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    OpenPayerNPI Medicare & MedicaidEye Centers Of America, LLC
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    Eye Centers Of America, LLC — Billing Profile & Reimbursement Data

    NPI 1649563636 · Bloomfield, NJ · Ophthalmology Physician

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    Eye Centers Of America, LLC is a ophthalmology physician provider located in Bloomfield, New Jersey. This profile covers 0 Medicare and 75 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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    • Billing CodesCPT, HCPCS, DRG & more
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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationEye Centers Of America, LLC
    Address1255 Broad St Ste 104
    CityBloomfield
    StateNJ
    ZIP07003
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 24, 2011

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

    Payer SourceTotal Paid
    Medicaid$26.4M
    Medicare$0

    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.

    75 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…72,010$70$4.7M
    J0178Injection, aflibercept, 1 mg4,620$700$3.2M
    J2778Injection, ranibizumab, 0.1 mg6,620$470$3.1M
    J9035Injection, bevacizumab, 10 mg12,540$200$2.5M
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.32,660$50$1.6M
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.12,720$110$1.4M
    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…29,800$50$1.4M
    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.62,240$20$1.3M
    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,…34,520$30$862.9K
    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.46,310$20$833.5K

    Showing 1–10 of 75

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    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New Jersey median

    75 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J2778Injection, ranibizumab, 0.1 mg11090$470$649.4K
    J0178Injection, aflibercept, 1 mg110210$760$535.2K
    J2777Injection, faricimab‑svoa, 0.1 mg110670$500$330.8K
    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…2160110$370$327.3K
    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…2714,450740$40$229.8K
    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…4113,790580$60$204K
    J9035Injection, bevacizumab, 10 mg130240$150$190.5K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…110220900$1$180.8K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.140690$70$154.6K
    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…531,460150$80$97.8K

    Showing 1–10 of 75

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Eye Centers Of America, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lee AngiolettiNJOphthalmology Physician$4M$0
    Justin GutmanNJOphthalmology Physician$1.8M$0
    Patrick HigginsNJOphthalmology Physician$1.8M$0
    Adnan MallickNJOphthalmology Physician$1.6M$0
    Benjamin FreilichNJOphthalmology Physician$1.5M$111.3K
    Lauren AngiolettiNJOphthalmology Physician$1.5M$0
    Kenneth DarvinNJOphthalmology Physician$1.2M$0
    Carl HyderNJOphthalmology Physician$1.1M$1.6K
    Ahmad RehmaniTXOphthalmology Physician$1M$0
    Steven BraunsteinNJOphthalmology Physician$219.7K$772.4K

    Nearby Providers

    Other providers in the same ZIP code as Eye Centers Of America, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Partnership For Children Of EssexNJCase Management Agency$0$81.2M
    Bayada Home Health Care, Inc.NJHome Health Agency$0$35.2M
    Compassionate Care Hospice Of Clifton, LLCNJCommunity Based Hospice Care Agency$0$21.1M
    Acadia Home Health Care LLCNJHome Health Agency$0$18.6M
    Hospice Of New Jersey LLCNJCommunity Based Hospice Care Agency$0$15M
    Hilal AbboushiNJInternal Medicine Physician$70.3K$2.5M
    Elan DiamondNJHematology & Oncology Physician$1.9M$0
    William DingNJRadiation Oncology Physician$1.7M$0
    Bloomfield Surgi-center, LLCNJAmbulatory Surgical Clinic/Center$457.5K$657.3K
    Anthony IngenitoNJRadiation Oncology Physician$640.3K$0

    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.

    Medicaid Revenue by Year vs. New Jersey Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Eye Centers Of America, LLC — 21 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey