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    v1.0.28
    OpenPayerNPI Medicare & MedicaidZachary Berbos
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    Zachary Berbos — Billing Profile & Reimbursement Data

    NPI 1497996433 · Rapid City, SD · Ophthalmic Plastic and Reconstructive Surgery Physician

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    Zachary Berbos is a ophthalmic plastic and reconstructive surgery physician provider located in Rapid City, South Dakota. This profile covers 24 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
    OrganizationZachary Berbos
    Address2800 3rd St
    CityRapid City
    StateSD
    ZIP57701
    TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
    NPI EnumeratedMarch 22, 2009

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

    Payer SourceTotal Paid
    Medicare$285.4K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…130$630$82K
    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…60$630$40.1K
    68320The provider performs a surgical repair of the conjunctiva using the patient’s own conjunctival tissue as a graft or by rearranging the existing tissue. This procedure is done to treat a condition…40$470$18.4K
    67908The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat…40$470$16.8K
    J0585Injection, onabotulinumtoxina, 1 unit3,300$10$16.5K
    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…190$80$16.1K
    99204The 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…140$110$15.7K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.40$340$13.6K
    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.70$160$10.9K
    68840This procedure is the probing of the lacrimal canaliculi with or without irrigation.80$130$10.2K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J058511107,900$1$86.8K
    1582341050$510$50.6K
    6790421040$560$28.2K
    1406071040$510$25.7K
    6832021050$520$24.9K
    6790821040$480$18.7K
    6791741030$470$14K
    992144681,66090$70$11.4K
    992131,1091,71080$50$6.4K
    6884011050$120$6.1K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Southwestern Eye Center LtdAZOphthalmology Physician$0$15.9M
    Barnet Dulaney Perkins Eye Center, PCAZOphthalmology Physician$0$10.9M
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Sujit IttyAZOphthalmology Physician$6.2M$11.3K
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Neal PalejwalaAZOphthalmology Physician$4.4M$2.9K
    Sachin MehtaAZRetina Specialist (Ophthalmology) Physician$4.4M$11.8K
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Ronald HobbsAZOphthalmology Physician$4.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavior Management Systems, Inc.SDCommunity/Behavioral Health Agency$0$19.8M
    Monument Health Rapid City Hospital, IncSDMulti-Specialty Clinic/Center$0$18.7M
    Monument Health Rapid City Hospital, Inc.SDGeneral Acute Care Hospital$0$11.5M
    Community Health Center Of The Black Hills IncSDFederally Qualified Health Center (FQHC)$0$10.2M
    Jrk Services, IncSDHome Health Agency$0$10.1M
    Black Hills Pediatrics, LLPSDPediatrics Physician$0$9.7M
    Rapid City Emergency Services PASDEmergency Medicine Physician$0$8.2M
    Wellspring Inc.SDPsychiatry Physician$0$7.4M
    Radiology Associates Prof, LLCSDDiagnostic Radiology Physician$0$5.3M
    Monument Health Rapid City Hospital, Inc.SDMulti-Specialty Clinic/Center$0$5.2M

    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. South Dakota Distribution
    Zachary Berbos — 4 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota