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NPI 1922072966 · Santa Rosa, CA · Retina Specialist (Ophthalmology) Physician
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Thomas Schlesinger is a retina specialist (ophthalmology) physician provider located in Santa Rosa, California. This profile covers 26 Medicare and 10 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Thomas Schlesinger |
| Address | 3536 Mendocino Ave |
| City | Santa Rosa |
| State | CA |
| ZIP | 95403 |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| NPI Enumerated | February 15, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $7.9M |
| Medicare | $4.3M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
26 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 3,040 | $690 | $2.1M |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 52,440 | $30 | $1.5M |
| 67028 | The 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. | 2,130 | $110 | $228.1K |
| 92134 | The 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. | 2,980 | $30 | $98.3K |
| J2778 | Injection, ranibizumab, 0.1 mg | 460 | $180 | $85K |
| J3590 | Unclassified biologics | 30 | $2,150 | $60.1K |
| 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… | 550 | $100 | $56.9K |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 390 | $120 | $46.8K |
| 67042 | In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina… | 20 | $1,000 | $18K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 20 | $1,030 | $15.5K |
Showing 1–10 of 26
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
26 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 13 | 310 | 570 | $690 | $647.1K |
| J2777 | 8 | 200 | 10,740 | $30 | $459.5K |
| J2778 | 81 | 130 | 700 | $180 | $196K |
| J2781 | 38 | 60 | 480 | $120 | $95.7K |
| J3590 | 14 | 20 | 30 | $840 | $79.6K |
| 67028 | 27 | 470 | 420 | $100 | $71.8K |
| J7999 | 140 | 240 | 130 | $140 | $34.9K |
| 67108 | 34 | 50 | 20 | $1,100 | $29.7K |
| 67042 | 44 | 90 | 20 | $1,210 | $28.9K |
| 92014 | 479 | 2,890 | 110 | $100 | $28.7K |
Showing 1–10 of 26
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 3,830 | $1,440 | $5.5M |
| 67028 | The 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. | 6,630 | $270 | $1.8M |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 270 | $980 | $261.7K |
| 92134 | The 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. | 6,350 | $30 | $177.7K |
| 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… | 1,170 | $40 | $45.6K |
| J9035 | Injection, bevacizumab, 10 mg | 420 | $80 | $33.5K |
| 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… | 210 | $40 | $8.7K |
| J7999 | Compounded drug, not otherwise classified | 90 | $20 | $2K |
| 99213 | The 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… | 40 | $40 | $1.4K |
| 92250 | Code 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,… | 30 | $30 | $830 |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 7 | 120 | 380 | $970 | $1.1M |
| 67028 | The 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. | 32 | 360 | 840 | $160 | $495.3K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 9 | 30 | 120 | $1,020 | $318.4K |
| J9035 | Injection, bevacizumab, 10 mg | 102 | 230 | 310 | $110 | $232K |
| 99213 | The 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… | 12,577 | 14,520 | 760 | $10 | $122.8K |
| 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… | 288 | 990 | 370 | $30 | $61.1K |
| 92134 | The 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. | 64 | 700 | 420 | $20 | $60.3K |
| 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… | 1,507 | 2,460 | 430 | $30 | $48.3K |
| J7999 | Compounded drug, not otherwise classified | 62 | 100 | 280 | $40 | $35.4K |
| 92250 | Code 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,… | 870 | 1,030 | 220 | $20 | $30.4K |
Other providers in the same ZIP code as Thomas Schlesinger, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Santa Rosa Community Health Centers | CA | Federally Qualified Health Center (FQHC) | $0 | $63.4M |
| Sutter Bay Hospitals | CA | General Acute Care Hospital | $0 | $35.3M |
| Santa Rosa Surgery Center L P | CA | Ambulatory Surgical Clinic/Center | $4.6M | $4.1M |
| Ira Schachar | CA | Retina Specialist (Ophthalmology) Physician | $3.9M | $4.1M |
| Denise Kayser | CA | Retina Specialist (Ophthalmology) Physician | $778.4K | $2.1M |
| Laservue Eye Center Medical Corporation | CA | Ophthalmologic Surgery Clinic/Center | $1.8M | $54.7K |
| Albert Peng | CA | MOHS-Micrographic Surgery Physician | $1.2M | $0 |
| Jason Pope | CA | Pain Medicine (Anesthesiology) Physician | $627.2K | $0 |
| Judith Groves | CA | Dermatology Physician | $581K | $0 |
| Harjot Bhandal | CA | Interventional Pain Medicine Physician | $506.4K | $0 |
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