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NPI 1467446575 · Elmhurst, NY · Retina Specialist (Ophthalmology) Physician
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Jeffrey Paccione is a retina specialist (ophthalmology) physician provider located in Elmhurst, New York. This profile covers 15 Medicare and 16 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 | Jeffrey Paccione |
| Address | 8806 55th Ave |
| City | Elmhurst |
| State | NY |
| ZIP | 11373 |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| NPI Enumerated | September 2, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $661.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 1,370 | $660 | $904.2K |
| 67028 | The 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. | 760 | $100 | $78.5K |
| 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. | 1,730 | $40 | $62.4K |
| 99213 | The 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… | 600 | $80 | $49.4K |
| 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… | 380 | $110 | $40.9K |
| J2778 | Injection, ranibizumab, 0.1 mg | 180 | $180 | $32.2K |
| 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… | 400 | $80 | $29.9K |
| 92201 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 880 | $20 | $18.4K |
| 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. | 120 | $130 | $15K |
| 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… | 120 | $120 | $14.5K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 58 | 230 | 560 | $690 | $693K |
| J2778 | 66 | 70 | 510 | $180 | $131.6K |
| 67028 | 95 | 300 | 400 | $100 | $65.9K |
| 92014 | 580 | 2,220 | 160 | $100 | $29.3K |
| 99214 | 12,705 | 30,450 | 90 | $100 | $19K |
| 92012 | 288 | 1,640 | 100 | $70 | $17.4K |
| 92235 | 133 | 190 | 60 | $120 | $14.1K |
| 99213 | 1,765 | 31,440 | 80 | $70 | $12.1K |
| 67228 | 37 | 50 | 30 | $300 | $11.5K |
| 92134 | 82 | 1,580 | 90 | $30 | $11.2K |
Showing 1–10 of 15
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.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 610 | $510 | $313.5K |
| 67028 | The 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. | 2,340 | $40 | $95.8K |
| 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. | 5,330 | $10 | $58.6K |
| 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… | 3,540 | $10 | $49.6K |
| 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. | 700 | $30 | $23.2K |
| 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… | 730 | $30 | $21.9K |
| 67228 | In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space… | 120 | $170 | $19.2K |
| J9035 | Injection, bevacizumab, 10 mg | 840 | $20 | $17.6K |
| 92235 | The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken… | 470 | $30 | $15.1K |
| J2778 | Injection, ranibizumab, 0.1 mg | 50 | $220 | $12K |
Showing 1–10 of 16
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
16 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 32 | 100 | 280 | $650 | $369.9K |
| 99213 | The 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… | 10,322 | 19,110 | 360 | $70 | $321K |
| J2778 | Injection, ranibizumab, 0.1 mg | 8 | 10 | 110 | $500 | $160.1K |
| 67228 | In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space… | 14 | 30 | 90 | $350 | $121.8K |
| 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… | 871 | 2,440 | 330 | $70 | $92.6K |
| 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… | 147 | 1,460 | 310 | $60 | $88.1K |
| 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. | 793 | 2,240 | 320 | $80 | $83K |
| 67028 | The 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. | 32 | 260 | 420 | $70 | $65.6K |
| 92250 | Code 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,… | 902 | 1,490 | 340 | $40 | $48.7K |
| J9035 | Injection, bevacizumab, 10 mg | 31 | 150 | 170 | $80 | $36.7K |
Showing 1–10 of 16
Other providers in the same ZIP code as Jeffrey Paccione, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| New York City Health And Hospitals Corporation | NY | General Acute Care Hospital | $0 | $146.4M |
| Long Island Consultation Center, Inc. | NY | Clinical Social Worker | $0 | $19.7M |
| Happy Dragon Of New York | NY | Early Intervention Provider Agency | $0 | $19.1M |
| Huachen Wei | NY | Dermatology Physician | $83.5K | $1.6M |
| Aslam Jivani | NY | Pulmonary Disease Physician | $224.2K | $1.3M |
| Evan Diamond | NY | Hematology & Oncology Physician | $1.1M | $3.7K |
| Naeem Chaudhry | NY | Internal Medicine Physician | $423.5K | $327.6K |
| Orysya Protas | NY | Optometrist | $565.6K | $0 |
| Scott Stickles | NY | Diagnostic Radiology Physician | $489.5K | $7.4K |
| Neelofar Ghaznawi | NY | Cornea and External Diseases Specialist Physician | $125.2K | $287.3K |
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