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    OpenPayerNPI Medicare & MedicaidDavid Diaz
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    David Diaz — Billing Profile & Reimbursement Data

    NPI 1548474018 · Burlington, VT · Ophthalmology Physician

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    David Diaz is a ophthalmology physician provider located in Burlington, Vermont. This profile covers 16 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
    OrganizationDavid Diaz
    Address111 Colchester Ave
    CityBurlington
    StateVT
    ZIP05401
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 10, 2007

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

    Payer SourceTotal Paid
    Medicare$134.1K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…600$60$37.9K
    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…80$390$30K
    99213The 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…330$50$15K
    66179In this procedure, the provider places, by external approach, an aqueous shunt, an implantable device in the aqueous humor of the eye. The shunt facilitates drainage and thereby reduces the overall…10$820$9.1K
    92082The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation.520$20$7.8K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…460$20$6.9K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.30$210$5.5K
    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…60$90$5.2K
    99203The provider sees a new 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 provider…80$60$4.6K
    66761The provider uses a laser beam to create a small hole in the iris that equalizes the intraocular pressure between anterior and posterior chamber of the eyes. Report this code for single session of…20$170$3.6K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669841820180$210$121.4K
    66821132050$250$13.2K
    992142696090$70$10.6K
    6617911010$820$9.1K
    992138291080$50$6.7K
    921361420180$30$5.6K
    92134479050$20$4.3K
    992047233030$100$4.1K
    6585541020$170$4.1K
    6676111020$180$3.3K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    University Of Vermont Medical Center IncVTInternal Medicine Physician$0$17.6M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Torsten WiegandMARetina Specialist (Ophthalmology) Physician$7.6M$0
    Chirag ShahMARetina Specialist (Ophthalmology) Physician$5M$0
    Roger GoldbergCARetina Specialist (Ophthalmology) Physician$4.6M$0
    Miriam Englander-paschalis IliosMARetina Specialist (Ophthalmology) Physician$4.5M$0
    Babak Jian SeyedahmadiMAOphthalmology Physician$4.4M$0
    Jeffrey HeierMARetina Specialist (Ophthalmology) Physician$3.6M$0
    Sean GarrityAZOphthalmology Physician$3.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Howard Center IncVTDevelopmentally Disabled Services Day Training Agency$0$332.2M
    Howard Center IncVTAdolescent and Children Mental Health Clinic/Center$0$130.1M
    Vermont Department Of Mental HealthVTAdult Mental Health Clinic/Center$0$105.1M
    Community Health Centers Of Burlington IncVTFederally Qualified Health Center (FQHC)$0$39.8M
    Howard Center IncVTMethadone Clinic$517.9K$35M
    Howard Center IncVTState or Local Public Health Clinic/Center$0$23.4M
    Transition IiVTCase Manager/Care Coordinator$0$17.3M
    The Dental Center At Community Health Center Of BurlingtonVTDental Clinic/Center$0$6.7M
    City Of Burlington VermontVTLand Ambulance$677.2K$4.3M
    Spectrum, Inc.VTAddiction (Substance Use Disorder) Counselor$0$2.4M

    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. Vermont Distribution
    David Diaz — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Vermont