Dr. Arlene The , MD
Ophthalmology • Hackensack, NJ
348 Summit Ave
Hackensack, NJ 076011430
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on January 11, 2007; this date does not establish years in practice.
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Published CMS data list 302 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 92012 — Established patient problem focused exam of visual system: 87 service units.
- 99213 — Established patient outpatient office visit: 51 service units.
- 92014 — Established patient complete exam of visual system: 49 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 7 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 101 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Lumigan (Bimatoprost) — 40 prescription fills, including refills.
- Latanoprost — 27 prescription fills, including refills.
- Restasis (Cyclosporine) — 20 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table · Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 90% of clinicians listed under Ophthalmology in New Jersey (2024, 442 clinicians with data). Median for this group: 2,291. Middle half: 1,055 to 4,088.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 275 in 2020 to 302 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
348 Summit Ave
Hackensack, NJ 076011430
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2005
What Public CMS Data Show
Ophthalmology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
88 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $24,557 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $17,742 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
177 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$42,635 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
Years since graduation
21 years (graduated 2005)
CMS Doctors and Clinicians data list 2005 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. The has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. The as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Hackensack and New Jersey
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 90% of clinicians listed under Ophthalmology in New Jersey (2024, 442 clinicians with data). Median for this group: 2,291. Middle half: 1,055 to 4,088.
Too few clinicians listed under Ophthalmology in Hackensack have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 90% of clinicians listed under Ophthalmology in New Jersey (2024, 442 clinicians with data). Median for this group: $257,081. Middle half: $109,308 to $470,056.
Too few clinicians listed under Ophthalmology in Hackensack have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 90% of clinicians listed under Ophthalmology in New Jersey (2024, 442 clinicians with data). Median for this group: $184,083. Middle half: $79,904 to $344,335.
Too few clinicians listed under Ophthalmology in Hackensack have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
Fewer Part D prescriptions than 90% of clinicians listed under Ophthalmology in New Jersey (2024, 468 clinicians with data). Median for this group: 1,008. Middle half: 362 to 1,885.
Too few clinicians listed under Ophthalmology in Hackensack have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 70% of clinicians listed under Ophthalmology in New Jersey (2024, 468 clinicians with data). Median for this group: $141,459. Middle half: $28,136 to $307,554.
Too few clinicians listed under Ophthalmology in Hackensack have Medicare Part D data for 2024 to compare.
6 active clinicians are listed under Ophthalmology with a practice address in Hackensack, NJ (631 in New Jersey).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 10% from 275 in 2020 to 302 in 2024.
- 2020: 275
- 2021: 273
- 2022: 353
- 2023: 371
- 2024: 302
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $23,299 in 2020 and $24,557 in 2024.
- 2020: $23,299
- 2021: $22,637
- 2022: $30,013
- 2023: $29,853
- 2024: $24,557
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Paid by Medicare
Paid by Medicare varied from year to year: $16,857 in 2020 and $17,742 in 2024.
- 2020: $16,857
- 2021: $16,551
- 2022: $21,847
- 2023: $21,038
- 2024: $17,742
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 14% from 118 in 2020 to 101 in 2024.
- 2020: 118
- 2021: 68
- 2022: 165
- 2023: 143
- 2024: 101
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30-day fills
30-day fills increased 14% from 155 in 2020 to 177 in 2024.
- 2020: 155
- 2021: 96
- 2022: 261
- 2023: 219
- 2024: 177
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Part D drug cost
Part D drug cost increased 380% from $8,877 in 2020 to $42,635 in 2024.
- 2020: $8,877
- 2021: $7,276
- 2022: $35,341
- 2023: $37,444
- 2024: $42,635
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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92012
Established patient problem focused exam of visual system
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87 | 42 | $200.00 | $98.12 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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51 | 35 | $200.00 | $98.10 |
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92014
Established patient complete exam of visual system
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49 | 49 | $300.00 | $139.47 |
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92020
Exam of the internal drainage system of eye
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38 | 37 | $150.00 | $30.09 |
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92202
Extended exam of the back part of the eye with optic nerve drawing
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34 | 32 | $140.00 | $16.69 |
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92083
Exam of visual field with extended testing
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24 | 21 | $250.00 | $71.07 |
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92133
Imaging of optic nerve
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19 | 19 | $200.00 | $40.36 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Lumigan | Bimatoprost | 40 | 1,594 | $14,384.36 | — |
| Latanoprost | Latanoprost | 27 | 1,441 | $287.02 | — |
| Restasis | Cyclosporine | 20 | 1,380 | $27,837.01 | — |
| Timolol Maleate | Timolol Maleate | 14 | 788 | $126.39 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-04-14NUCC Taxonomy Code: 207W00000X
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPHTHALMOLOGY
I20121115000538
NJ
3173774338
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History
NPI enumerated January 11, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Ophthalmology Specialists in Hackensack
Healthcare providers in HackensackMailing Address
348 Summit Ave
Hackensack, NJ 076011430
Phone: 2013439300