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NPI 1790063121 · New York, NY · Ophthalmology Physician
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Andrew Nightingale is a ophthalmology physician provider located in New York, New York. This profile covers 18 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 | Andrew Nightingale |
| Address | 1776 Broadway Ste 1410 |
| City | New York |
| State | NY |
| ZIP | 10019 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | August 2, 2011 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $437.7K |
| Medicaid | $63.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
18 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 320 | $480 | $152.3K |
| 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… | 1,040 | $100 | $98.3K |
| 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. | 390 | $120 | $45.6K |
| 92134 | The 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. | 790 | $30 | $25.3K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 60 | $300 | $17.8K |
| 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… | 680 | $30 | $17.8K |
| 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 | $110 | $14.1K |
| 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… | 270 | $50 | $13.5K |
| 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… | 400 | $30 | $11.7K |
| 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… | 130 | $80 | $10.1K |
Showing 1–10 of 18
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
18 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 94 | 680 | 90 | $430 | $104.3K |
| 92014 | 126 | 2,220 | 160 | $100 | $29.3K |
| 99214 | 12,141 | 30,450 | 90 | $100 | $19K |
| 92012 | 694 | 1,640 | 100 | $70 | $17.4K |
| 66821 | 128 | 520 | 30 | $270 | $14.3K |
| 99213 | 19,284 | 31,440 | 80 | $70 | $12.1K |
| 92134 | 178 | 1,580 | 90 | $30 | $11.2K |
| 92004 | 33 | 1,750 | 50 | $110 | $9.2K |
| 92083 | 229 | 1,630 | 70 | $50 | $6.9K |
| 92250 | 317 | 1,700 | 80 | $30 | $5.2K |
Showing 1–10 of 18
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 |
|---|---|---|---|---|
| 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… | 530 | $70 | $37.2K |
| 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. | 150 | $110 | $16.7K |
| 92134 | The 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. | 210 | $20 | $5.1K |
| 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… | 190 | $20 | $4.1K |
| 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… | 10 | $30 | $360 |
| 92202 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 30 | $10 | $130 |
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
6 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average 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… | 1,018 | 2,440 | 330 | $70 | $92.6K |
| 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. | 1,404 | 2,240 | 320 | $80 | $83K |
| 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… | 810 | 900 | 310 | $40 | $53.1K |
| 92134 | The 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. | 440 | 730 | 370 | $20 | $30K |
| 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… | 343 | 720 | 170 | $30 | $21.6K |
| 92202 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 418 | 530 | 210 | $10 | $9.8K |
Other providers in the same ZIP code as Andrew Nightingale, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| St Lukes Roosevelt Hospital Center | NY | General Acute Care Hospital | $0 | $190.5M |
| Karen Thornton | NY | Family Medicine Physician | $183K | $13.5M |
| West Side Gi, LLC | NY | Ambulatory Surgical Clinic/Center | $566.4K | $13M |
| Armistead Williams | NY | Neurology Physician | $6.7M | $0 |
| Roosevelt Surgery Center, LLC | NY | Ambulatory Surgical Clinic/Center | $1.1M | $938.4K |
| Elizabeth Kavaler | NY | Urology Physician | $1.7M | $0 |
| Esoterix Genetic Laboratories, LLC | NY | Clinical Medical Laboratory | $418.7K | $724.2K |
| Suelane Do Ouro | NY | Interventional Pain Medicine Physician | $682.3K | $332.8K |
| Robert Howard | NY | Registered Dietitian | $17K | $962.8K |
| James Stark | NY | Neurology Physician | $827.7K | $0 |
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