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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWilliam Gruzensky
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    William Gruzensky — Billing Profile & Reimbursement Data

    NPI 1992812234 · Anchorage, AK · Ophthalmology Physician

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    William Gruzensky is a ophthalmology physician provider located in Anchorage, Alaska. This profile covers 4 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
    OrganizationWilliam Gruzensky
    Address1600 A St Ste 200
    CityAnchorage
    StateAK
    ZIP99501
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 24, 2006

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

    Payer SourceTotal Paid
    Medicare$720.4K
    Medicaid$0

    Key Findings

    The provider’s billed services are overwhelmingly cataract-focused: reported procedures center on cataract extraction with intraocular lens implantation (66984, 66982), preoperative IOL biometry (92136), and capsular YAG laser capsulotomy (66821). This code mix indicates the practice operates primarily as a surgical ophthalmology/cataract service line rather than a broad multi subspecialty eye practice.

    Medicare revenue is highly concentrated: 66984 alone accounts for $609.4K of the provider’s Total Medicare revenue: $720.4K (84.6% of this provider's total Medicare revenue), and the precomputed top-3 Medicare codes together account for 96.6% of Medicare revenue. That concentration signals a narrow service mix where a small number of cataract-related codes drive nearly the entire Medicare income stream.

    Volume and competitive standing on the primary surgical code show routine, not extraordinary, national positioning: 66984 has 1.4K claims, $440 avg paid/claim, $609.4K revenue and ranks #1581 of 15965 providers nationally (90th percentile; typical, unremarkable volume for this code). This placement indicates the provider performs cataract surgery at a level consistent with many peers nationally rather than being a nationwide outlier for that operation.

    In contrast, preoperative biometry (92136) is an extreme outlier: the provider billed 1.7K claims at $28 avg paid/claim for $47.1K revenue and ranks #17 of 8731 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). This suggests an unusually large throughput or emphasis on IOL measurement services relative to most peers.

    Complex cataract procedures (66982) are present but minor in scale compared with routine phaco: 66982 shows 66 claims, $603 avg paid/claim, $39.8K revenue and ranks #712 of 4580 providers nationally (84th percentile; typical, unremarkable volume for this code). The much larger volume on 66984 versus 66982 implies the practice performs mostly routine cataract techniques rather than complex-device cases.

    Downstream post‑op care appears consistent with the surgical mix: 66821 (YAG capsulotomy) has 77 claims, $316 avg paid/claim, $24.3K revenue and ranks #3203 of 10087 providers nationally (68th percentile; typical, unremarkable volume for this code), indicating the provider delivers expected follow-up laser care after cataract surgery.

    The provider is effectively a Medicare-only biller in the dataset: Total Medicaid revenue is none (no Medicaid billing on file), so payer mix is single-payer dominated by Medicare. This creates operational exposure to Medicare reimbursement policy and patient population demographics rather than a diversified public-payer mix.

    The NPI tenure is long-standing: NPI enumerated 2006-08-24 (~20 years ago). That extended enrollment period supports interpreting these billing patterns as established practice behavior rather than a short-term or newly formed 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.

    4 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…1,390$440$609.4K
    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…1,680$30$47.1K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…70$600$39.8K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.80$320$24.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6698426040$640$86.7K
    6698211040$820$34.5K
    6682173030$280$13.9K
    92136120120$30$6.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pacific Cataract And Laser Institute Of Alaska Inc PCAKAmbulatory Surgical Clinic/Center$1.4M$2.2M
    Pacific Cataract And Laser Institute, Inc., P.C.WAAmbulatory Surgical Clinic/Center$2.4M$520.5K
    Pacific Cataract And Laser Institute, Inc., P.C.WAAmbulatory Surgical Clinic/Center$1.5M$655.1K
    Pacific Cataract And Laser Institute Inc PCWAAmbulatory Surgical Clinic/Center$1.5M$411.9K
    Pacific Cataract And Laser Institute Inc PCWAAmbulatory Surgical Clinic/Center$1.1M$357.7K
    Pacific Cataract And Laser Institute, Inc., P.C.WAAmbulatory Surgical Clinic/Center$1.1M$342.8K
    Pacific Cataract And Laser Institute, Inc., P.C.WAAmbulatory Surgical Clinic/Center$995.7K$242.5K
    Pacific Cataract And Laser Institute, Inc., P.C.WAAmbulatory Surgical Clinic/Center$987.6K$131.3K
    Pacific Cataract And Laser Institute, Inc., P.C.ORAmbulatory Surgical Clinic/Center$1M$66.9K
    Pacific Cataract And Laser Institute Inc PCIDAmbulatory Surgical Clinic/Center$731.7K$91.1K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Access Alaska Inc.AKPersonal Care Attendant$0$25.7M
    Narcotic Drug Treatment Center, Inc.AKMethadone Clinic$151.2K$21.7M
    Southcentral FoundationAKCommunity/Behavioral Health Agency$0$20.3M
    Municipality Of AnchorageAKLand Ambulance$3.7M$14M
    Southcentral FoundationAKRehabilitation Clinic/Center$0$17M
    Division Of Alaskan Pioneer HomesAKAssisted Living Facility$0$16.3M
    Northbridge, LLCAKCommunity/Behavioral Health Agency$0$14.3M
    Mckinley Care LLCAKAssisted Living Facility$0$8.6M
    Mary HeimanAKCase Manager/Care Coordinator$0$5.2M
    Southcentral FoundationAKMulti-Specialty Clinic/Center$0$3.8M

    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. Alaska Distribution
    William Gruzensky — 2 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska