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NPI 1013123595 · Santa Rosa, CA · Ophthalmology Physician
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Shalini Yalamanchi is a ophthalmology physician provider located in Santa Rosa, California. This profile covers 10 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Shalini Yalamanchi |
| Address | 3536 Mendocino Ave |
| City | Santa Rosa |
| State | CA |
| ZIP | 95403 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | May 14, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $7.2M |
| Medicare | $4.6M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 5,820 | $690 | $4M |
| 67028 | The 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. | 2,450 | $100 | $254.7K |
| 92134 | The 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. | 3,020 | $30 | $99.8K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 3,060 | $30 | $88.7K |
| 92014 | An 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… | 600 | $100 | $59K |
| 92012 | For 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… | 300 | $70 | $21.5K |
| 92235 | The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken… | 160 | $130 | $19.7K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 180 | $100 | $18.8K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 80 | $130 | $10.3K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 60 | $110 | $6.8K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
10 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 1 | 310 | 570 | $690 | $647.1K |
| J2777 | 175 | 200 | 10,740 | $30 | $459.5K |
| 67028 | 15 | 470 | 420 | $100 | $71.8K |
| 92014 | 426 | 2,890 | 110 | $100 | $28.7K |
| 92012 | 578 | 1,620 | 150 | $70 | $23.6K |
| 99214 | 14,164 | 37,970 | 120 | $90 | $23.2K |
| 92235 | 75 | 270 | 60 | $110 | $17.1K |
| 92134 | 51 | 2,150 | 90 | $30 | $12.6K |
| 92004 | 786 | 1,950 | 50 | $110 | $9.7K |
| 99204 | 4,221 | 19,360 | 40 | $120 | $7.2K |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 3,310 | $1,690 | $5.6M |
| 67028 | The 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. | 4,180 | $350 | $1.5M |
| 92134 | The 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. | 3,040 | $30 | $103.2K |
| 92012 | For 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… | 930 | $40 | $39.8K |
| 92235 | The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken… | 230 | $90 | $21.3K |
| J9035 | Injection, bevacizumab, 10 mg | 40 | $70 | $2.7K |
| 92225 | N/A | 40 | $60 | $2K |
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 9 | 120 | 380 | $970 | $1.1M |
| 67028 | The 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. | 60 | 360 | 840 | $160 | $495.3K |
| J9035 | Injection, bevacizumab, 10 mg | 194 | 230 | 310 | $110 | $232K |
| 92235 | The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken… | 55 | 130 | 150 | $60 | $90.7K |
| 92012 | For 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… | 337 | 990 | 370 | $30 | $61.1K |
| 92134 | The 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. | 134 | 700 | 420 | $20 | $60.3K |
| 92225 | N/A | 152 | 200 | 130 | $40 | $17.5K |
Other providers in the same ZIP code as Shalini Yalamanchi, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Santa Rosa Community Health Centers | CA | Federally Qualified Health Center (FQHC) | $0 | $63.4M |
| Sutter Bay Hospitals | CA | General Acute Care Hospital | $0 | $35.3M |
| Santa Rosa Surgery Center L P | CA | Ambulatory Surgical Clinic/Center | $4.6M | $4.1M |
| Denise Kayser | CA | Retina Specialist (Ophthalmology) Physician | $778.4K | $2.1M |
| Laservue Eye Center Medical Corporation | CA | Ophthalmologic Surgery Clinic/Center | $1.8M | $54.7K |
| Albert Peng | CA | MOHS-Micrographic Surgery Physician | $1.2M | $0 |
| Jason Pope | CA | Pain Medicine (Anesthesiology) Physician | $627.2K | $0 |
| Judith Groves | CA | Dermatology Physician | $581K | $0 |
| Harjot Bhandal | CA | Interventional Pain Medicine Physician | $506.4K | $0 |
| Anthony Sajewicz | CA | Diagnostic Radiology Physician | $446.7K | $0 |
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