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    OpenPayerNPI Medicare & MedicaidWarren Goldblatt
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    Warren Goldblatt — Billing Profile & Reimbursement Data

    NPI 1689677742 · Portsmouth, NH · Ophthalmology Physician

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    Warren Goldblatt is a ophthalmology physician provider located in Portsmouth, New Hampshire. This profile covers 23 Medicare and 0 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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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWarren Goldblatt
    Address155 Borthwick Ave
    CityPortsmouth
    StateNH
    ZIP03801
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 23, 2005

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

    Payer SourceTotal Paid
    Medicare$434K
    Medicaid$0

    Key Findings

    Revenue concentration is highly focused on a small set of ophthalmic services: the top three Medicare codes (66984, 92014, 99214) together account for 65.6% of this provider’s total Medicare revenue. Those three codes individually account for $191K (44.0%) from 66984, $59.4K (13.7%) from 92014, and $34.2K (7.9%) from 99214, underscoring that a small number of procedure types drive most of the $434K in Medicare lifetime revenue.

    The procedural mix indicates a cataract- and office-based ophthalmology practice: 66984 (cataract extraction with intraocular lens insertion) is the single largest revenue generator with 439 claims and $435 avg paid/claim yielding $191K, and related services appear throughout the top codes (66821 YAG capsulotomy at $33.5K, 92136 biometry at $11.5K). Diagnostic imaging and functional testing (92134, 92133, 92083) and both new and established ophthalmology office visits (92004/92014, 99204/99214) appear as complementary services, consistent with a practice that performs cataract surgery plus pre/postoperative and diagnostic care.

    Payer mix is effectively single-payer Medicare: this profile reports $434K in lifetime Medicare revenue and none (no Medicaid billing on file) in Medicaid, indicating no Medicaid activity on the claims record rather than a mixed Medicare/Medicaid panel. Analysts should treat the provider as Medicare-dependent for observed reimbursed activity and competitive comparisons.

    Competitive standing on surgical volume is solid but not dominant nationally: 66984 ranks #3173 of 15965 providers (80th percentile; typical, unremarkable volume) and 66821 ranks #2102 of 10087 (79th percentile; typical, unremarkable), suggesting steady cataract surgical throughput but not a national outlier. Office-visit volumes are relatively strong in some areas—92014 ranks #3045 of 35415 (91th percentile; typical, unremarkable volume) and 99214 ranks #74360 of 479517 (84th percentile; typical, unremarkable volume)—positioning the provider as a modest-to-strong regional participant rather than a high-volume national center.

    There are specific statistical highs for diagnostic and new-patient services that stand out: 99204 (new patient E/M) is listed at the 94th percentile and described as notably above typical national volume, and 92133 (optic nerve imaging) is at the 93th percentile and also described as notably above typical national volume. These above-typical flags suggest the practice has relatively elevated activity in higher-complexity new patient evaluations and optic nerve imaging compared with peers.

    Complex intraocular procedures are present but low-frequency: codes such as 66982 (complex intraocular lens insertion) and 66991 (IOL insertion with aqueous drainage device) each report only 20 claims and contribute $11.7K and $11.1K respectively, with national standing at the 29th and 17th percentiles (both described as typical, unremarkable volume). This pattern indicates occasional provision of more complex surgical services without sustained high-volume throughput.

    Revenue-per-claim characteristics differentiate service types: surgical cataract cases pay substantially more per event (66984 avg paid/claim $435) than routine office exams (92014 avg paid/claim $81) and established E/M visits (99214 avg paid/claim $90), which aligns with a business model where fewer higher-paid surgical encounters account for a large share of revenue while higher-volume, lower-paid office visits provide patient flow. Analysts should expect the practice’s financial sensitivity to fluctuations in surgical caseloads given this per-claim disparity.

    Provider tenure is long-standing: the NPI was enumerated 2005-05-23 (~21 years ago), indicating an established practice history in Portsmouth, NH. Long tenure combined with the observed code mix suggests a mature ophthalmology practice with an established patient base and recurring surgical and diagnostic activity.

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…440$440$191K
    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…730$80$59.4K
    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…380$90$34.2K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.110$310$33.5K
    99204The provider sees a new 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 provider…140$110$14.8K
    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…230$60$14.5K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…20$590$11.7K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…370$30$11.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.120$100$11.2K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…20$550$11.1K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669841460220$310$144.6K
    66991111040$1,590$74.7K
    66982233030$660$26.5K
    9201418210170$80$21.2K
    6682164060$250$19.4K
    992143573,150110$80$13.2K
    92012417060$60$8.2K
    65855173040$170$8K
    992134102,90070$50$6.9K
    92136650200$30$6K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Androscoggin Valley Hospital, Inc.NHCritical Access Hospital$0$8.3M
    Kinley BeckNHRetina Specialist (Ophthalmology) Physician$4.2M$0
    Andre WitkinMARetina Specialist (Ophthalmology) Physician$2.9M$0
    Eliot FoleyNHRetina Specialist (Ophthalmology) Physician$935.8K$0
    Eyesight Ophthalmic Services PLLCNHOphthalmology Physician$0$762.4K
    Dana GraichenMEOphthalmology Physician$649.6K$0
    Jason SzelogNHOphthalmology Physician$541.5K$0
    Timothy SullivanNHOphthalmology Physician$471.2K$0
    Julius TabeMAFamily Medicine Physician$449.6K$2.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Region Viii, One Sky Community Services Inc.NHCase Management Agency$0$192.2M
    Novocure Inc.NHDurable Medical Equipment & Medical Supplies$0$113.1M
    Seacoast Mental Health Center, Inc.NHMental Health Clinic/Center (Including Community Mental Health Center)$0$74.2M
    Hca Health Services Of New Hampshire IncNHGeneral Acute Care Hospital$0$18.8M
    Pmc Medical Group, LLCNHGeneral Practice Physician$392K$11.2M
    Greater Seacoast Community HealthNHFederally Qualified Health Center (FQHC)$0$6.6M
    Portsmouth School DepartmentNHLocal Education Agency (LEA)$0$2.6M
    Preferred Home Health Care And Nursing ServicesNHDurable Medical Equipment & Medical Supplies$0$2.3M
    Watterworth Orthodontics, PANHOrthodontics and Dentofacial Orthopedics Dentistry$0$2.3M
    Granite PathwaysNHCommunity/Behavioral Health Agency$0$2.1M

    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. New Hampshire Distribution
    Warren Goldblatt — 2 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire