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    OpenPayerNPI Medicare & MedicaidFaith Birnbaum
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    Faith Birnbaum — Billing Profile & Reimbursement Data

    NPI 1972951986 · Nashua, NH · Ophthalmology Physician

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    Faith Birnbaum is a ophthalmology physician provider located in Nashua, New Hampshire. 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
    OrganizationFaith Birnbaum
    Address5 Coliseum Ave
    CityNashua
    StateNH
    ZIP03063
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 31, 2016

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

    Payer SourceTotal Paid
    Medicare$335.1K
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is concentrated in ophthalmic surgical and evaluation services: the top three Medicare codes by revenue — 66984, 99214, and 92014 — together account for 54.3% of total Medicare revenue. The presence of cataract surgery code 66984 as the single largest revenue line ($74.5K, 22.3%) alongside high-volume established patient E/M (99214) and comprehensive eye exams (92014) indicates an operation combining operative cataract care with ongoing outpatient ophthalmology management.

    Revenue concentration is material: 66984 alone contributes $74.5K (22.3% of Medicare revenue), and the precomputed top-three share of 54.3% shows over half of Medicare receipts come from a narrow mix of surgical and evaluation codes. This concentration suggests the practice’s financial performance is meaningfully dependent on cataract procedures plus routine and problem-focused follow-up visits.

    Payer mix is effectively single-payer in this data set: total Medicare revenue is $335.1K and there is no Medicaid billing on file. For analysts, that indicates this provider operates with Medicare as the primary public payer exposure and has no Medicaid-reimbursed activity to diversify public-payer risk or supplement volume.

    Competitive standing across Medicare codes is mixed but leans toward solid outpatient volume for several services. For example, 99214 ranks in the 94th percentile nationally (notably above typical national volume) and 92004 ranks in the 95th percentile, signaling above-average office visit volume for both established and new-patient comprehensive visits. By contrast, 66984 sits in the 63th percentile (typical, unremarkable volume), indicating cataract surgery volume is respectable but not unusually high relative to national peers.

    Procedure-level nuance: besides routine cataract extraction (66984) the provider bills related intraocular lens insertion and complex/adjunct procedures such as 66991 ($25.7K, 7.7%) and 66982 ($8.3K, 2.5%), plus laser capsulotomy 66821 ($11K, 3.3%). This mix indicates the surgical service line includes both routine cataract cases and adjunct glaucoma or posterior capsule management, supporting a practice model that performs perioperative and follow-up procedural care in addition to primary cataract operations.

    There are specific codes with notably high percentile placements that point to diagnostic capacity: 92133 (OCT optic nerve imaging) ranks in the 94th percentile and 92136 (IOL biometry) is at the 76th percentile, showing the provider delivers high volumes of imaging and preoperative measurement services. These high-volume imaging codes align with an integrated cataract/surgical pathway where diagnostic testing supports surgical planning and postoperative care.

    Tenure and experience are long enough to be meaningful: this NPI has been enumerated since 2016-05-31 (~10 years ago). The decade-long enumeration supports interpretation of patterns as established practice behavior rather than a brief or incidental billing profile.

    There are no Medicaid codes on file, so there are no in-state Medicaid competitive comparisons to assess. The absence of Medicaid billing should be viewed operationally — either the provider does not accept Medicaid patients or has not billed Medicaid in the available record — and it concentrates the provider’s public-payor exposure entirely in Medicare for analysts modeling payer risk.

    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
    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…180$420$74.5K
    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…660$90$59.7K
    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…550$90$47.7K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…50$540$25.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.180$100$18.6K
    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…280$60$17.7K
    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…270$40$12.1K
    99204The provider sees a new 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 provider…100$110$11.2K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.50$240$11K
    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…350$30$8.7K

    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
    669843560220$310$144.6K
    6699131040$1,590$74.7K
    66982273030$660$26.5K
    9201429210170$80$21.2K
    66821244060$250$19.4K
    992141013,150110$80$13.2K
    6585593040$170$8K
    992133182,90070$50$6.9K
    921361450200$30$6K
    6676151030$190$6K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kendra Klein-masciaMAOphthalmology Physician$1.4M$0
    Jeffrey MarxMAOphthalmology Physician$933.2K$0
    Fina BarouchMARetina Specialist (Ophthalmology) Physician$450.7K$0
    Nashua Eye Associates, P.A.NHOphthalmology Physician$0$381.8K
    Timothy BlakeNHOphthalmology Physician$339.7K$0
    Sonalee Desai-bartoliNHGlaucoma Specialist (Ophthalmology) Physician$322.3K$0
    Purak ParikhNHOphthalmology Physician$298.3K$0
    John DagianisNHOphthalmology Physician$199K$0
    Victoria NorthMAOphthalmic Plastic and Reconstructive Surgery Physician$143.5K$0
    Patrick RiddleNHOphthalmology Physician$139.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Life Services For Recovery, LLCNHSubstance Use Disorder Rehabilitation Clinic/Center$0$11.2M
    Bell Tower Home Health Care LLCNHHome Health Agency$0$9.9M
    Greater Nashua Council On Alcoholism-keystone HallNHSubstance Abuse Rehabilitation Facility$0$3.7M
    Novamed Surgery Center Of Nashua, LLCNHAmbulatory Surgical Clinic/Center$1.6M$36.7K
    Nashua Regional Cancer Center IncNHRadiation Oncology Clinic/Center$1.2M$0
    Wanderlust Therapeutic Services, PLLCNHClinical Social Worker$0$1.1M
    Eye Practice Of Nashua PLLCNHOptometrist$0$430.1K
    Nashua Dentistry And Braces IncNHGeneral Practice Dentistry$0$383.7K
    Tracey SkellyNHOptometrist$5.2K$269.4K
    Tech Med Inc Of HudsonNHDurable Medical Equipment & Medical Supplies$0$204.3K

    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 Hampshire Distribution
    Faith Birnbaum — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire