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    OpenPayerNPI Medicare & MedicaidNeil Gross
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    Neil Gross — Billing Profile & Reimbursement Data

    NPI 1457401572 · Lynn, MA · Ophthalmology Physician

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    Neil Gross is a ophthalmology physician provider located in Lynn, Massachusetts. This profile covers 9 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
    OrganizationNeil Gross
    Address330 Lynnway
    CityLynn
    StateMA
    ZIP01901
    TaxonomyOphthalmology Physician
    NPI EnumeratedJanuary 11, 2007

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

    Payer SourceTotal Paid
    Medicare$30.8K
    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…130$90$11.3K
    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$10.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.30$90$3K
    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…20$70$1.7K
    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,…60$30$1.6K
    92060The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…40$40$1.3K
    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…20$50$800
    92283The provider uses an optical instrument, such as a Nagel anomaloscope, that uses long wavelengths of yellow–green light, which a patient adjusts, to match a predetermined ratio of red to green light;…20$40$710
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.20$10$220

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    920145931,070160$90$30.1K
    992147,64215,410110$80$15.6K
    9201246956090$70$12.4K
    9921312,81613,70070$60$8.8K
    9200453789040$100$6.3K
    9225026857060$30$3.1K
    92060335050$40$2.8K
    922858911040$10$1.4K
    9228331020$40$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Andre WitkinMARetina Specialist (Ophthalmology) Physician$2.9M$0
    Shilpa DesaiMAOphthalmology Physician$1.6M$0
    C. Douglas EvansMAOphthalmology Physician$699.8K$4.2K
    Peter LouMAOphthalmology Physician$371.5K$0
    Charles BarsamMAOphthalmology Physician$335.4K$0
    Ula JurkunasMAOphthalmology Physician$99.9K$0
    Stephen HarneyMAOptometrist$29.7K$28.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lynn Community Health, Inc.MAFederally Qualified Health Center (FQHC)$0$138.3M
    Greater Lynn Senior Services IncMACase Management Agency$0$78.7M
    Patient Care Solutions LLCMAHome Health Agency$0$26.6M
    Multicultural Home Care, Inc.MAHome Health Agency$0$22.4M
    All Care Resources, Inc.MAHome Health Aide$0$15.8M
    Lynn AdhcMAAdult Day Care Clinic/Center$0$15.2M
    Lynn Zabota Adult Day Care, Inc.MAAdult Day Care Clinic/Center$0$14.2M
    New England Family Dentistry ,PCMAPoint of Service$0$14M
    Rainbow Adhc Of Lynn, LLCMAAdult Day Care Clinic/Center$0$9.3M
    Commonwealth Of MassachusettsMACase Management Agency$0$8.9M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Neil Gross — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts