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NPI 1598735573 · Middletown, DE · Optometrist
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Elizabeth Cluff is a optometrist provider located in Middletown, Delaware. This profile covers 3 Medicare and 7 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 | Elizabeth Cluff |
| Address | 401 E Main St |
| City | Middletown |
| State | DE |
| ZIP | 19709 |
| Taxonomy | Optometrist |
| NPI Enumerated | January 24, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $68.3K |
| Medicare | $6.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 70 | $60 | $4.2K |
| 99203 | The 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… | 20 | $90 | $2K |
| 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,… | 50 | $10 | $620 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.
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.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| V2020 | Frames, purchases | 970 | $20 | $20.4K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 470 | $40 | $18.7K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 680 | $20 | $13K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 340 | $20 | $7.7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 350 | $10 | $4.9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 100 | $20 | $2.2K |
| S0500 | Disposable contact lens, per lens | 20 | $60 | $1.4K |
How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Delaware median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 37 | 50 | 540 | $40 | $53.9K |
| V2020 | Frames, purchases | 25 | 60 | 530 | $30 | $46.3K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 18 | 40 | 420 | $40 | $42.2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 14 | 40 | 170 | $40 | $18.2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 10 | 30 | 280 | $30 | $17.6K |
| S0500 | Disposable contact lens, per lens | 3 | 10 | 20 | $80 | $13.8K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 19 | 40 | 360 | $20 | $13.5K |
Other providers in the same ZIP code as Elizabeth Cluff, ranked by combined Medicare and Medicaid revenue.
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