Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Jersey (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Eye Physicians Of Sussex County (NPI 1801993217)

Field	Value
Entity Type	Organization
Organization	Eye Physicians Of Sussex County
Address	183 High St
City	Newton
State	NJ
ZIP	07860
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicare	$617.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 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…	440	$890	$390.7K
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	1,790	$80	$135.7K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	20	$2,690	$48.3K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	130	$210	$28.7K
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…	10	$900	$10.8K
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.	20	$100	$2.2K
11441	The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 0.6 to 1.0 cm in diameter and also performs a simple…	10	$90	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Eye Physicians Of Sussex County — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	36	370	100	$670	$141.2K
J1097	7	20	860	$80	$123.6K
66991	41	50	30	$2,020	$82.9K
66982	160	160	30	$740	$40.7K
66821	26	290	40	$270	$16.7K
65855	71	100	40	$180	$9.4K
11441	6	10	20	$110	$3.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eye Physicians Of Sussex County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Barone	NJ	Ophthalmology Physician	$4.8M	$0

Nearby Providers

Other providers in the same ZIP code as Eye Physicians Of Sussex County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahs Hospital Corp	NJ	General Acute Care Hospital	$0	$33.6M
Daya Nadarajah	NJ	Internal Medicine Physician	$1.1M	$0
Scott Schwarz	NJ	Cardiovascular Disease Physician	$779.5K	$0
Conner O'keefe	NJ	Cardiovascular Disease Physician	$557.1K	$5.2K
Benjamin Bergman	NJ	Cardiovascular Disease Physician	$556.3K	$0
Lakshmi Sodagum	NJ	Nephrology Physician	$552.8K	$0
David Buyer	NJ	Cardiovascular Disease Physician	$552.1K	$0
Gerald Cioce	NJ	Interventional Cardiology Physician	$494.8K	$0
Yevgeniy Khesin	NJ	Neurology Physician	$355.7K	$54.7K
Carl Spivak	NJ	Neurological Surgery Physician	$339.1K	$0

Eye Physicians Of Sussex County — Billing Profile & Reimbursement Data

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Eye Physicians Of Sussex County — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References