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    OpenPayerNPI Medicare & MedicaidHarry Lebowitz
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    Harry Lebowitz — Billing Profile & Reimbursement Data

    NPI 1922051127 · Wilmington, DE · Ophthalmology Physician

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    Harry Lebowitz is a ophthalmology physician provider located in Wilmington, Delaware. 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
    OrganizationHarry Lebowitz
    Address3501 Silverside Road
    CityWilmington
    StateDE
    ZIP19810
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 18, 2006

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is concentrated and clinic-/procedure-heavy: lifetime Medicare revenue is $1.1M, and the top 3 Medicare codes by revenue account for 55.2% of that total. The leading codes driving this concentration are J2777 ($297.5K, 26.2% of Medicare revenue), J0178 ($168.3K, 14.8%), and J2778 ($161.1K, 14.2%), which are all intravitreal injections for retinal disease and indicate a strong focus on retinal drug administration in the practice.

    Revenue mix shows a dual clinical-surgical profile rather than pure office visits: beyond high-volume retinal injections, the provider also bills meaningful cataract surgery services such as 66984 ($156.8K, 13.8% of Medicare revenue) and complex IOL insertion 66982 ($37.3K, 3.3%). Pre-operative and diagnostic supports tied to surgery are present as well — 76519 (A-scan) generated $15.7K and 92014 (comprehensive established exam) generated $119.3K — signaling an integrated surgical and outpatient evaluation workflow.

    Payer mix is effectively single-payer Medicare: total Medicaid revenue is none (no Medicaid billing on file), so the whole reported revenue stream is Medicare-derived. That concentration implies payers and market reviewers should treat this clinician as operating almost entirely within the Medicare population for publicly-available claims data.

    Competitive standing for the top retinal drugs is mixed: J2777 (faricimab) is the single largest revenue line but ranks #996 of 2039 providers nationally (51th percentile), reflecting an unremarkable/normative volume for that code; J0178 (aflibercept) ranks #2455 of 3204 (23th percentile) suggesting relatively low national volume for that drug, while J2778 (ranibizumab) ranks #468 of 1208 (61th percentile) showing modestly above-typical participation. In short, the provider is not a dominant national player in anti-VEGF injections overall, but does have a meaningful local/service-level role given the dollar concentration.

    Several codes appear as statistical outliers in service volume and should be flagged for their above-typical share of activity: 92014 (comprehensive established exam) is reported at 1.5K claims for $119.3K and ranks #667 of 35415 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code), 76519 (A-scan) ranks #14 of 1232 providers nationally (99th percentile; extreme outlier), and 99204 (new patient moderate complexity) ranks #4231 of 227068 providers nationally (98th percentile; extreme outlier). These outlier signals point to particularly heavy office-based evaluation and pre-op measurement activity relative to peers.

    The procedural/drug-centric revenue profile implies operational implications: substantial billing for injectable retinal therapeutics (J2777, J0178, J2778) combined with cataract procedures (66984) and high counts of diagnostic/pre-op codes (76519, 92014) suggest a practice model that blends retina injections with cataract surgery and associated pre-op workflows, likely requiring in-office infusion/injection capacity and surgical scheduling. Staffing, supply procurement (especially high-cost drug handling), and scheduling for both infusion/injection suites and outpatient surgery are likely central to this provider’s operations.

    Tenure and stability in the Medicare program are long-standing: the NPI was enumerated on 2006-05-18 (~20 years ago), indicating a prolonged presence in the Medicare billing landscape. This long enumeration adds context to the observed volume patterns — high exam and A-scan volumes and sustained surgical billing are consistent with an established ophthalmology practice rather than a recently formed clinic.

    Clinical coding breadth is notable but dominated by a few revenue drivers: beyond the top three injection codes accounting for 55.2% of Medicare revenue, a long tail of evaluation-and-management codes (e.g., 99213, 99214) and imaging (92134, 92133, 92133) contribute relatively small shares individually. This distribution suggests payers evaluating network value or contracting should focus diligence on the handful of high-revenue procedure/drug codes while recognizing routine outpatient visits and imaging form a stable but lower-revenue backdrop.

    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
    J2777Injection, faricimab‑svoa, 0.1 mg10,260$30$297.5K
    J0178Injection, aflibercept, 1 mg250$690$168.3K
    J2778Injection, ranibizumab, 0.1 mg910$180$161.1K
    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…400$390$156.8K
    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…1,460$80$119.3K
    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.490$90$44.9K
    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…70$530$37.3K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.130$230$29K
    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.900$30$26.9K
    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…330$70$23.4K

    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
    J0178610510$680$495.6K
    J277751020,040$30$474.7K
    J27782102,270$180$404.7K
    66984175070$590$163.6K
    67028610970$90$85.6K
    66982102060$700$60K
    668211630140$230$37.1K
    920143120250$80$29.9K
    992141,6471,830150$80$25.5K
    920121640230$60$21.4K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason KaplanDEOphthalmology Physician$2.7M$0
    Andrew BarrettDEOphthalmology Physician$671.1K$0
    Delaware Ophthalmology Consultants PADEOphthalmology Physician$0$349.8K
    Elyse McglumphyMDGlaucoma Specialist (Ophthalmology) Physician$261.6K$0
    NPI 1932153293——$251.1K$0
    Tabassum AliDEOphthalmology Physician$158K$0
    Robert AbelDEOphthalmology Physician$104.8K$0
    Alex QuachDEOptometrist$78K$0
    Heidi TedrickDEOptometrist$58.8K$0
    Jamie WohlhagenDEOptometrist$41.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rachel A Maher,dmd, PADEDentist$0$4.5M
    Brandywine Pediatric Dentistry, P.A.DEPediatric Dentistry$0$4M
    Brandywine Pediatrics, P.A.DEPediatrics Physician$0$1.6M
    Rehabilitation Associates, P.A.DEPhysical Medicine & Rehabilitation Physician$0$852.8K
    David CozzolinoDEUrology Physician$786.9K$0
    Chloe PayneDEDermatology Physician$541.5K$11.7K
    James FierroDEFamily Medicine Physician$530.7K$0
    Clifford L. Anzilotti, D.m.d., P.A.DEOrthodontics and Dentofacial Orthopedics Dentistry$0$510.8K
    Dr. George T. DerenzoDEPediatric Dentistry$0$468K
    Total Health & Rehabilitation, IncDEPhysical Medicine & Rehabilitation Physician$0$390.5K

    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. Delaware Distribution
    Harry Lebowitz — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware