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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMatthew Vicinanzo
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    Matthew Vicinanzo — Billing Profile & Reimbursement Data

    NPI 1740283266 · Birmingham, AL · Ophthalmic Plastic and Reconstructive Surgery Physician

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    Matthew Vicinanzo is a ophthalmic plastic and reconstructive surgery physician provider located in Birmingham, Alabama. This profile covers 20 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
    OrganizationMatthew Vicinanzo
    Address1000 19th St S
    CityBirmingham
    StateAL
    ZIP35205
    TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
    NPI EnumeratedMay 30, 2005

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

    Payer SourceTotal Paid
    Medicare$170K
    Medicaid$0

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    67904The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…60$560$32.7K
    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…230$100$23.4K
    14060The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.40$400$16.8K
    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…180$60$10.4K
    68720The provider performs a dacryocystorhinostomy, or DCR, to correct dysfunction of the nasolacrimal duct and restore the flow of tears from the tear duct into the nose.20$570$9.7K
    14061The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10.1 cm2 to 30.0 cm2 in size.10$600$8.4K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…20$540$8.1K
    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…100$70$7K
    67917During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…20$270$6.3K
    67950Canthoplasty (median or lateral) is often referred to as a corner eye lift or eye tendon surgery. The ophthalmologist uses this technique to strengthen the lateral canthal tendon or orbicularis…40$170$5.9K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    15823192030$490$25.1K
    15260263020$660$25K
    14061152020$660$21.7K
    6790421030$530$20K
    992144,9697,330120$80$16.8K
    1406073030$520$15.6K
    6790031030$360$11.3K
    6872011020$570$9.7K
    6791731020$390$8.9K
    992131,5386,47080$50$7.9K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Uahsf NeonatologyALNeonatal-Perinatal Medicine Physician$0$94M
    University Of Alabama Health Services Foundation, PCALPediatrics Physician$0$79.6M
    University Of Alabama Health Services Foundation, PC.ALMulti-Specialty Clinic/Center$0$77.1M
    University Of Alabama Health Services Foundation PCALClinic/Center$0$18.6M
    University Of Alabama Ophthalmology Services FoundationALOphthalmology Physician$0$6.9M
    University Of Alabama At BirminghamALClinical Medical Laboratory$2.9K$3.2M
    Chelsea CockrellMSFamily Nurse Practitioner$3M$0
    University Of Alabama At BirminghamALGeneral Acute Care Hospital$0$2.7M
    Alabama Ophthalmology Associates, P.C.ALOphthalmology Physician$0$2.1M
    Primary Care ClinicALPediatrics Physician$0$1.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Paragon Contracting Services LLCALEmergency Medicine Physician$0$54.5M
    Oral & Facial Surgery Of Al, PCALSpecialist$0$6.4M
    Pediatric Dental Associates Of Birmingham, LLCALPediatric Dentistry$0$6.1M
    University Of Alabama At BirminghamALDevelopmental Disabilities Clinic/Center$0$4.8M
    Magnolia Pediatrics South IncALPediatric Adolescent Medicine Physician$0$2.9M
    Birmingham Pediatric AssocALPediatrics Physician$0$2.5M
    St. Vincent's P.e.t. Center, LLCALDiagnostic Radiology Physician$1.6M$0
    St. Vincent's BirminghamALGeneral Acute Care Hospital$0$1.3M
    Cara BondlyALHematology & Oncology Physician$986.3K$0
    Redmont Pediatric Associates, P.C.ALSpecialist$0$946.2K

    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. Alabama Distribution
    Matthew Vicinanzo — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama