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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMarc Wladis
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    Marc Wladis — Billing Profile & Reimbursement Data

    NPI 1639177496 · Taunton, MA · Ophthalmology Physician

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    Marc Wladis is a ophthalmology physician provider located in Taunton, Massachusetts. This profile covers 11 Medicare and 3 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)

    FieldValue
    Entity TypeIndividual
    OrganizationMarc Wladis
    Address1 Washington St
    CityTaunton
    StateMA
    ZIP02780
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 14, 2005
    NPI DeactivatedMarch 17, 2006

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

    Payer SourceTotal Paid
    Medicare$310.7K
    Medicaid$6.3K

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…2,140$90$192.7K
    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…410$70$28.2K
    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…790$30$21.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.190$100$18.6K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.570$30$17.6K
    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…300$50$13.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.40$260$9.1K
    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,…270$30$6.8K
    92020The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…110$20$2.2K
    67820The provider removes deviated or abnormal eyelashes, a condition known as trichiasis. He uses forceps to extract the unwanted lashes that cause eye irritation.30$20$460

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014161,070160$90$30.1K
    6682114024040$210$17.4K
    920127056090$70$12.4K
    921349767070$30$10.6K
    920044489040$100$6.3K
    920836367060$40$5.1K
    921331063070$30$3.6K
    922505257060$30$3.1K
    92201779050$20$2.9K
    920203019030$20$1.2K

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…40$100$4K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.10$120$1.4K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.50$20$830

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Massachusetts median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…494660250$60$122.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.550590160$70$60.6K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.599800330$10$22.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Department Of Mental HealthMASubstance Abuse Rehabilitation Facility$0$7.3M
    Advanced Eye Centers IncMAOptometrist$0$6.4M
    The Commonwealth Of MassachusettsMAClinical Medical Laboratory$29.1K$4.8M
    Kameran LashkariMAOphthalmology Physician$2M$0
    Advanced Eye Surgery CenterMAAmbulatory Surgical Clinic/Center$926.1K$136.2K
    Scott CorinMAOphthalmology Physician$429K$168.7K
    Alyse RichardMARetina Specialist (Ophthalmology) Physician$524K$0
    Kevin HulsebergMAOphthalmology Physician$304.2K$150.7K
    Paul BotelhoMAOphthalmology Physician$424.7K$0
    Andrew JuskoMAOphthalmology Physician$317K$7.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonwealth Of MassachusettsMACase Management Agency$0$326.7M
    Northeast Health Services, LLCMAMental Health Clinic/Center (Including Community Mental Health Center)$0$121.1M
    Community Counseling Of Bristol County, Inc.MAMental Health Clinic/Center (Including Community Mental Health Center)$0$77.9M
    Morton Hospital, A Steward Family Hospital, Inc.MAGeneral Acute Care Hospital$0$41.7M
    Associates For Human Services, Inc.MAAdult Day Care Clinic/Center$0$20M
    Preparatory Rehabilitation For Individual Development & Employment, InMAAdult Care Home Facility$0$16.9M
    Nightingale Home Healthcare Of Massachusetts, Inc.MAHome Health Agency$0$14.5M
    Northeast Dental Anesthesia Associates, PLLCMADental Clinic/Center$0$9.5M
    Community Counseling Of Bristol County, Inc.MACommunity/Behavioral Health Agency$0$9.1M
    Atg Massachusetts IncMACustomized Equipment (DME)$0$8.8M

    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. Massachusetts Distribution
    Marc Wladis — 3 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts
    Medicaid Revenue by Year vs. Massachusetts Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Massachusetts Distribution
    Marc Wladis — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts