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NPI 1780684902 · North Adams, MA · Ophthalmology Physician
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Estela Ogiste is a ophthalmology physician provider located in North Adams, Massachusetts. This profile covers 27 Medicare and 11 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 | Estela Ogiste |
| Address | 77 Hospital Ave Ste 110 |
| City | North Adams |
| State | MA |
| ZIP | 01247 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | July 29, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $357.5K |
| Medicaid | $21.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 900 | $90 | $78.5K |
| 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… | 130 | $420 | $56.3K |
| 92083 | The 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… | 630 | $50 | $28.8K |
| 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… | 40 | $590 | $24.8K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 60 | $310 | $20K |
| 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. | 200 | $100 | $19.9K |
| 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… | 280 | $70 | $18.5K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 700 | $30 | $17.6K |
| 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… | 190 | $80 | $16.3K |
| 65855 | In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma. | 70 | $210 | $14K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 183 | 330 | 170 | $200 | $143.2K |
| 66982 | 47 | 140 | 30 | $680 | $36.9K |
| 92014 | 103 | 1,070 | 160 | $90 | $30.1K |
| 66821 | 78 | 240 | 40 | $210 | $17.4K |
| 99214 | 4,820 | 15,410 | 110 | $80 | $15.6K |
| 92012 | 344 | 560 | 90 | $70 | $12.4K |
| 92134 | 128 | 670 | 70 | $30 | $10.6K |
| 65855 | 24 | 100 | 30 | $160 | $8.9K |
| 99213 | 1,841 | 13,700 | 70 | $60 | $8.8K |
| 66761 | 9 | 40 | 30 | $180 | $7.7K |
Showing 1–10 of 27
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 400 | $30 | $11.9K |
| V2020 | Frames, purchases | 280 | $20 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 70 | $20 | $1.6K |
| 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… | 40 | $30 | $1.4K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 50 | $10 | $490 |
| 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… | 10 | $30 | $350 |
| 92275 | N/A | 10 | $20 | $210 |
| 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. | 160 | $1 | $160 |
| 92100 | Code 92100 describes multiple measurements of intraocular pressure taken over a given time period on a single day in order to monitor response to treatment or document pressure changes throughout the… | 20 | $1 | $60 |
| 92083 | The 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… | 20 | $1 | $30 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Massachusetts providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Massachusetts median
11 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 4,857 | 5,040 | 200 | $70 | $209.5K |
| V2020 | Frames, purchases | 47 | 130 | 180 | $20 | $196.8K |
| 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… | 137 | 190 | 210 | $50 | $63.9K |
| 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. | 209 | 590 | 160 | $70 | $60.6K |
| 92083 | The 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… | 91 | 100 | 260 | $20 | $30.6K |
| 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. | 480 | 800 | 330 | $10 | $22.7K |
| 92133 | The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both… | 81 | 110 | 280 | $10 | $17.7K |
| 92275 | N/A | 3 | 10 | 280 | $70 | $12.7K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 19 | 40 | 40 | $30 | $10.2K |
| 76514 | The provider uses conventional contact B scan imaging to measure the thickness of the cornea in one or both eyes. | 26 | 30 | 50 | $10 | $2.8K |
Showing 1–10 of 11
Other providers in the same ZIP code as Estela Ogiste, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Berkshire Family And Individual Resources, Inc | MA | Developmentally Disabled Services Day Training Agency | $0 | $12.5M |
| North Adams Ambulance Service Inc | MA | Ambulance | $1.7M | $3.8M |
| Victoria Cavalli | MA | Dermatology Physician | $326.1K | $0 |
| Gerardo Torres | MA | Clinical Psychologist | $155.2K | $0 |
| Suk Namkoong | MA | Orthopaedic Surgery Physician | $104K | $0 |
| Wal-mart Stores East , LP | MA | Community/Retail Pharmacy | $86.8K | $0 |
| Oscar Rodriguez | MA | Emergency Medicine Physician | $46.9K | $14.9K |
| Paul Donovan | MA | Emergency Medicine Physician | $60.2K | $0 |
| Victoria Maxwell | MA | Physician Assistant | $33K | $7.5K |
| Sarah Chenail | MA | Physician Assistant | $34.2K | $4.4K |
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