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    OpenPayerNPI Medicare & MedicaidDaniel Schwartz
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    Daniel Schwartz — Billing Profile & Reimbursement Data

    NPI 1811334972 · Brookline, MA · Ophthalmology Physician

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    Daniel Schwartz is a ophthalmology physician provider located in Brookline, Massachusetts. This profile covers 17 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
    OrganizationDaniel Schwartz
    Address44 Washington St Ste 103a
    CityBrookline
    StateMA
    ZIP02445
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 30, 2013

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

    Payer SourceTotal Paid
    Medicare$214.5K
    Medicaid$0

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The 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…190$460$88.8K
    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…230$100$22.7K
    99213The 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…230$70$17.3K
    68761The 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.100$160$15.7K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.40$280$11.4K
    66982The 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…20$640$10.2K
    99214The 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…90$100$9.8K
    76519The provider uses A scan ultrasound echography to measure the axial length of the eye and determine the intraocular lens, or IOL calculation prior to cataract surgery.210$50$9.7K
    99204The provider sees a new 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 provider…80$120$9.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.60$110$6.4K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984151330170$200$143.2K
    6698212214030$680$36.9K
    920144501,070160$90$30.1K
    6682112824040$210$17.4K
    992148,31715,410110$80$15.6K
    9201253656090$70$12.4K
    9213426767070$30$10.6K
    68761198040$110$9.6K
    992132,32413,70070$60$8.8K
    9200433889040$100$6.3K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tufts Medical Center, Inc.MAGeneral Acute Care Hospital$0$164.6M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Torsten WiegandMARetina Specialist (Ophthalmology) Physician$7.6M$0
    Chirag ShahMARetina Specialist (Ophthalmology) Physician$5M$0
    Roger GoldbergCARetina Specialist (Ophthalmology) Physician$4.6M$0
    Miriam Englander-paschalis IliosMARetina Specialist (Ophthalmology) Physician$4.5M$0
    Babak Jian SeyedahmadiMAOphthalmology Physician$4.4M$0
    Jeffrey HeierMARetina Specialist (Ophthalmology) Physician$3.6M$0
    Sean GarrityAZOphthalmology Physician$3.4M$0
    Adam ChinMAOphthalmology Physician$3.4M$870

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David GendelmanMAOphthalmology Physician$1.1M$0
    Simon FaynzilbergMAPain Medicine (Anesthesiology) Physician$380.3K$150.5K
    Kevin KaufmannMAOphthalmology Physician$330K$0
    John LeeMAOphthalmology Physician$273K$25.8K
    Brian LesterMADermatology Physician$285.7K$0
    Joseph HartiganMAPrimary Podiatric Medicine Podiatrist$255.2K$0
    Claudia ArriggMASpecialist$214.6K$0
    Ernest KornmehlMAOphthalmology Physician$167.2K$0
    Macie FinkelsteinMAOphthalmology Physician$150.7K$0
    Mitchell RubensteinMADermatology Physician$118.9K$0

    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. Massachusetts Distribution
    Daniel Schwartz — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts