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    v1.0.28
    OpenPayerNPI Medicare & MedicaidLee Klombers
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    Lee Klombers — Billing Profile & Reimbursement Data

    NPI 1780664367 · Lancaster, PA · Pediatric Ophthalmology and Strabismus Specialist Physician Physician

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    Lee Klombers is a pediatric ophthalmology and strabismus specialist physician physician provider located in Lancaster, Pennsylvania. This profile covers 13 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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    Progress1 / 7

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationLee Klombers
    Address2108 Harrisburg Pike Ste 100
    CityLancaster
    StatePA
    ZIP17601
    TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician Physician
    NPI EnumeratedJanuary 19, 2006

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

    Payer SourceTotal Paid
    Medicare$146.5K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit8,200$10$41K
    92060The 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…470$40$19.4K
    92012For 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…270$60$15.7K
    92014An 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…190$80$15.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.150$100$14.6K
    64612In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.80$120$9.9K
    67311The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is…20$440$6.6K
    67314A 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…20$330$6K
    92083The 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…140$40$5.7K
    67332In this add on procedure, the provider performs strabismus repair to realign the eye muscles. The provider performs this procedure in patients who have scarring from previous strabismus surgeries…20$210$4.8K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0585601407,600$1$47.7K
    920146101,570130$80$21K
    9201219193080$60$14K
    6731131020$460$9.3K
    921345661,32060$30$8.4K
    6461254050$120$6.3K
    6731411020$390$6.2K
    92004661,06030$100$5K
    6733211020$210$4.8K
    920832491,31050$40$4.1K

    Showing 1–10 of 13

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayada Home Health Care, Inc.PAHome Health Agency$0$34.4M
    Andventure, LLCPAHome Health Agency$0$26.7M
    Efcc Acquisition CorpPAHome Health Agency$0$13.1M
    Smilebuilderz LLCPADentist$0$11.5M
    Teamcare Behavioral Health, LLCPAMental Health Clinic/Center (Including Community Mental Health Center)$0$8.3M
    Horizon Healthcare Services, LLCPAHome Infusion Therapy Pharmacy$12.2K$6.5M
    Penn State Health Lancaster Medical CenterPAGeneral Acute Care Hospital$0$5.4M
    Advanced Surgery Center Of Lancaster, LLCPAAmbulatory Surgical Clinic/Center$4M$0
    Roy BrodPARetina Specialist (Ophthalmology) Physician$2.8M$0
    Dina GewailyPAOphthalmology Physician$1.8M$2.7K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Pennsylvania Distribution
    Lee Klombers — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Pennsylvania