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NPI 1679591044 · Fair Lawn, NJ · Optometrist
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Robert Sholomon is a optometrist provider located in Fair Lawn, New Jersey. This profile covers 13 Medicare and 8 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 | Robert Sholomon |
| Address | 4-14 Saddle River Rd |
| City | Fair Lawn |
| State | NJ |
| ZIP | 07410 |
| Taxonomy | Optometrist |
| NPI Enumerated | July 17, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $128.4K |
| Medicaid | $10 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
13 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… | 320 | $110 | $35.5K |
| 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. | 310 | $110 | $34.8K |
| 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. | 110 | $130 | $14.7K |
| 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… | 130 | $80 | $10.1K |
| 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,… | 280 | $30 | $8.9K |
| 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… | 70 | $120 | $8.1K |
| 76512 | The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures. | 110 | $40 | $4.2K |
| 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… | 110 | $40 | $4.2K |
| 92025 | The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report. | 80 | $30 | $2.5K |
| 92283 | The provider uses an optical instrument, such as a Nagel anomaloscope, that uses long wavelengths of yellow–green light, which a patient adjusts, to match a predetermined ratio of red to green light;… | 60 | $40 | $2.5K |
Showing 1–10 of 13
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
13 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99309 | 1,281 | 1,400 | 210 | $80 | $37.5K |
| 92014 | 375 | 1,130 | 160 | $100 | $34.9K |
| 92012 | 431 | 800 | 140 | $70 | $18.5K |
| 68761 | 8 | 160 | 40 | $160 | $15K |
| 92273 | 21 | 50 | 60 | $110 | $12.5K |
| 92004 | 145 | 900 | 40 | $110 | $8K |
| 92083 | 766 | 800 | 60 | $50 | $5.9K |
| 92250 | 169 | 930 | 90 | $30 | $5.2K |
| 76512 | 23 | 100 | 50 | $40 | $4K |
| 92283 | 4 | 20 | 30 | $50 | $3.4K |
Showing 1–10 of 13
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.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 2022F | The ophthalmology or optometry provider performs a dilated retinal eye exam in a diabetic patient with evidence of diabetic retinopathy. He interprets the findings and documents them in the patient’s… | 80 | $0 | $0 |
| 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. | 450 | $0 | $0 |
| 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… | 1,800 | $0 | $0 |
| 92015 | The 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. | 1,520 | $0 | $0 |
| 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,… | 140 | $0 | $0 |
| V2020 | Frames, purchases | 1,460 | $0 | $0 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 420 | $0 | $0 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 690 | $0 | $0 |
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
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 195 | 730 | 470 | $20 | $51K |
| 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,… | 199 | 330 | 280 | $20 | $34.3K |
| 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. | 272 | 690 | 260 | $30 | $27.2K |
| 92015 | The 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. | 153 | 570 | 540 | $10 | $16.4K |
| V2020 | Frames, purchases | 210 | 630 | 580 | $1 | $10.7K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 257 | 460 | 620 | $1 | $8.4K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 52 | 170 | 250 | $1 | $3.8K |
| 2022F | The ophthalmology or optometry provider performs a dilated retinal eye exam in a diabetic patient with evidence of diabetic retinopathy. He interprets the findings and documents them in the patient’s… | 26 | 40 | 130 | $1 | $1 |
Other providers in the same ZIP code as Robert Sholomon, ranked by combined Medicare and Medicaid revenue.
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