiation Oncology Physician$1.5M$0
    University Of Vermont Medical Center IncVTGeneral Acute Care Hospital$0$780.5K
    Paul UngerVTHematology & Oncology Physician$744.6K$0
    University Of Vermont Health Network Specialty Care Transport, LLCVTLand Ambulance$144K$510.7K
    Carlos TorresTXAnatomic Pathology & Clinical Pathology Physician$580.7K$0
    Brian KimVTOphthalmology Physician$488.3K$0
    Glenn GoldmanVTMOHS-Micrographic Surgery Physician$454.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Howard Center IncVTDevelopmentally Disabled Services Day Training Agency$0$332.2M
    Howard Center IncVTAdolescent and Children Mental Health Clinic/Center$0$130.1M
    Vermont Department Of Mental HealthVTAdult Mental Health Clinic/Center$0$105.1M
    Community Health Centers Of Burlington IncVTFederally Qualified Health Center (FQHC)$0$39.8M
    Howard Center IncVTMethadone Clinic$517.9K$35M
    Howard Center IncVTState or Local Public Health Clinic/Center$0$23.4M
    Transition IiVTCase Manager/Care Coordinator$0$17.3M
    The Dental Center At Community Health Center Of BurlingtonVTDental Clinic/Center$0$6.7M
    City Of Burlington VermontVTLand Ambulance$677.2K$4.3M
    Spectrum, Inc.VTAddiction (Substance Use Disorder) Counselor$0$2.4M

    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. Vermont Distribution
    Stephen Pecsenyicki — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont