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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMark Melamed
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    Mark Melamed — Billing Profile & Reimbursement Data

    NPI 1952362261 · Hewlett, NY · Ophthalmology Physician

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    Mark Melamed is a ophthalmology physician provider located in Hewlett, New York. This profile covers 16 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
    OrganizationMark Melamed
    Address1175 West Broadway
    CityHewlett
    StateNY
    ZIP11557
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 29, 2006

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

    Payer SourceTotal Paid
    Medicare$347.5K
    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…1,520$110$159.3K
    92020The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…1,650$20$37.8K
    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…60$500$31.5K
    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…390$80$30K
    92202The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…1,460$10$18.9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.130$120$15.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.40$310$13.7K
    92012For 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…130$80$10K
    76519The provider uses A scan ultrasound echography to measure the axial length of the eye and determine the intraocular lens, or IOL calculation prior to cataract surgery.140$60$8.9K
    92250Code 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,…200$30$6.6K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698441868090$430$104.3K
    92014542,220160$100$29.3K
    920127091,640100$70$17.4K
    6682118152030$270$14.3K
    992133,55331,44080$70$12.1K
    921346151,58090$30$11.2K
    920042661,75050$110$9.2K
    922504061,70080$30$5.2K
    992036,23811,36030$90$4.7K
    9220140143070$20$4.3K

    Showing 1–10 of 16

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-med Home Care Services, Inc.NYHome Health Agency$0$286M
    Tri-med Staffing, Inc.NYHome Health Agency$0$180.3M
    David CohenNYDermatology Physician$352K$8.4M
    Sergio SokolNYCardiovascular Disease Physician$1.8M$5.7M
    Jordan BrodskyNYRheumatology Physician$2.4M$440
    Michael SingerNYDiagnostic Radiology Physician$1.2M$0
    Rana MongrooNYRheumatology Physician$954.4K$0
    Benjamin LevineNYRheumatology Physician$933.1K$330
    Tobin AbrahamNYRheumatology Physician$842.8K$160
    Asaf KleinNYRheumatology Physician$826.7K$13.2K

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Mark Melamed — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York