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NPI 1801086202 · Alexandria, LA · Ophthalmology Physician
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Eric Reish is a ophthalmology physician provider located in Alexandria, Louisiana. This profile covers 36 Medicare and 8 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 | Eric Reish |
| Address | 231 Windermere Blvd |
| City | Alexandria |
| State | LA |
| ZIP | 71303 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | July 31, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $975.5K |
| Medicaid | $106.9K |
ERIC REISH is an ophthalmology physician with a long Medicare/NPI tenure, enumerated since 2007-07-31 (~19 years ago), indicating an established practice likely integrated into local referral and outpatient networks in Alexandria, LA. That tenure supports continuity of service lines reflected in the billed CPT/HCPCS mix.
Medicare dominates this provider’s public-payer revenue: total Medicare revenue is $975.5K versus total Medicaid revenue of $106.9K, so Medicare is the primary payer by scale and likely drives patient volume, procedural mix, and financial performance.
Revenue concentration on Medicare is moderate: the precomputed top 3 Medicare codes by revenue account for 40.2% of total Medicare revenue, showing that a few high-revenue services (notably J0178, 66984, and 93890/93886/92014 clusters) materially shape the Medicare revenue stream rather than an extremely diffuse case mix.
On Medicaid the revenue concentration is much higher: the top 3 Medicaid codes by revenue account for 73.4% of total Medicaid revenue, indicating Medicaid billing is largely concentrated in a small set of services (92014, 93890, 93886/93892) and that the provider’s Medicaid business is less diversified.
The provider’s code mix indicates a dual focus on medical retina/intravitreal therapy and comprehensive ophthalmic care: J0178 (aflibercept injection) is the single highest Medicare revenue code at $148.3K, and high volumes of evaluation/management and diagnostic imaging codes such as 92014 ($101.6K) and 92134 ($17.7K) point to ongoing medical management and in-office procedures for retinal disease and cataract care. Surgical cataract procedures (66984 at $130.8K and related codes 66982/66991) also contribute meaningfully, reflecting a combined surgical and medical ophthalmology practice rather than a purely diagnostic clinic.
Competitive standing varies by code: for several diagnostic ultrasound/vascular codes the provider ranks near the top nationally — 93890 ranks #8 of 278 providers (97th percentile) and 93892 ranks #7 of 325 providers (98th percentile) for Medicare, described as notably above typical national volume for at least 93886/93892 — suggesting regional specialization or niche referral patterns for cerebrovascular Doppler studies. By contrast, J0178 ranks in the 20th percentile nationally (typical, unremarkable volume) and 66984 is 77th percentile (typical), indicating that for retina drug administration and cataract surgery the provider is a modest participant relative to national peers.
Medicaid competitive positioning is more localized: 92014 is ranked #401 of 655 in-state (39th percentile) for Medicaid, and the ultrasound/vascular codes (93890, 93886, 93892) appear among a small set of in-state billers where this provider ranks in the mid-range (e.g., #5 of 8 or #9 of 13), indicating the practice plays a visible but not dominant role in these services within Louisiana Medicaid.
Procedure-level statistical signals: several codes are flagged as “notably above typical national volume” (for example 93886 and 92014 on Medicare at the 98th and 97th percentiles respectively), which in plain terms means the provider reports substantially higher-than-typical volumes nationally for those services and may be a regional referral site for vascular ultrasound and comprehensive ophthalmic exams. Other high-revenue codes like J0178 and 66984 are characterized as typical/unremarkable volume, so the largest single Medicare revenue driver (aflibercept) does not by itself indicate above-average national scale.
Operational implications for payers and network managers: the mix of high-volume office visits (92014/92012), diagnostic imaging (92134, 92133, visual field testing), intravitreal injections (J0178, J9035, 67028), and cataract surgery (66984, 66982) suggests this provider is suitable for inclusion in networks that need a full-service ophthalmology practice capable of medical retina management, perioperative cataract care, and neurovascular ultrasound services. Given the strong Medicare revenue base and relatively small Medicaid revenue ($106.9K), payers should treat this provider as primarily Medicare-facing when modeling utilization and contracting benchmarks.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
36 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 210 | $690 | $148.3K |
| 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… | 350 | $380 | $130.8K |
| 93890 | N/A | 550 | $200 | $107.1K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 550 | $190 | $104.9K |
| 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… | 1,270 | $80 | $101.6K |
| 93892 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or… | 550 | $110 | $59.8K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 210 | $220 | $46.4K |
| 68761 | The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome. | 210 | $150 | $31.3K |
| 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… | 330 | $80 | $27.1K |
| 67028 | The 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. | 320 | $80 | $26.1K |
Showing 1–10 of 36
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 36 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
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.
8 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… | 580 | $60 | $36.5K |
| 93890 | N/A | 110 | $190 | $21.7K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 110 | $180 | $20.4K |
| 93892 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or… | 110 | $170 | $19.8K |
| 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… | 90 | $50 | $4.4K |
| 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. | 60 | $80 | $4.3K |
| 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. | 150 | $0 | $0 |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 70 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
8 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… | 401 | 660 | 1,070 | $60 | $129.3K |
| 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. | 497 | 580 | 610 | $80 | $103.9K |
| 93892 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He does not injection a microbubble of saline or… | 5 | 10 | 170 | $90 | $63.6K |
| 93886 | The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow… | 9 | 10 | 230 | $90 | $57.5K |
| 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… | 187 | 260 | 330 | $30 | $41.7K |
| 93890 | N/A | 5 | 10 | 160 | $20 | $14.5K |
| 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. | 394 | 520 | 940 | $1 | $9.8K |
| 99072 | The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items… | 71 | 90 | 240 | $0 | $0 |
Other providers in the same ZIP code as Eric Reish, ranked by combined Medicare and Medicaid revenue.
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