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    OpenPayerNPI Medicare & MedicaidTheresa Ruggiero
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    Theresa Ruggiero — Billing Profile & Reimbursement Data

    NPI 1578640678 · Northampton, MA · Optometrist

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    Theresa Ruggiero is a optometrist provider located in Northampton, Massachusetts. 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
    OrganizationTheresa Ruggiero
    Address86 Masonic Street
    CityNorthampton
    StateMA
    ZIP01060
    TaxonomyOptometrist
    NPI EnumeratedNovember 1, 2006

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

    Payer SourceTotal Paid
    Medicare$136.2K
    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
    97530The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.1,030$30$29.8K
    92065The physician or other qualified healthcare professional trains the patient to perform exercises for vision therapy.820$30$27K
    97110Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…1,070$20$19.2K
    97112Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…850$20$16.1K
    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…110$90$9.5K
    92060The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…130$50$6.2K
    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…60$100$5.7K
    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…80$70$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…90$50$4.5K
    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,…120$30$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
    920146341,070160$90$30.1K
    92065110690$30$22.6K
    9921410,33115,410110$80$15.6K
    971104082,060460$20$13.5K
    975301691,580300$30$12.7K
    9201228956090$70$12.4K
    68761558040$110$9.6K
    971121811,650280$20$9.3K
    9921311,75513,70070$60$8.8K
    9200464689040$100$6.3K

    Showing 1–10 of 15

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$204.8M
    Nonotuck Resource Associates, IncMAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$154.6M
    Department Of Mental HealthMACommunity/Behavioral Health Agency$0$153M
    Cooley Dickinson Hospital IncMAGeneral Acute Care Hospital$0$34.9M
    Servicenet IncMAEarly Intervention Provider Agency$0$10M
    Servicenet IncMAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.5M
    Mass General Brigham Medical Group Western Massachusetts IncMAFamily Medicine Physician$0$8M
    City Of NorthamptonMALand Ambulance$831.4K$2.7M
    Shields Pet Ct At Cooley Dickinson Hospital LLCMAMobile Radiology Clinic/Center$685K$6.7K
    Steven WeinsierMACardiovascular Disease Physician$338.5K$400

    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. Massachusetts Distribution
    Theresa Ruggiero — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts