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

    NPI 1851368674 · Valparaiso, IN · Ophthalmology Physician

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    Daniel Taglia is a ophthalmology physician provider located in Valparaiso, Indiana. This profile covers 19 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 Taglia
    Address2101 Burlington Beach Rd.
    CityValparaiso
    StateIN
    ZIP46383
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 1, 2006

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

    Payer SourceTotal Paid
    Medicare$499.7K
    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.

    19 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…450$380$171.6K
    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…1,610$80$130.7K
    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…880$50$46.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.320$90$28.2K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.110$240$26.1K
    66174The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.40$440$18.6K
    92083The 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…460$40$17.2K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…690$20$13.8K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…490$30$13.7K
    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$550$11.5K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669845045050$480$87.5K
    669829112030$600$29.4K
    6617431030$630$23.5K
    668217224060$200$23.1K
    992147,88010,540110$80$15.5K
    920143740100$70$12.9K
    9921312910,82080$50$7.6K
    9213630160190$20$7.1K
    65855627040$140$6.4K
    921348166060$30$6K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Care Network IncINFamily Medicine Physician$0$33.9M
    Franciscan Health Crown PointINGeneral Acute Care Hospital$0$11.4M
    Mohamad KassarINHematology & Oncology Physician$4.7M$0
    Ramon LeeILRetina Specialist (Ophthalmology) Physician$4M$8.5K
    Sohail HasanILRetina Specialist (Ophthalmology) Physician$3.4M$34.2K
    Neel ShahINHematology & Oncology Physician$3.2M$0
    Raja DevanathanINPulmonary Disease Physician$3M$0
    Michael TallaricoINMedical Oncology Physician$2.7M$0
    Kourous RezaeiILRetina Specialist (Ophthalmology) Physician$2.7M$0
    James EadieINOphthalmology Physician$2.2M$251.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Porter Hospital LLCINGeneral Acute Care Hospital$0$28.2M
    Opportunity Enterprises, Inc.INDevelopmentally Disabled Services Day Training Agency$0$26.1M
    Porter-starke Services Inc.INMental Health Clinic/Center (Including Community Mental Health Center)$116.4K$24.7M
    La Porte Clinic Company LLCINInternal Medicine Physician$0$18.8M
    Porter-starke Services IncINPsychiatric Hospital$0$16.8M
    Valparaiso Family Dentistry PCINGeneral Practice Dentistry$0$14.4M
    Porter Starke Services IncINMental Health Clinic/Center (Including Community Mental Health Center)$0$11.9M
    Healthlinc, Inc.INFederally Qualified Health Center (FQHC)$0$7.1M
    Porter Physician Services LLCINFamily Medicine Physician$0$6.4M
    Anchor Health Systems, Inc.INHome Health Agency$0$5.5M

    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. Indiana Distribution
    Daniel Taglia — 5 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana