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    OpenPayerNPI Medicare & MedicaidNeal Adams
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    Neal Adams — Billing Profile & Reimbursement Data

    NPI 1851354500 · Silver Spring, MD · Ophthalmology Physician

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    Neal Adams is a ophthalmology physician provider located in Silver Spring, Maryland. This profile covers 11 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationNeal Adams
    Address2101 Medical Park Dr
    CitySilver Spring
    StateMD
    ZIP20902
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 11, 2006

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

    Payer SourceTotal Paid
    Medicare$497.9K
    Medicaid$5.3K

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg390$690$273K
    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…1,070$110$113.6K
    92134The 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.1,130$30$37.4K
    67028The 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.200$100$20.9K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.30$460$14.6K
    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…100$130$13.7K
    92202The 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…970$10$11.7K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…220$30$7.2K
    67145The provider prevents the detachment of the retina in the presence of small tears or thinning of the edges (lattice degeneration) by applying an intense light (such as a laser) to create scar tissue…20$220$3.5K
    92274The provider performs an electrophysiologic test of retinal function, which consists of multifocal electroretinography (mfERG) to detect localized retinal abnormalities or cone–rod dysfunction. The…20$80$1.2K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017871100950$690$887.3K
    6702898120700$100$101.5K
    9201476620210$90$44K
    6721072030$430$21K
    9213475490110$30$17.3K
    J90354240240$50$16.8K
    9227431040$70$14.9K
    922022160240$10$11K
    992048745,38040$120$7.3K
    922509149060$30$4.9K

    Showing 1–10 of 11

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92134The 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.140$40$5.3K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Maryland median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92134The 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.5080220$30$82K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Johns Hopkins UniversityMDEmergency Medicine Physician$0$21.1M
    The Johns Hopkins HospitalMDGeneral Acute Care Hospital$0$19.9M
    Johns Hopkins UniversityMDBody Imaging Physician$0$15.3M
    William SharfmanMDMedical Oncology Physician$9.1M$0
    Johns Hopkins UniversityMDPediatric Emergency Medicine (Pediatrics) Physician$0$8.6M
    Johns Hopkins UniversityMDInternal Medicine Physician$0$6.2M
    Randall PeairsPAOphthalmology Physician$5.6M$13.5K
    Johns Hopkins UniversityMDCardiovascular Disease Physician$0$4.9M
    James RialMDOphthalmology Physician$4.7M$510
    Johns Hopkins UniversityMDHospitalist Physician$0$4.5M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Capital Care, IncMDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$101.9M
    Cornerstone Montgomery, Inc.MDCommunity/Behavioral Health Agency$0$29.5M
    Kidz & Family Dental CenterMDDental Clinic/Center$0$13.3M
    Smile Care 4 Children, LLCMDPediatric Dentistry$0$10.5M
    C Arefi B Nasehi & Associates PCMDGeneral Practice Dentistry$0$7M
    Pediatric AssociatesMDPrimary Care Clinic/Center$0$6.8M
    Right Care Pediatrics IncMDPediatrics Physician$0$5.3M
    Derm Associates LLCMDDermatology Physician$5.1M$11K
    Virant Diagnostics, IncMDClinical Medical Laboratory$48.8K$4.3M
    Frederick MinMDHematology & Oncology Physician$3.2M$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. Maryland Distribution
    Neal Adams — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland
    Medicaid Revenue by Year vs. Maryland Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Maryland Distribution
    Neal Adams — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland