Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. District of Columbia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Daniel Pluznik (NPI 1699871194)

Field	Value
Entity Type	Individual
Organization	Daniel Pluznik
Address	1155 21st St Nw Ste M400
City	Washington
State	DC
ZIP	20036
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 15, 2006

Payer Source	Total Paid
Medicare	$349.3K
Medicaid	$0

Key Findings

This provider’s revenue is effectively single‑payer Medicare: total Medicare revenue on file is $349.3K and there is no Medicaid billing on file. The absence of any Medicaid entries indicates the practice’s commercial footprint in state safety‑net programs is minimal or nonexistent in the available data.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes by revenue account for 69.3% of this provider's total Medicare revenue. The single largest code is 66984 ($136.7K, 39.1% of Medicare revenue), followed by 99214 ($78.5K, 22.5%) and 99213 ($26.9K, 7.7%), showing most dollars come from cataract procedures plus office E&M.

Clinical mix and service line inference: the dominance of 66984 along with meaningful billing for 66821 (66 claims, $18.3K, 5.3%) and biometric/imaging codes such as 92136 (309 claims, $11.4K, 3.3%) suggests an ophthalmology practice organized around cataract surgery and its peri‑operative pathway. The presence of procedure codes for intraocular lens implantation and YAG capsulotomy supports an operative workflow with associated pre‑ and post‑operative diagnostic services.

Operational profile leans on both surgery and clinic throughput: 99214 (826 claims, $78.5K, 22.5%) and 99213 (384 claims, $26.9K, 7.7%) together represent a substantial E&M revenue stream and indicate a busy established‑patient clinic. 99204 (169 claims, $21.1K, 6.0%) is also notable, and its high rank suggests steady new‑patient evaluation volume feeding the practice’s care pipeline.

Competitive standing by code is mixed: for cataract extraction 66984 the provider ranks #4008 of 15965 (75th percentile; typical, unremarkable volume for this code), indicating a respectable but not dominant national presence in surgical cataract volume. By contrast, 99214 ranks #18172 of 479517 (96th percentile; notably above typical national volume for this code), signaling the provider is well above typical national volume for higher‑level office visits.

Diagnostic and ancillary services contribute meaningfully to revenue and clinical management: OCT imaging 92134 (531 claims, $17.5K, 5.0%) and visual field testing 92083 (211 claims, $10.6K, 3.0%) together support longitudinal disease management such as glaucoma and retinal monitoring and are nontrivial revenue lines for the practice. Both codes also rank above typical national volume (92134 at the 88th percentile and 92083 at the 87th percentile), consistent with a diagnostics‑enabled ophthalmology workflow.

Tenure is long: the NPI was enumerated on 2006-09-15 (~20 years ago), which indicates an established provider with likely stable referral and payer relationships over time. That length of active enrollment increases the plausibility that current billing patterns reflect an entrenched clinical model rather than a new or transient practice.

Concentration exposure and payer risk: with no Medicaid revenue on file and top three Medicare codes making up 69.3% of Medicare revenue, the provider’s financial results appear concentrated in a few services and entirely dependent on Medicare reimbursement. This profile creates sensitivity to Medicare volume or fee changes for cataract surgery and office E&M, and suggests limited diversification across payer types in the available data.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The 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…	300	$450	$136.7K
99214	The 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…	830	$100	$78.5K
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…	380	$70	$26.9K
99204	The 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…	170	$130	$21.1K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	70	$280	$18.3K
92134	The 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.	530	$30	$17.5K
65820	The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.	20	$740	$17.1K
92136	The 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…	310	$40	$11.4K
92083	The 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…	210	$50	$10.6K
92133	The 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…	210	$30	$5.8K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Daniel Pluznik — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	4	30	70	$460	$45.8K
65820	1	10	20	$700	$15.5K
99214	26	1,400	90	$100	$15.3K
66821	2	20	30	$290	$9.6K
92250	26	40	130	$30	$9.3K
99213	90	1,200	50	$70	$8.5K
92134	5	50	120	$30	$8.3K
92083	13	60	90	$50	$7.8K
99204	21	670	30	$130	$6.4K
92133	12	50	90	$30	$3.8K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Johnson	VA	Retina Specialist (Ophthalmology) Physician	$3.6M	$0
Travis Peck	MD	Ophthalmology Physician	$2.5M	$0
Joshua Levinson	MD	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
William Phillips	MD	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
Erwin Puente	MD	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
Sneha Padidam	MD	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
Brian Do	MD	Retina Specialist (Ophthalmology) Physician	$1.2M	$0
Mariam Mathai	MD	Retina Specialist (Ophthalmology) Physician	$1.1M	$4.2K
Jordan Heffez	MD	Retina Specialist (Ophthalmology) Physician	$855.2K	$0
Musa Abdelaziz	TX	Retina Specialist (Ophthalmology) Physician	$693.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Health Management, Inc.	DC	Home Health Agency	$0	$70.9M
Asap Services Corporation	DC	Home Health Agency	$0	$44.3M
Palisades Healthcare Partners Inc	DC	Home Health Agency	$0	$4.7M
Mindflower Limited Liability Company	DC	Professional Counselor	$0	$3.6M
Altasource Management Company, LLC.	DC	Case Management Agency	$0	$2.2M
Suburban/nrh Medical Rehabilitation Inc	DC	Rehabilitation Clinic/Center	$0	$1.8M
Capitol Oms PLLC	DC	Dentist	$0	$1.7M
Thomas Shin	DC	Oral and Maxillofacial Surgery (Dentist)	$0	$1.6M
Therapeutic Links Behavioral Health Services, LLC	DC	Clinical Social Worker	$0	$1.2M
Bio-medical Applications Of The District Of Columbia, Inc.	DC	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$936.8K

Daniel Pluznik — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References