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 Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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.

Amir Cohen (NPI 1841487220)

Key Findings

Field	Value
Entity Type	Individual
Organization	Amir Cohen
Address	800 Howard Ave
City	New Haven
State	CT
ZIP	06519
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 28, 2007

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

This provider reports $1.1M in total Medicare revenue and Total Medicaid revenue: none (no Medicaid billing on file), which makes the practice effectively single‑payer from a public-program billing standpoint. The absence of Medicaid claims suggests limited engagement with state Medicaid populations or that those services are billed under a different NPI/group not present in this file.

Revenue is highly concentrated in a small set of procedures: the precomputed top 3 Medicare codes by revenue account for 45.4% of this provider's total Medicare revenue. In particular, 65778 alone generates $314.7K (28.3% of Medicare revenue), while J7351 and 92273 together complete that top‑three share, indicating a narrow set of high‑value services driving nearly half of Medicare receipts.

The code mix signals a hybrid surgical and diagnostic ophthalmology operation: large revenue and volume for 65778 (amniotic membrane placement) and procedure codes such as 65820 (limbal incision) and 66180 (anterior chamber shunt) point to substantive procedural surgical activity, while very high volumes of diagnostic testing codes like 92273 (electrophysiologic retinal testing) and 92083 (extended visual field testing) indicate a heavy emphasis on advanced diagnostic services. Routine evaluation codes (92012, 92014, 92004) also appear among top billers, reflecting a full‑service ophthalmology practice that pairs office visits with specialized procedures and testing.

Several codes show exceptional national standing, marking the provider as a major national participant for specific services: 92273 ranks #10 of 1106 providers nationally (99th percentile) and is described as an "extreme outlier, far above typical national volume for this code," while 65778 ranks #30 of 592 (95th percentile) and is "notably above typical national volume for this code." These rankings indicate the provider is a high‑volume specialist for retinal electrophysiology and amniotic membrane placement relative to peers.

Beyond those two headline codes, the provider posts multiple top‑percentile diagnostic volumes that suggest unusually high throughput of ocular testing and imaging. Examples include 92083 at 100th percentile (898 claims), 92020 at the 99th percentile (907 claims), and 92133 at the 99th percentile (607 claims); collectively these point to sustained, large scale diagnostic workflows rather than isolated procedural spikes.

The practice also shows notable glaucoma and anterior‑segment procedural activity: J7351 accounts for $97.2K (8.7% of Medicare revenue) and ranks #26 of 148 providers nationally (83th percentile), while 65820 contributes $56K (5.0%) and ranks #69 of 1249 (95th percentile). Combined with codes such as 65855 and 66180 appearing on the top‑25 list, the mix suggests a meaningful clinical focus on glaucoma management and surgical interventions.

Longitudinally, the provider has an established billing history: NPI enumerated on 2007-09-28 (~19 years ago), indicating a long tenure in Medicare and the potential for an established referral network or sustained referral streams feeding the high diagnostic and procedural volumes. This longevity helps contextualize the elevated national ranks as likely persistent practice patterns rather than a short‑term anomaly.

Operationally, the high dependence on a few high‑revenue codes could make Medicare income sensitive to coverage and reimbursement changes affecting those services — the top 3 codes already represent 45.4% of Medicare revenue. Maintaining diversification across diagnostic, evaluation, and procedural codes (many of which already appear in the top‑25) may be important to mitigate policy or utilization shifts that impact one specialty area.

Medicare: Complete Services Breakdown

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

29 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
65778	The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.	250	$1,270	$314.7K
J7351	Injection, bimatoprost, intracameral implant, 1 microgram	600	$160	$97.2K
92273	The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…	820	$110	$93.4K
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…	1,110	$80	$90K
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.	490	$170	$82.9K
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…	630	$110	$70.7K
65820	The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.	90	$610	$56K
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…	900	$50	$47.6K
66180	The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue…	40	$1,020	$35.7K
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.	230	$130	$30.2K

Showing 1–10 of 29

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cornell Scott Hill Health Corporation	CT	Federally Qualified Health Center (FQHC)	$338.5K	$294.2M
Apt Foundation, Inc	CT	Methadone Clinic	$0	$28.6M
Yale Univ School Of Medicine	CT	Adolescent and Children Mental Health Clinic/Center	$0	$13.2M
New Haven Board Of Education	CT	Local Education Agency (LEA)	$0	$12.2M
Connecticut Retina Consultants LLC	CT	Ophthalmology Physician	$0	$8.3M
Continuum Of Care, Inc.	CT	Adult Mental Health Clinic/Center	$0	$4.9M
Connecticut Pulmonary Specialists, PC	CT	Pulmonary Disease Physician	$0	$2.3M
Wayne Larrison	CT	Ophthalmology Physician	$1.9M	$0
Rachel Collins	CT	Professional Counselor	$0	$1.7M
James Weisz	CT	Ophthalmology Physician	$1.3M	$0

Amir Cohen — Billing Profile & Reimbursement Data

Sign up for Amir Cohen — Billing Profile & Reimbursement Data policy alerts

Amir Cohen — Billing Profile & Reimbursement Data

Sign up for Amir Cohen — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
65778	1	10	100	$1,240	$152.7K
66984	72	150	90	$400	$87.8K
J7351	2	10	600	$160	$82.5K
65820	1	10	30	$910	$34.5K
66180	1	10	20	$1,300	$31.1K
66982	30	40	30	$740	$27.5K
92014	41	580	100	$90	$18.6K
92012	7	300	120	$70	$15.2K
99214	1,272	6,480	90	$90	$14.2K
92273	1	10	30	$110	$12.9K