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    OpenPayerNPI Medicare & MedicaidRobert Hofmann
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    Robert Hofmann — Billing Profile & Reimbursement Data

    NPI 1972589745 · Providence, RI · Ophthalmology Physician

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    Robert Hofmann is a ophthalmology physician provider located in Providence, Rhode Island. 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
    OrganizationRobert Hofmann
    Address150 East Manning St.
    CityProvidence
    StateRI
    ZIP02906
    TaxonomyOphthalmology Physician
    NPI EnumeratedDecember 22, 2005

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

    Payer SourceTotal Paid
    Medicare$99K
    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0585Injection, onabotulinumtoxina, 1 unit3,270$10$16.4K
    15823In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…20$600$11.5K
    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…170$70$10.8K
    64612In this procedure, the provider injects a chemical on one side of the face to disable the facial nerve and relieve painful facial nerve disorders or abnormal involuntary movements of facial muscles.70$130$9.1K
    67908The provider performs a procedure such as the Fasanella–Servat procedure, which involves resection and plication of the levator/Muller muscles along with the tarsus and the conjunctiva to treat…20$430$8.5K
    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…70$100$7.1K
    68320The provider performs a surgical repair of the conjunctiva using the patient’s own conjunctival tissue as a graft or by rearranging the existing tissue. This procedure is done to treat a condition…20$460$7K
    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…70$90$5.7K
    68840This procedure is the probing of the lacrimal canaliculi with or without irrigation.30$130$4K
    67700In this procedure, the provider surgically incises the eyelid to drain a pocket of infection.20$200$3.5K

    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
    J05858106,400$1$49.4K
    1582321030$560$16.9K
    92014132190120$80$16.3K
    992141,1361,950100$80$11.7K
    111028490110$60$8.6K
    6790811020$430$8.5K
    992134361,95070$60$7.4K
    6461211070$120$7.3K
    6832011020$460$7K
    92012439040$60$4.7K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gaurav GuptaRIOphthalmology Physician$1.8M$5.8K
    Pranjal ThakuriaRIOphthalmology Physician$889.5K$81.4K
    Ophthalmology IncRIOphthalmology Physician$0$478.1K
    Sarah AnisRIOphthalmology Physician$396.2K$42.8K
    Christopher NewtonRIOphthalmology Physician$309.1K$0
    Andrew KrounerPAOphthalmology Physician$190.2K$68.4K
    Durga LarkinRIOphthalmology Physician$230.5K$0
    John DonahueRIOphthalmology Physician$12.4K$216.4K
    Thomas LangRIOphthalmology Physician$225.1K$0
    Nikolas RaufiRIOphthalmology Physician$215.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Miriam HospitalRIGeneral Acute Care Hospital$0$138.6M
    Family Service Of Rhode Island Inc.RITaxi$0$12M
    Butler HospitalRIPsychiatric Hospital$0$9.6M
    Phoenix Houses Of New England, Inc.RISubstance Abuse Rehabilitation Facility$0$7.3M
    Thomas MulveyRIPediatric Dentistry$0$6.3M
    Silver Fern Practice, LLCRIPhysical Therapist$0$5M
    Providence Interventional Associates Ii LLCRIAmbulatory Surgical Clinic/Center$1.9M$8.3K
    Robert EdenRIPediatrics Physician$0$1.7M
    Brian AckermanRIPsychiatry Physician$24.8K$1.5M
    Steven HirschRIClinical Neuropsychologist$0$1.2M

    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. Rhode Island Distribution
    Robert Hofmann — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island