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    OpenPayerNPI Medicare & MedicaidLawrence Singerman
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    Lawrence Singerman — Billing Profile & Reimbursement Data

    NPI 1780678029 · Beachwood, OH · Ophthalmology Physician

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    Lawrence Singerman is a ophthalmology physician provider located in Beachwood, Ohio. This profile covers 16 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
    OrganizationLawrence Singerman
    Address24075 Commerce Park
    CityBeachwood
    StateOH
    ZIP44122
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 1, 2005

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

    Payer SourceTotal Paid
    Medicare$2.1M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer: total Medicare revenue is $2.1M and there is no Medicaid billing on file, so Medicare accounts for the entirety of recorded public-payer activity. Analysts should treat this profile as Medicare-driven when assessing payer strategies or market exposure.

    Revenue is highly concentrated in a small set of drug/injection codes: the precomputed top three Medicare codes account for 78.0% of this provider's Medicare revenue, led by J0178 ($801K, 38.8%), J3490 ($581.7K, 28.2%), and J2781 ($226.6K, 11.0%). This concentration indicates that a few high-cost injectable therapies dominate topline Medicare reimbursement.

    The code mix and descriptions point to a retina-focused ophthalmology practice that performs frequent intravitreal drug administrations and supporting diagnostic imaging. High-revenue injectable codes (J0178, J2781, J2777) together with substantial volumes of retinal imaging (92134) and intermediate/comprehensive eye exams (92012, 92014) are consistent with an injection clinic model treating retinal disease.

    Competitive standing varies by code: J3490 (unclassified drugs) ranks #182 of 2838 nationally (94th percentile) and J2781 (pegcetacoplan) ranks #32 of 490 (94th percentile), both indicating national-level high volume for those drug categories. By contrast, J0178 (aflibercept) is at the 65th percentile (rank #1121 of 3204), suggesting typical national activity for that specific biologic rather than dominance.

    Clinical throughput measures reinforce a high-volume outpatient ophthalmology practice: 92012 (intermediate established patient exam) shows 1.1K claims and ranks in the 98th percentile with $66.2K revenue, described as notably above typical national volume, while 92134 (retinal imaging) is in the 93rd percentile with 1.3K claims. These elevated exam and imaging volumes are consistent with a busy panel of established retinal patients requiring ongoing monitoring and injection workflows.

    There is meaningful business risk from drug-reimbursement concentration: with 78.0% of Medicare revenue tied to the top three codes (all drug/injection-related), changes in drug utilization, pricing, or payer policy for these codes could materially affect overall revenue. Analysts and contract negotiators should prioritize visibility into formulary, unit costs, and prior authorization impacts for these agents.

    Some procedural patterns are notable for volume-versus-dollar dynamics: J2777 (faricimab) shows 7K claims but a lower average paid/claim ($29) and contributes $201.8K (9.8% of Medicare revenue) while ranking at the 37th percentile nationally, suggesting many low-dollar encounters for that code compared with peers. Meanwhile, 67028 (isolated intravitreal injection procedure) appears with 1K claims and $89.1K (4.3% of revenue) at the 68th percentile, indicating routine use of injection procedures alongside billed drug codes.

    The provider has long tenure in the Medicare program, with an NPI enumerated 2005-09-01 (~21 years ago), which supports interpretation of the observed billing mix as an established practice pattern rather than a nascent specialty shift. That longevity, combined with high exam, imaging, and injectable volumes, points to a stable, procedure- and drug-centered ophthalmology operation focused on retinal therapies.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,170$690$801K
    J3490Unclassified drugs330$1,770$581.7K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg1,920$120$226.6K
    J2777Injection, faricimab‑svoa, 0.1 mg6,960$30$201.8K
    67028The 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.1,010$90$89.1K
    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…1,070$60$66.2K
    92134The 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.1,260$30$35.3K
    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…400$80$33.9K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…400$30$10.9K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…50$90$4.5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017839100840$680$729K
    J277743709,480$30$353.3K
    J27813201,040$120$152.4K
    J3490550100$560$73.1K
    6702848150470$90$64K
    920141581,390100$70$12.9K
    9921415,11620,010100$70$11.7K
    92012733050$60$8K
    9921316,71020,00070$50$6.6K
    92134631,01050$30$6.3K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Miami Hospital And ClinicsFLSpecial Hospital$0$62.1M
    Michael MorrisMDDiagnostic Radiology Physician$12M$0
    Retina Associates Of Cleveland, Inc.OHRetina Specialist (Ophthalmology) Physician$0$11.2M
    University Of MiamiFLAnatomic Pathology & Clinical Pathology Physician$0$7.4M
    Scott PendergastOHRetina Specialist (Ophthalmology) Physician$6M$0
    David MillerOHRetina Specialist (Ophthalmology) Physician$4.8M$0
    Jorge FortunFLOphthalmology Physician$3.7M$0
    Llewelyn RaoOHRetina Specialist (Ophthalmology) Physician$3.7M$0
    Joseph ConeyOHRetina Specialist (Ophthalmology) Physician$3.2M$140
    Jaclyn KovachFLOphthalmology Physician$3.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Primary Care Practices IncOHInternal Medicine Physician$0$78.7M
    Pearl's Hope, LLCOHHome Health Agency$0$47.8M
    Health Care Bridge, IncOHHome Health Agency$0$32.3M
    Cleveland Clinic Health System - East RegionOHGeneral Acute Care Hospital$0$31.5M
    Altimate Care LLCOHHome Health Agency$0$24M
    Signature Health, IncOHFederally Qualified Health Center (FQHC)$0$23M
    University Hospitals Ahuja Medical Center, IncOHGeneral Acute Care Hospital$0$21.1M
    Shaker Clinic, LLCOHMental Health Clinic/Center (Including Community Mental Health Center)$0$15.5M
    Psychological & Behavioral Consultants, LLCOHPsychiatry Physician$0$14.9M
    Northeast Home Health ServicesOHHome Health Agency$0$11.9M

    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. Ohio Distribution
    Lawrence Singerman — 2 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio