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

    NPI 1861666463 · Lincoln, NE · Ophthalmology Physician

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    Daniel Chruscicki is a ophthalmology physician provider located in Lincoln, Nebraska. This profile covers 21 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 Chruscicki
    Address1710 S 70th St
    CityLincoln
    StateNE
    ZIP68506
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 15, 2008

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

    Payer SourceTotal Paid
    Medicare$3M
    Medicaid$0

    Key Findings

    This ophthalmology physician has generated $3M in lifetime Medicare revenue and no Medicaid billing on file, making their active payer mix effectively single-payer (Medicare-only) for the available claims data. The absence of Medicaid claims indicates the provider either does not participate in Medicaid or has not billed Medicaid during the recorded period; analyses comparing Medicaid volumes are therefore not applicable.

    Revenue is highly concentrated in a small set of injectable biologic codes: the precomputed top three Medicare codes account for 81.2% of this provider's total Medicare revenue. Specifically, J0178, J2777, and 67028 together drive the majority of billed dollars, signaling that intravitreal pharmacologic therapy is the principal revenue stream.

    J0178 (injection, aflibercept) is the single largest source of Medicare revenue at $1.3M (41.4% of total Medicare revenue) and ranks #629 of 3204 providers nationally (80th percentile). This places the provider as a solid national participant in aflibercept administration — neither dominant nor rare — and confirms that high-volume anti-VEGF injections are central to clinical activity.

    J2777 (injection, faricimab-svoa) contributes $1M (33.6% of Medicare revenue) with a national rank of #216 of 2039 providers (89th percentile). This relatively high percentile for J2777, combined with the J0178 volume, reinforces a treatment profile focused on frequent intravitreal biologic therapy and suggests the practice is an above-typical regional user of newer biologic agents.

    67028 (intravitreal injection as an isolated procedure) accounts for $187.5K (6.2% of Medicare revenue) and ranks #226 of 4255 providers nationally (95th percentile), described as notably above typical national volume. The strong rank for 67028 indicates the provider performs injections at a rate well above peers, consistent with the concentrated revenue from injectable anti-VEGF therapies and a procedure-forward outpatient ophthalmology workflow.

    Several diagnostic and imaging codes appear at unusually high national percentiles, highlighting a high-throughput retinal imaging and exam practice. 92134 (retinal imaging) and 92014 (comprehensive established eye exam) are both reported as extreme outliers at the 99th percentile, and 92235 (fluorescein angiography) is notably above typical volume at the 98th percentile, indicating substantial ancillary diagnostic activity that supports frequent therapeutic injections and retinal disease management.

    Other code-level observations show a mixed competitive standing across services: J3590 (unclassified biologics) and 92250 (fundus photography) are notably above typical volumes (96th and 98th percentiles respectively), while codes such as J2778 (ranibizumab) and several standard E/M codes (99214, 99213) are at typical or lower national percentiles. This pattern suggests the provider emphasizes procedural and imaging services tied to retinal disease rather than high-volume office-based E/M visits.

    Tenure data shows the NPI was enumerated on 2008-04-15 (~18 years ago), indicating long-standing Medicare participation. That tenure, combined with concentrated high-volume injection and imaging activity, suggests an established retinal-focused ophthalmology practice with sustained procedural throughput.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,810$690$1.3M
    J2777Injection, faricimab‑svoa, 0.1 mg35,040$30$1M
    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.2,370$80$187.5K
    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…1,970$90$167.4K
    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.3,440$30$92.9K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…680$100$65.8K
    J2778Injection, ranibizumab, 0.1 mg350$180$63K
    J3590Unclassified biologics810$70$56K
    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…350$70$24.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.240$90$22K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J277751025,950$30$1.5M
    J0178420880$690$722.7K
    J27781110670$180$137.8K
    670285201,070$80$106.4K
    J3590210430$70$29.7K
    6704281030$1,100$29.6K
    6710871020$1,040$20.8K
    920141270170$70$20K
    992145513,210110$70$14.9K
    9223511030$100$11.2K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Matthew WoodNEOphthalmology Physician$3.9M$0
    Eye Surgical Associates, LLCNEOphthalmology Physician$0$1.7M
    Gregory SuttonNEOphthalmology Physician$565.7K$0
    Jordan RixenNEOphthalmology Physician$490.2K$0
    Vincent SuttonNEOphthalmology Physician$447.8K$0
    Samuel ThomsenNEOphthalmology Physician$428.3K$0
    Thomas ClarkNEOphthalmology Physician$282.1K$0
    Thomas GraulNEOphthalmology Physician$218.6K$0
    Donald SauberanNEOphthalmology Physician$10.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bryan Medical CenterNEGeneral Acute Care Hospital$0$56.9M
    Integrated Behavioral Health ServicesNECommunity/Behavioral Health Agency$0$16.3M
    Nebraska Emergency Medicine PCNEEmergency Medicine Physician$0$14.9M
    Firstcare Home Health Of Eastern Nebraska, IncNEHome Health Agency$0$6.6M
    Eric AveryNEHematology & Oncology Physician$3.1M$0
    Kailash MosalpuriaNEHematology & Oncology Physician$2.9M$0
    Integrated Cardiology Group LLCNECardiovascular Disease Physician$0$2.7M
    Madhu MidathadaNEHematology & Oncology Physician$2.3M$0
    Pathology Medical Services PCNEAnatomic Pathology & Clinical Pathology Physician$0$2.1M
    Rockledge Smiles LLCNEGeneral Practice Dentistry$0$2.1M

    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. Nebraska Distribution
    Daniel Chruscicki — 7 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska