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    OpenPayerNPI Medicare & MedicaidSusel Oropesa
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    Susel Oropesa — Billing Profile & Reimbursement Data

    NPI 1992292791 · Hamden, CT · Ophthalmology Physician

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    Susel Oropesa is a ophthalmology physician provider located in Hamden, Connecticut. This profile covers 13 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
    OrganizationSusel Oropesa
    Address2880 Old Dixwell Ave
    CityHamden
    StateCT
    ZIP06518
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 17, 2018

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

    Payer SourceTotal Paid
    Medicare$405.3K
    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg350$690$242.9K
    J2777Injection, faricimab‑svoa, 0.1 mg1,800$30$52.2K
    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$450$28K
    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…310$70$21.5K
    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…200$100$19.2K
    67028The 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.200$90$18.8K
    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.310$30$10.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.70$90$6.1K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…100$20$2.2K
    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…30$50$1.3K

    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
    J01783340830$690$713.1K
    J277730308,190$30$340.4K
    669849915090$400$87.8K
    670283750540$100$66.4K
    92014181580100$90$18.6K
    9201267300120$70$15.2K
    921344332060$30$7.7K
    920048041030$110$5.2K
    9208320834040$50$3.8K
    9213655120100$30$3.4K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Refocus Eye Health Of Central Connecticut, P.C.CTOphthalmology Physician$0$8.2M
    David TomCTOphthalmology Physician$2.5M$0
    John HuangCTOphthalmology Physician$2M$0
    Jerry TsongCTOphthalmology Physician$1.9M$0
    Erol VerterCTOphthalmology Physician$1.7M$0
    Gregory HaffnerCTOphthalmology Physician$1.4M$0
    Neil KalbagCTOphthalmology Physician$1.1M$0
    Rebecca ShieldsNYOphthalmology Physician$319.3K$331.6K
    Neal AdamsMDOphthalmology Physician$497.9K$5.3K
    Suresh MandavaCTOphthalmology Physician$354.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Patient Care Hha, LLCCTHome Health Agency$0$14.6M
    Home Health Professionals NetworkCTHome Health Agency$0$9.8M
    New England Retina Associates, P.CCTRetina Specialist (Ophthalmology) Physician$0$4.4M
    The Center For Pediatric And Family GrowthCTBehavior Analyst$0$3.4M
    Heartcare Associates Of Connecticut, LLCCTCardiovascular Disease Physician$0$3M
    Children's Medical Group, LLCCTPediatrics Physician$0$2.6M
    Hamden Sleep Disorders Center LLCCTSleep Medicine (Internal Medicine) Physician$177K$2.3M
    Drs Chen And Seignemartin LLCCTPediatric Dentistry$0$2.1M
    Hamden Medical Group, LLCCTFamily Medicine Physician$0$1.5M
    Supportive Solutions Behavioral Health And Wellness LLCCTClinical Social Worker$0$1.3M

    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. Connecticut Distribution
    Susel Oropesa — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut