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NPI 1750549788 · Niles, IL · Retina Specialist (Ophthalmology) Physician
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Matthew Wessel is a retina specialist (ophthalmology) physician provider located in Niles, Illinois. This profile covers 18 Medicare and 19 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 | Matthew Wessel |
| Address | 8780 W Golf Rd Ste 304 |
| City | Niles |
| State | IL |
| ZIP | 60714 |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| NPI Enumerated | May 27, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.3M |
| Medicaid | $1.3M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 35,040 | $30 | $1M |
| J0178 | Injection, aflibercept, 1 mg | 1,240 | $690 | $858.1K |
| 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… | 1,940 | $90 | $169K |
| 67028 | The 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. | 1,290 | $90 | $118.5K |
| 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. | 2,460 | $30 | $68.9K |
| 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… | 350 | $60 | $19K |
| 92202 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 1,530 | $10 | $16.8K |
| 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… | 130 | $120 | $15.4K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 10 | $880 | $11.5K |
| J9035 | Injection, bevacizumab, 10 mg | 180 | $60 | $10.3K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 43 | 140 | 700 | $690 | $688.4K |
| J2777 | 10 | 90 | 9,180 | $30 | $451K |
| 67028 | 42 | 190 | 400 | $90 | $64.4K |
| 92014 | 15 | 1,420 | 130 | $80 | $24.7K |
| J9035 | 54 | 130 | 140 | $60 | $24.6K |
| 67042 | 39 | 50 | 20 | $870 | $21.8K |
| 92012 | 123 | 670 | 100 | $60 | $12.4K |
| 99215 | 5,629 | 6,240 | 40 | $120 | $10.1K |
| 92134 | 35 | 1,080 | 80 | $30 | $9K |
| 99205 | 2,581 | 2,730 | 30 | $160 | $5.7K |
Showing 1–10 of 18
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.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 660 | $1,080 | $706.9K |
| 67028 | The 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. | 2,270 | $170 | $376.3K |
| 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. | 4,650 | $20 | $93K |
| 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… | 3,310 | $30 | $89.3K |
| J9035 | Injection, bevacizumab, 10 mg | 360 | $120 | $43.1K |
| 92226 | N/A | 1,030 | $20 | $23.6K |
| 92202 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 2,410 | $10 | $14.5K |
| 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… | 160 | $20 | $3.3K |
| 92225 | N/A | 80 | $30 | $2.5K |
| 1036F | N/A | 1,390 | $0 | $0 |
Showing 1–10 of 19
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
19 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 9 | 50 | 200 | $1,100 | $391.2K |
| 67028 | The 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. | 19 | 120 | 540 | $160 | $166.3K |
| 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… | 158 | 1,230 | 450 | $40 | $54.1K |
| J9035 | Injection, bevacizumab, 10 mg | 37 | 80 | 290 | $60 | $43.4K |
| 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. | 13 | 250 | 510 | $20 | $20.1K |
| 92226 | N/A | 18 | 50 | 430 | $20 | $19.5K |
| 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… | 370 | 670 | 230 | $30 | $16K |
| 92225 | N/A | 21 | 40 | 90 | $30 | $14.6K |
| 92202 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 2 | 50 | 130 | $10 | $2.4K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 24 | 290 | 150 | $1 | $1 |
Showing 1–10 of 19
Other providers in the same ZIP code as Matthew Wessel, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| American Scientific Laboratory Inc | IL | Clinical Medical Laboratory | $482.2K | $24M |
| Ace Medical Supply LLC | IL | Durable Medical Equipment & Medical Supplies | $0 | $10.3M |
| Village Of Niles | IL | Land Ambulance | $595.4K | $8.3M |
| Hannan Lab Inc | IL | Clinical Medical Laboratory | $7.4M | $209.9K |
| Kingsway Home Health Services,inc | IL | Home Health Agency | $0 | $7.3M |
| Spectrum Lab Corp | IL | Clinical Medical Laboratory | $4.8M | $44.6K |
| Rumya Rao | IL | Retina Specialist (Ophthalmology) Physician | $1.7M | $2M |
| Asian Human Services Family Health Center, Inc | IL | Federally Qualified Health Center (FQHC) | $0 | $3.4M |
| John Eklund | IL | Hematology & Oncology Physician | $1.3M | $8.4K |
| Care One Pharmacy Services LLC | IL | Long Term Care Pharmacy | $262.5K | $856.9K |
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