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NPI 1467428573 · New York, NY · Ophthalmology Physician
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Mark Hornfeld is a ophthalmology physician provider located in New York, New York. This profile covers 23 Medicare and 37 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 | Mark Hornfeld |
| Address | 125 W 79th Street |
| City | New York |
| State | NY |
| ZIP | 10024 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | February 28, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $965.1K |
| Medicare | $189.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 460 | $100 | $46.1K |
| 66762 | The provider passes laser beam through the iris which alters its configuration and results in an increase in angle width and vision improvement. | 60 | $440 | $27.8K |
| 66984 | The 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… | 40 | $480 | $20.2K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 40 | $280 | $10.1K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 90 | $110 | $9.5K |
| 92134 | The 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. | 320 | $30 | $9.5K |
| 68761 | The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome. | 90 | $100 | $8.6K |
| 67210 | The provider destroys a lesion of the retina using a laser beam that heats up the tissue. | 20 | $450 | $8.5K |
| 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. | 70 | $120 | $7.6K |
| 92083 | The 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… | 130 | $60 | $7.2K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 499 | 680 | 90 | $430 | $104.3K |
| 66762 | 3 | 10 | 50 | $430 | $57.5K |
| 67210 | 33 | 40 | 40 | $430 | $46.9K |
| 92014 | 485 | 2,220 | 160 | $100 | $29.3K |
| 92273 | 71 | 80 | 80 | $110 | $17.7K |
| 92012 | 1,006 | 1,640 | 100 | $70 | $17.4K |
| 68761 | 141 | 370 | 70 | $120 | $16.3K |
| 66821 | 228 | 520 | 30 | $270 | $14.3K |
| 92134 | 352 | 1,580 | 90 | $30 | $11.2K |
| 92004 | 460 | 1,750 | 50 | $110 | $9.2K |
Showing 1–10 of 23
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.
37 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 4,600 | $20 | $110.4K |
| 92134 | The 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. | 4,300 | $30 | $107.5K |
| 68761 | The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome. | 1,860 | $50 | $91.3K |
| 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… | 2,040 | $30 | $67.4K |
| 99214 | The 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… | 1,390 | $50 | $62.5K |
| 66762 | The provider passes laser beam through the iris which alters its configuration and results in an increase in angle width and vision improvement. | 630 | $90 | $53.4K |
| 67210 | The provider destroys a lesion of the retina using a laser beam that heats up the tissue. | 410 | $110 | $44.7K |
| 92083 | The 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… | 2,540 | $20 | $43.1K |
| 92020 | The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and… | 2,970 | $10 | $41.6K |
| 92286 | In this procedure, the provider examines the structures in the anterior, or front, segment of the eye. He identifies abnormalities in the vasculature, such as those associated with neoplasia. He then… | 1,880 | $20 | $41.4K |
Showing 1–10 of 37
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
37 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 66984 | The 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… | 125 | 160 | 140 | $720 | $423.8K |
| 67210 | The provider destroys a lesion of the retina using a laser beam that heats up the tissue. | 10 | 30 | 100 | $250 | $211.4K |
| 99214 | The 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… | 3,278 | 16,550 | 220 | $90 | $186.8K |
| 65778 | The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens. | 8 | 20 | 110 | $630 | $157.9K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 3,298 | 5,420 | 210 | $70 | $154.3K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 1,309 | 1,660 | 160 | $20 | $106.1K |
| 99204 | The 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… | 2,066 | 3,820 | 100 | $130 | $99.7K |
| 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… | 156 | 2,440 | 330 | $70 | $92.6K |
| 68761 | The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome. | 44 | 260 | 270 | $80 | $88.3K |
| 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… | 236 | 1,460 | 310 | $60 | $88.1K |
Showing 1–10 of 37
Other providers in the same ZIP code as Mark Hornfeld, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Metropolitan Center For Mental Health, Inc. | NY | Group Psychotherapy Psychologist | $0 | $27.5M |
| Richard Silvergleid | NY | Neuroradiology Physician | $639.2K | $58.2K |
| Viktoriya Fridman | NY | Adult Health Nurse Practitioner | $505.9K | $17.2K |
| Cvs Albany LLC | NY | Pharmacy | $331K | $0 |
| Peak Woo | NY | Otolaryngology Physician | $178.5K | $0 |
| Cvs Albany LLC | NY | Pharmacy | $158.9K | $0 |
| Karl Goodman | NY | Internal Medicine Physician | $146.1K | $1 |
| Duane Reade | NY | Pharmacy | $138.4K | $6.6K |
| Duane Reade | NY | Pharmacy | $133.3K | $0 |
| Marissa Barrera | NY | Speech-Language Pathologist | $105.3K | $25.5K |
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