FDFairDoctor.org
Home/Ophthalmology/New York/Dr. Kenneth Graham

Dr. Kenneth Graham

Moderate Markup
Practice Location: Great Neck,New York 11021
National Provider Identifier (NPI): 1457464778
27 mins
Average Visit Time
2.57x
Markup Level
43,402
Annual Services
The Rushed Visit Index

Balanced Practice

~27 min face-time

Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.

How is appointment length calculated?

Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).

Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.

⏱️

Appointment Length & Visit Style

Clinical appointment coding analysis across standard patient evaluations

Consultation Classification
Standard (20-30 mins)

Dr. Graham provides standard-duration consultations averaging approximately 27 minutes per visit, aligned with typical medical practice guidelines.

What visit duration tells you:
•Thorough evaluations: Longer appointments mean more opportunity to ask questions, review medical histories, and explain treatment options.
•Complex medical care: Patients managing multiple chronic conditions or seeking second opinions often benefit from physicians with extended visit styles.
🏷️

Pricing Transparency & Fee Comparison

How this provider bills compared to standard insurance benchmarks

Pricing Markup Ratio
2.57x
National Specialty Average: 2.56x
Total Annual Charges Billed
$18,114,442
Gross billed amount on claims
Standard Benchmark Value
$7,041,121
Customary fee baseline
Practical Guide for Patients and Families:

Dr. Graham bills moderately higher than baseline insurance benchmarks. If you are in-network, your co-pay or coinsurance will be determined by your plan's contracted rate. If paying out of pocket, request an upfront written fee estimate.

Verified Clinical Procedures & Surgical Focus

Official annual procedure volumes, customary fee comparisons, and clinical focus areas.

Clinical Procedure & CodeAnnual ServicesDoctor ChargePeer NormStandard Baselinevs. Peer Norm
HCPCS J2777
22,860$69.45$60.00$35.561.16x
HCPCS J0178
4,724$1997.46$1500.00$870.201.33x
CPT 92134
4,344$170.00$95.00$47.271.79x
CPT 67028
2,906$733.38$488.86$148.731.5x
CPT 92012
1,411$250.00$132.42$105.961.89x
HCPCS Q5128
1,236$800.00$800.00$269.081x
HCPCS J2778
1,055$800.00$550.00$233.201.45x
CPT 92201
932$90.00$70.00$28.291.29x
👨‍⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓

This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:

Evaluation & Management Mix

Estimated appointment time calculation: 27 minutes. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.

Charge-to-Payment Ratio

Gross charge multiplier: 2.57x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.

Patient Guidance: What to Ask Before Your Appointment

  • In-Network Confirmation: Confirm directly with your insurance plan that Dr. Graham participates in your specific network tier.
  • Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
  • Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.