Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJerry Neuwirth
    Ask Trek AI about this page

    Jerry Neuwirth — Billing Profile & Reimbursement Data

    NPI 1992702526 · Manchester, CT · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Jerry Neuwirth — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jerry Neuwirth is a ophthalmology physician provider located in Manchester, Connecticut. This profile covers 18 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJerry Neuwirth
    Address191 Main St
    CityManchester
    StateCT
    ZIP06042
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 28, 2005

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

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$0

    Key Findings

    This provider is effectively Medicare‑centric: total Medicare revenue is listed as $2.5M and there is no Medicaid billing on file, so payer mix is strongly skewed to fee‑for‑service Medicare and the provider should be treated as a single‑payer (Medicare) billing entity for competitive analysis. The absence of Medicaid claims limits conclusions about in‑state Medicaid market share or participation.

    Revenue is highly concentrated in a few intravitreal drug codes: the precomputed top‑3 Medicare codes account for 78.6% of this provider's Medicare revenue, driven primarily by J0178 ($1.1M, 43.6%) and J2777 ($737.8K, 29.6%), with 67028 contributing $133.1K (5.3%). This concentration indicates that a small set of injection and procedure codes dominate the practice’s Medicare earnings.

    The code mix and dollar concentrations indicate a retina‑oriented ophthalmology practice that performs high volumes of intravitreal injections and associated retinal procedures: high‑revenue drug codes J0178 and J2777 plus intravitreal procedure 67028 and other retinal drugs such as J2781 ($70.2K) and J2778 ($52.3K) point to medical retina services as the primary service line. Complementary imaging and follow‑up codes (92134 $68.3K, 92012 $74.9K, 92014 $71.2K) support a workflow that pairs injections with retinal imaging and ophthalmic examinations.

    Competitive standing on the two dominant drug codes is middling rather than market‑dominant: J0178 ranks #747 of 3204 providers (77th percentile; typical, unremarkable volume) and J2777 ranks #377 of 2039 providers (82th percentile; typical, unremarkable volume), while 67028 is #1012 of 4255 (76th percentile; typical, unremarkable volume). These ranks place the provider above many peers but within a broad band of routine national volume for anti‑VEGF and intravitreal injection services, suggesting a solid regional presence without being an outlier leader.

    The practice shows notably high national volume for certain evaluation and diagnostic services: 92012 is ranked #491 of 17177 providers (97th percentile; notably above typical national volume) and 92134 is #1024 of 26868 providers (96th percentile; notably above typical national volume). This pattern implies consistently high throughput of intermediate eye exams and retinal imaging, reinforcing a follow‑up and monitoring workflow associated with chronic retinal disease management.

    There is modest use of unclassified biologic/drug codes with high per‑claim payments but limited aggregate share: J3590 appears with 45 claims at $2120 avg paid/claim totaling $95.4K (3.8% of Medicare revenue) and J3490 with 35 claims at $1718 avg paid/claim totaling $60.1K (2.4%). These codes generate high average reimbursement per claim but represent relatively small portions of total revenue, consistent with occasional use of non‑standard or newly billed biologics.

    Billing patterns show lower relative reliance on higher‑level office E/M: 99214 generates only $2.2K and ranks in the 11th percentile (typical, unremarkable volume), while 99204 (new patient) is more prominent at $12.5K and ranks in the 87th percentile (typical, unremarkable volume). Overall this suggests the practice’s revenue mix leans toward procedures, drug administration, and diagnostic imaging rather than high volumes of prolonged office E/M visits.

    The provider has long tenure in the Medicare program, with NPI enumeration dated 2005-06-28 (~21 years ago), indicating an established practice history and multi‑year Medicare billing record to support trend and peer comparisons. This longevity, combined with the concentration in retinal injections and high imaging volumes, reinforces a stable, procedure‑focused outpatient ophthalmology operation.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,610$680$1.1M
    J2777Injection, faricimab‑svoa, 0.1 mg25,440$30$737.8K
    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.1,290$100$133.1K
    J3590Unclassified biologics50$2,120$95.4K
    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…990$80$74.9K
    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…710$100$71.2K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg590$120$70.2K
    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.2,010$30$68.3K
    J3490Unclassified drugs40$1,720$60.1K
    J2778Injection, ranibizumab, 0.1 mg290$180$52.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178840830$690$713.1K
    J27775308,190$30$340.4K
    J359041050$2,090$127.3K
    J27781120410$180$117.8K
    J3490172050$1,380$76K
    67028950540$100$66.4K
    J2781210440$120$55.7K
    9201435580100$90$18.6K
    9201211300120$70$15.2K
    92235143040$110$14.8K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ron MargolisCTOphthalmology Physician$3.5M$0
    Michael RuddatCTOphthalmology Physician$2.7M$0
    Scott WalterCTRetina Specialist (Ophthalmology) Physician$1.8M$0
    Greg BudoffCTRetina Specialist (Ophthalmology) Physician$705.2K$0
    Tavish NandaMAOphthalmology Physician$490.9K$0
    Noam RudnickCTOphthalmology Physician$243.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Retina Consultants PCCTOphthalmology Physician$0$25.8M
    Ambulance Service Of Manchester, LLCCTLand Ambulance$3.3M$20.4M
    Community Child Guidance Clinic, Inc.CTAdolescent and Children Mental Health Clinic/Center$0$9.3M
    Manchester Public SchoolsCTLocal Education Agency (LEA)$0$6.5M
    Peter JudsonCTOphthalmology Physician$2.6M$0
    Marion StojCTOphthalmology Physician$2.4M$0
    Ronald AlbertCTGeneral Practice Dentistry$0$1.3M
    Jeffrey RanaudoCTVascular Surgery Physician$319.3K$0
    Hazar DahhanCTCardiovascular Disease Physician$318.1K$0
    Walgreen CoCTPharmacy$140.3K$43.3K

    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. Connecticut Distribution
    Jerry Neuwirth — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut