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    OpenPayerNPI Medicare & MedicaidDaniel Malach
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    Daniel Malach — Billing Profile & Reimbursement Data

    NPI 1487003612 · Saint Clair Shores, MI · Ophthalmology Physician

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    Daniel Malach is a ophthalmology physician provider located in Saint Clair Shores, Michigan. This profile covers 15 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
    OrganizationDaniel Malach
    Address21931 E 9 Mile Rd
    CitySaint Clair Shores
    StateMI
    ZIP48080
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 8, 2016

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

    Payer SourceTotal Paid
    Medicare$162.3K
    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.

    15 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…130$430$53.1K
    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…520$60$33.3K
    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…290$80$24.1K
    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…20$600$10.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.80$100$8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.30$250$6.9K
    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,…200$30$5.6K
    83861The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye.250$20$5.6K
    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…100$40$4.3K
    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…140$30$4.3K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698414948070$470$69.5K
    669829613030$630$22.2K
    920142281,080100$80$14.8K
    6682121731040$230$13.4K
    9921415,16615,47080$80$11.4K
    9213455082060$30$7.1K
    920121846050$60$6.8K
    838612280140$20$4.8K
    9200410269030$90$4.2K
    9208322477050$40$3.6K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James KleinMIOphthalmology Physician$622.1K$0
    Stephen WaltersMIGlaucoma Specialist (Ophthalmology) Physician$242.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Clair Shores Mi Ophthalmology Asc LLCMIAmbulatory Surgical Clinic/Center$759.7K$0
    Richard PerryMISports Medicine (Orthopaedic Surgery) Physician$519.4K$0
    Thomas DavisMICardiovascular Disease Physician$321.9K$0
    Nicholas SchochMIOrthopaedic Surgery Physician$306.2K$0
    Benedict PelleritoMIOrthopaedic Surgery Physician$292.1K$0
    Andrew AjluniMIOrthopaedic Surgery Physician$250.7K$0
    Sailaja DatlaMIInternal Medicine Physician$249.4K$0
    Mark AlraisMIFamily Medicine Physician$244.6K$0
    Marc GosselinMICardiovascular Disease Physician$237.1K$0
    Georges GhafariMICardiovascular Disease Physician$232K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Daniel Malach — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan