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NPI 1578659405 · Encino, CA · Ophthalmology Physician
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David Paikal is a ophthalmology physician provider located in Encino, California. This profile covers 24 Medicare and 6 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 | David Paikal |
| Address | 16661 Ventura Blvd |
| City | Encino |
| State | CA |
| ZIP | 91436 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | October 5, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $599.1K |
| Medicaid | $1.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
24 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,270 | $100 | $129.6K |
| 65778 | The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens. | 70 | $1,240 | $85.8K |
| 92012 | For 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… | 1,090 | $80 | $83.7K |
| 68761 | The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome. | 750 | $80 | $56.9K |
| 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. | 280 | $110 | $31.6K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 7,490 | $1 | $30K |
| 92250 | Code 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,… | 880 | $30 | $27.3K |
| 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… | 220 | $120 | $25.1K |
| 92083 | The 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… | 470 | $50 | $24.9K |
| 68840 | This procedure is the probing of the lacrimal canaliculi with or without irrigation. | 120 | $160 | $19.7K |
Showing 1–10 of 24
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 965 | 1,250 | 90 | $690 | $122.8K |
| 65778 | 27 | 90 | 40 | $1,190 | $104.6K |
| 92014 | 126 | 2,890 | 110 | $100 | $28.7K |
| 92012 | 103 | 1,620 | 150 | $70 | $23.6K |
| 68761 | 27 | 480 | 70 | $100 | $21.3K |
| 66821 | 666 | 950 | 40 | $270 | $18.4K |
| 92273 | 27 | 90 | 60 | $110 | $16.2K |
| 92134 | 614 | 2,150 | 90 | $30 | $12.6K |
| 95004 | 33 | 320 | 1,820 | $1 | $12.3K |
| 92004 | 92 | 1,950 | 50 | $110 | $9.7K |
Showing 1–10 of 24
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92012 | For 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… | 50 | $20 | $830 |
| 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… | 30 | $10 | $280 |
| 92226 | N/A | 20 | $10 | $220 |
| 92083 | The 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… | 20 | $10 | $140 |
| 92133 | The 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… | 20 | $1 | $50 |
| 92284 | The provider performs a diagnostic test to evaluate how the patient's eyes adjust to changes in light and darkness. This test measures the function of retinal photoreceptors and may include… | 10 | $1 | $30 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 92012 | For 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… | 785 | 990 | 370 | $30 | $61.1K |
| 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… | 2,124 | 2,460 | 430 | $30 | $48.3K |
| 92226 | N/A | 158 | 180 | 390 | $20 | $23K |
| 92083 | The 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… | 443 | 520 | 250 | $20 | $17.4K |
| 92133 | The 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… | 469 | 530 | 230 | $20 | $17.2K |
| 92284 | The provider performs a diagnostic test to evaluate how the patient's eyes adjust to changes in light and darkness. This test measures the function of retinal photoreceptors and may include… | 9 | 10 | 300 | $20 | $12.8K |
Other providers in the same ZIP code as David Paikal, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Harvey Paley | CA | Otolaryngology Physician | $8.9M | $19.7K |
| Freedom Vision Surgery Center LLC | CA | Ambulatory Surgical Clinic/Center | $3.9M | $56.2K |
| Encino Outpatient Surgery Center, LLC | CA | Clinic/Center | $2M | $0 |
| Christian Sanfilippo | CA | Retina Specialist (Ophthalmology) Physician | $2M | $0 |
| Amir Guerami | CA | Ophthalmology Physician | $1.9M | $0 |
| Hajir Dadgostar | CA | Ophthalmology Physician | $1.9M | $2.3K |
| Metrolab, Inc. | CA | Clinical Medical Laboratory | $177.5K | $1.5M |
| Darius Gharib | CA | Internal Medicine Physician | $1.2M | $379.6K |
| John Rezapour | CA | Ophthalmology Physician | $1.2M | $6.8K |
| Yousef Mehrabi | CA | Pediatrics Physician | $985.3K | $92.8K |
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