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NPI 1548234255 · Warren, PA · Ophthalmology Physician
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Gordon Wuebbolt is a ophthalmology physician provider located in Warren, Pennsylvania. This profile covers 32 Medicare and 45 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 | Gordon Wuebbolt |
| Address | 2 Farm Colony Drive |
| City | Warren |
| State | PA |
| ZIP | 16365 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | February 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $690.2K |
| Medicare | $631.1K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
32 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 420 | $690 | $293.8K |
| 92273 | The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess… | 420 | $90 | $38K |
| 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… | 440 | $80 | $35.4K |
| 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… | 100 | $350 | $32.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 100 | $240 | $24.3K |
| 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. | 260 | $80 | $21.5K |
| 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… | 270 | $70 | $17.8K |
| 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… | 170 | $100 | $16.7K |
| 66982 | The 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… | 30 | $500 | $14.9K |
| 65820 | The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma. | 20 | $630 | $13.3K |
Showing 1–10 of 32
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
32 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 92 | 140 | 830 | $690 | $865.1K |
| 66984 | 308 | 670 | 80 | $530 | $97.8K |
| 67028 | 124 | 180 | 600 | $90 | $87.5K |
| 65820 | 37 | 50 | 30 | $950 | $36.2K |
| 66982 | 83 | 200 | 30 | $640 | $23.2K |
| 67904 | 52 | 60 | 30 | $580 | $22.7K |
| 92014 | 651 | 1,570 | 130 | $80 | $21K |
| 14060 | 37 | 90 | 20 | $580 | $20.9K |
| 66821 | 103 | 420 | 50 | $230 | $18.3K |
| 99214 | 2,255 | 23,230 | 100 | $80 | $14.5K |
Showing 1–10 of 32
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.
45 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6,980 | $20 | $139.6K |
| V2020 | Frames, purchases | 11,320 | $10 | $124.6K |
| 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. | 2,200 | $40 | $88K |
| 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… | 2,660 | $30 | $87.8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4,010 | $20 | $80.3K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1,170 | $30 | $34K |
| 92273 | The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess… | 830 | $30 | $22.3K |
| 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… | 850 | $30 | $21.2K |
| 95930 | The provider performs visual evoked potential testing that measures the electrical activity of the brain in response to a visual stimulus; however, this test is not used for VEP for glaucoma.… | 350 | $30 | $10K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 230 | $40 | $9K |
Showing 1–10 of 45
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
45 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… | 42 | 80 | 50 | $610 | $122.4K |
| 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. | 53 | 100 | 330 | $70 | $85.4K |
| 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… | 2,027 | 8,160 | 210 | $60 | $68.4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 93 | 620 | 350 | $30 | $64.6K |
| 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… | 3,350 | 8,870 | 240 | $40 | $56.1K |
| V2020 | Frames, purchases | 14 | 1,020 | 400 | $30 | $45.5K |
| 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… | 77 | 860 | 240 | $40 | $37K |
| J9035 | Injection, bevacizumab, 10 mg | 28 | 50 | 250 | $50 | $33.8K |
| 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. | 54 | 650 | 170 | $40 | $28.7K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6 | 520 | 400 | $10 | $28.1K |
Showing 1–10 of 45
Other providers in the same ZIP code as Gordon Wuebbolt, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Children's Center For Treatment And Education | PA | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $14.9M |
| Jay Endres | PA | Family Medicine Physician | $205.6K | $16.6K |
| Carl Sandstrom | PA | Physical Therapist | $124.4K | $4K |
| Latroy Navaroli | PA | Family Nurse Practitioner | $60K | $20.1K |
| Bernard Eden | PA | Radiation Oncology Physician | $74.5K | $0 |
| David Brook | PA | Chiropractor | $28.7K | $0 |
| Christopher John | PA | Physician Assistant | $24.7K | $0 |
| Craig Richman | PA | Psychiatry Physician | $12.8K | $0 |
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