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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBarry Edison
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    Barry Edison — Billing Profile & Reimbursement Data

    NPI 1447283510 · Eatontown, NJ · Ophthalmology Physician

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    Barry Edison is a ophthalmology physician provider located in Eatontown, New Jersey. 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
    OrganizationBarry Edison
    Address10 Industrial Way E
    CityEatontown
    StateNJ
    ZIP07724
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 9, 2006

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

    Payer SourceTotal Paid
    Medicare$278K
    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
    92012For 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…940$70$63.8K
    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…550$90$49.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.230$110$24.9K
    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…310$70$20.5K
    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$19.6K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…640$30$18.6K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…270$50$13.4K
    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…110$100$10.2K
    67840In this procedure, the provider excises a diseased or damaged area from the eyelid, excluding a chalazion, an inflamed oil gland. If necessary, he closes the wound with sutures.40$240$9.8K
    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$350$8.8K

    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
    920142421,130160$100$34.9K
    67904152040$600$32.3K
    992147,69213,640130$90$23.6K
    9201233800140$70$18.5K
    15823112030$530$18.2K
    992132,66414,090100$70$13.1K
    6791761020$500$10.5K
    68840172030$140$10K
    9213418570090$30$10K
    658557710040$180$9.4K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Campus Eye Group Asc, LLCNJOphthalmologic Surgery Clinic/Center$1.8M$1.6M
    Daniel WillSCRetina Specialist (Ophthalmology) Physician$2.8M$0
    Jonathan GlothNJOphthalmology Physician$1.1M$0
    Marc Von RoemerNJSpecialist$260.4K$0
    Heather LivezeyNJAnesthesiology Physician$239.6K$20.4K
    Leanne YatesNJPhysical Therapist$190.6K$0
    Ashwinee RagamNJOphthalmology Physician$187.7K$2.1K
    Keith MontecalvoNJPhysical Therapist$165.3K$0
    Nicolas FroioNJPhysical Therapist$118.6K$0
    Ranjodh SinghNJOphthalmology Physician$104.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fordham-lewis Consulting, L.L.C.NJCommunity/Behavioral Health Agency$0$25.6M
    Premier Mental & Behavioral Services, IncNJMental Health Clinic/Center (Including Community Mental Health Center)$0$8.4M
    Pathology Solutions LLCNJClinical Medical Laboratory$2.4M$5.4M
    Advanced Endoscopy & Surgical Center LLCNJAmbulatory Surgical Clinic/Center$1.2M$4.1M
    A2z Diagnostics LLCNJClinical Medical Laboratory$1.1M$3.2M
    Center For Ambulatory And Minimally Invasive Surgery LLCNJAmbulatory Surgical Clinic/Center$1.6M$697K
    Atlantic Surgery Center,llcNJAmbulatory Surgical Clinic/Center$2.3M$0
    Stacey LongoNJClinical Pathology/Laboratory Medicine Physician$2M$410
    Hackensack Meridian Ambulatory Care, Inc.NJHome Infusion Therapy Pharmacy$116.6K$1.5M
    Eran ZacksNJClinical Cardiac Electrophysiology Physician$870.3K$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 Jersey Distribution
    Barry Edison — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey