Loading...
NPI 1760406763 · Astoria, NY · Ophthalmology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Richard Mackool is a ophthalmology physician provider located in Astoria, New York. This profile covers 21 Medicare and 1 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 | Richard Mackool |
| Address | 3127 41st St |
| City | Astoria |
| State | NY |
| ZIP | 11103 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | July 26, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $475.2K |
| Medicaid | $340 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66982 | The 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… | 270 | $670 | $178.6K |
| 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… | 170 | $470 | $81.2K |
| 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… | 320 | $130 | $41.8K |
| 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… | 330 | $70 | $22.4K |
| 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… | 570 | $40 | $19.8K |
| 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 | $19.3K |
| 66174 | The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place. | 50 | $360 | $18.4K |
| 66850 | The provider uses mechanical or ultrasonic methods to break down the lens material and remove it from the eye to treat a cataract, which obscures the patient’s vision. He aspirates the material… | 20 | $720 | $15.9K |
| 66985 | The provider inserts an intraocular lens into the eye of a patient who had previously had cataract removal. | 20 | $710 | $15.5K |
| 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… | 130 | $120 | $14.7K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 179 | 680 | 90 | $430 | $104.3K |
| 66982 | 9 | 280 | 30 | $760 | $35.6K |
| 66174 | 4 | 20 | 30 | $1,020 | $30.5K |
| 92014 | 2,208 | 2,220 | 160 | $100 | $29.3K |
| 99214 | 12,422 | 30,450 | 90 | $100 | $19K |
| 92012 | 370 | 1,640 | 100 | $70 | $17.4K |
| 66821 | 108 | 520 | 30 | $270 | $14.3K |
| 99213 | 20,885 | 31,440 | 80 | $70 | $12.1K |
| 66850 | 1 | 10 | 20 | $660 | $11.9K |
| 66986 | 8 | 10 | 20 | $700 | $11.9K |
Showing 1–10 of 21
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.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 30 | $10 | $350 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 127 | 150 | 140 | $20 | $9.9K |
Other providers in the same ZIP code as Richard Mackool, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Effective Home Care L.L.C. | NY | Home Health Agency | $0 | $155.6M |
| The Mackool Eye Institute, LLC | NY | Ambulatory Surgical Clinic/Center | $1.9M | $4.6M |
| Mukul Khurana | NY | Internal Medicine Physician | $726.5K | $137.9K |
| Khalid Attia | NY | Physical Therapist | $523.3K | $90.1K |
| Marco Benitez | NY | Neurology Physician | $286.9K | $0 |
| Ioannis Stathopoulos | NY | Specialist | $220.9K | $33.3K |
| Ibrahim Mansour | NY | Internal Medicine Physician | $173.4K | $0 |
| Janhavi Modh | NY | Physical Therapist | $55.6K | $30 |
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.