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NPI 1922087766 · New York, NY · Ophthalmology Physician
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Sergiu Marcus is a ophthalmology physician provider located in New York, New York. This profile covers 17 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 | Sergiu Marcus |
| Address | 140 E 80th St Fl 3 |
| City | New York |
| State | NY |
| ZIP | 10075 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | January 11, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $706.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 67210 | The provider destroys a lesion of the retina using a laser beam that heats up the tissue. | 860 | $460 | $399.1K |
| J0178 | Injection, aflibercept, 1 mg | 510 | $680 | $350K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 8,580 | $30 | $240.3K |
| 92235 | The 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… | 1,440 | $130 | $183.7K |
| 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… | 1,390 | $110 | $147.4K |
| 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. | 3,650 | $40 | $127.8K |
| 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… | 1,350 | $80 | $103.6K |
| 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. | 690 | $100 | $68.6K |
| J2778 | Injection, ranibizumab, 0.1 mg | 160 | $180 | $29.3K |
| J3490 | Unclassified drugs | 10 | $2,020 | $28.3K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 126 | 230 | 560 | $690 | $693K |
| J2777 | 53 | 120 | 7,740 | $30 | $364.9K |
| J2778 | 68 | 70 | 510 | $180 | $131.6K |
| 67028 | 98 | 300 | 400 | $100 | $65.9K |
| J3490 | 117 | 120 | 60 | $470 | $50.8K |
| J7312 | 16 | 20 | 270 | $160 | $48K |
| 67210 | 2 | 40 | 40 | $430 | $46.9K |
| 92014 | 66 | 2,220 | 160 | $100 | $29.3K |
| 92012 | 36 | 1,640 | 100 | $70 | $17.4K |
| 92235 | 1 | 190 | 60 | $120 | $14.1K |
Showing 1–10 of 17
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 |
|---|---|---|---|---|
| 67210 | The provider destroys a lesion of the retina using a laser beam that heats up the tissue. | 3,960 | $90 | $340.3K |
| 92235 | The 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… | 4,220 | $20 | $101.2K |
| 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… | 4,210 | $20 | $92.5K |
| 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… | 2,380 | $20 | $57.1K |
| 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. | 5,940 | $10 | $53.4K |
| 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. | 840 | $30 | $27.8K |
| 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,… | 1,990 | $10 | $25.9K |
| 92226 | N/A | 1,240 | $10 | $7.4K |
| 92242 | The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He… | 170 | $20 | $3.5K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
10 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 67210 | The provider destroys a lesion of the retina using a laser beam that heats up the tissue. | 3 | 30 | 100 | $250 | $211.4K |
| 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… | 367 | 2,440 | 330 | $70 | $92.6K |
| 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… | 117 | 1,460 | 310 | $60 | $88.1K |
| 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. | 87 | 260 | 420 | $70 | $65.6K |
| 92242 | The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He… | 4 | 10 | 150 | $120 | $49.2K |
| 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,… | 254 | 1,490 | 340 | $40 | $48.7K |
| 92235 | The 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… | 1 | 100 | 150 | $60 | $32.9K |
| 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. | 34 | 730 | 370 | $20 | $30K |
| 92226 | N/A | 56 | 400 | 270 | $20 | $12.6K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 1,956 | 2,000 | 210 | $1 | $90 |
Other providers in the same ZIP code as Sergiu Marcus, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Lenox Hill Hospital | NY | General Acute Care Hospital | $0 | $63.2M |
| Retinal Ambulatory Surgery Center Of New York, Inc. | NY | Ambulatory Surgical Clinic/Center | $1.7M | $2.7M |
| Ben Cohen | NY | Retina Specialist (Ophthalmology) Physician | $2.5M | $942.8K |
| Leslie Miller | NY | Diagnostic Radiology Physician | $533.7K | $9.5K |
| Maurice Peters | NY | Diagnostic Radiology Physician | $301.8K | $13.9K |
| Matthew Hepinstall | NY | Orthopaedic Surgery Physician | $294.6K | $0 |
| Philip Rabito | NY | Specialist | $256.7K | $670 |
| Michael Cellini | NY | Diagnostic Radiology Physician | $237.8K | $0 |
| Paul-michel Dossous | NY | Diagnostic Radiology Physician | $195.4K | $25.9K |
| Ceri Hadda | NY | Geriatric Psychiatry Physician | $220.8K | $0 |
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