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    OpenPayerNPI Medicare & MedicaidPatricia Burke
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    Patricia Burke — Billing Profile & Reimbursement Data

    NPI 1952410680 · Paramus, NJ · Ophthalmology Physician

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    Patricia Burke is a ophthalmology physician provider located in Paramus, New Jersey. This profile covers 13 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationPatricia Burke
    Address1 Sears Drive 4th Fl
    CityParamus
    StateNJ
    ZIP07652
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 29, 2006

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

    Payer SourceTotal Paid
    Medicare$147.8K
    Medicaid$1.6K

    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.

    13 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…530$100$52.5K
    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…370$100$37.7K
    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…30$490$15.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.120$100$12.2K
    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…610$10$7.4K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.20$270$4.4K
    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.120$30$4K
    92133The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…120$30$3.8K
    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…40$80$3.1K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…50$50$2.5K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984300370100$670$141.2K
    920142531,130160$100$34.9K
    992143,04013,640130$90$23.6K
    92012631800140$70$18.5K
    6682124929040$270$16.7K
    9213429470090$30$10K
    9200413190040$110$8K
    9208344080060$50$5.9K
    9225072793090$30$5.2K
    92136200260130$30$5.1K

    Showing 1–10 of 13

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.60$30$1.6K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New Jersey providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New Jersey median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.467570540$10$16.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Retinal Consultants LLCDEOphthalmology Physician$0$25.2M
    Rohit LakhanpalMDRetina Specialist (Ophthalmology) Physician$6.1M$0
    Vinod VoletiNJRetina Specialist (Ophthalmology) Physician$4.1M$0
    Sumit ShahNJRetina Specialist (Ophthalmology) Physician$4.1M$0
    Newman SundMDOphthalmology Physician$4M$0
    Eric SuanMDOphthalmology Physician$3.8M$0
    Matthew SpeicherMDOphthalmology Physician$3.7M$0
    Howard FineNJRetina Specialist (Ophthalmology) Physician$3.6M$0
    Timothy PolkMDOphthalmology Physician$3.5M$0
    Jonathan PrennerNJRetina Specialist (Ophthalmology) Physician$3.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    New Concepts For LivingNJDevelopmentally Disabled Services Day Training Agency$0$123.8M
    Children's Aid And Family Services, Inc.NJIn Home Supportive Care Agency$0$91M
    Care Plus Nj, IncNJCommunity/Behavioral Health Agency$0$38.1M
    Bergen County Improvement AuthorityNJGeneral Acute Care Hospital$0$37.5M
    Jewish Association For Developmental DisabilitiesNJIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$37.3M
    The Valley Hospital Inc.NJGeneral Acute Care Hospital$0$31.5M
    Bergen County Adult Day Care LLCNJAdult Day Care Clinic/Center$0$28.7M
    Help At Home ServicesNJHome Health Agency$0$18.8M
    Care Plus Nj, IncNJCommunity/Behavioral Health Agency$0$17.2M
    Care Plus Nj, Inc.NJCommunity/Behavioral Health Agency$0$17M

    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. New Jersey Distribution
    Patricia Burke — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey
    Medicaid Revenue by Year vs. New Jersey Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New Jersey Distribution
    Patricia Burke — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey