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NPI 1770549560 · Pittsburgh, PA · Ophthalmology Physician
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Dawn Herzig is a ophthalmology physician provider located in Pittsburgh, Pennsylvania. This profile covers 7 Medicare and 6 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 | Dawn Herzig |
| Address | 2000 Technology Dr Ste 250 |
| City | Pittsburgh |
| State | PA |
| ZIP | 15219 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | April 21, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $75K |
| Medicare | $21.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 67312 | A strabismus repair is performed to realign the eye muscle. The physician has to either perform a recession (weakening) or resection (strengthening) of the muscles in order to correct the patient's… | 10 | $510 | $6.7K |
| 67335 | In this add on procedure, the provider places adjustable sutures on the extraocular muscle that the provider is performing a separately reportable strabismus repair on. The provider performs this… | 20 | $160 | $3.6K |
| 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… | 50 | $60 | $3.2K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 80 | $40 | $3K |
| 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… | 50 | $60 | $2.9K |
| 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… | 10 | $100 | $1.2K |
| 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… | 20 | $60 | $960 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,150 | $30 | $32.1K |
| 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… | 720 | $30 | $22.4K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 210 | $30 | $7.3K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 430 | $10 | $5.2K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 80 | $60 | $4.8K |
| 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… | 90 | $40 | $3.6K |
How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Pennsylvania median
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 2,592 | 8,870 | 240 | $40 | $56.1K |
| 92060 | The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and… | 31 | 60 | 280 | $40 | $38.5K |
| 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… | 577 | 860 | 240 | $40 | $37K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 408 | 650 | 170 | $40 | $28.7K |
| 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… | 35 | 350 | 110 | $30 | $14.4K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 215 | 650 | 180 | $10 | $4.6K |
Other providers in the same ZIP code as Dawn Herzig, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Maxim Healthcare Services, Inc. | PA | Home Health Agency | $0 | $54.9M |
| Renewl, Inc. | PA | Substance Abuse Rehabilitation Facility | $0 | $29.7M |
| Upmc Mercy | PA | General Acute Care Hospital | $0 | $16.7M |
| Passages To Recovery, Inc. | PA | Substance Abuse Rehabilitation Facility | $0 | $9.9M |
| Every Child Inc | PA | Public Health or Welfare Agency | $0 | $6M |
| Ravikumar Alagar | PA | Pulmonary Disease Physician | $373K | $0 |
| Vivek Joshi | PA | Diagnostic Radiology Physician | $294.4K | $4.5K |
| Margaret Miller | PA | Diagnostic Radiology Physician | $51.6K | $176.9K |
| Daniel Yang | PA | Student in an Organized Health Care Education/Training Program | $187.3K | $2.7K |
| Anthony Camarda | PA | Foot & Ankle Surgery Podiatrist | $175.1K | $0 |
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