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    OpenPayerNPI Medicare & MedicaidArthur Korotkin
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    Arthur Korotkin — Billing Profile & Reimbursement Data

    NPI 1023166345 · Fort Collins, CO · Ophthalmology Physician

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    Arthur Korotkin is a ophthalmology physician provider located in Fort Collins, Colorado. This profile covers 22 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
    OrganizationArthur Korotkin
    Address1725 E Prospect Rd
    CityFort Collins
    StateCO
    ZIP80525
    TaxonomyOphthalmology Physician
    NPI EnumeratedJanuary 5, 2007

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

    Payer SourceTotal Paid
    Medicare$3.7M
    Medicaid$0

    Key Findings

    This provider is an Ophthalmology Physician with a long active tenure (NPI enumerated 2007-01-05 (~19 years ago)) and a Medicare-focused billing footprint: lifetime Medicare revenue is $3.7M and there is no Medicaid billing on file, indicating an effectively single‑payer (Medicare) practice mix in the claims dataset. The absence of Medicaid activity suggests limited engagement with state Medicaid programs or that Medicaid patients are not billed under this provider’s NPI.

    Revenue is highly concentrated in a small set of injection and retina codes: the precomputed top 3 codes account for 82.3% of this provider’s total Medicare revenue, driven primarily by J0178 ($2.2M, 60.3%), J2777 ($541.1K, 14.5%), and 67028 ($276.4K, 7.4%). This concentration signals a practice model where high-cost intraocular drug therapy and related intravitreal procedures dominate financial outcomes rather than office E/M visits or a broad mix of minor procedures.

    J0178 (aflibercept) is the single largest revenue driver: 3.3K claims producing $2.2M in revenue and ranking #135 of 3204 providers nationally (96th percentile). That placement and the descriptor "notably above typical national volume" indicate this provider is a high-volume aflibercept injector compared with peers, making medical retina injection therapy a core service line.

    While J2777 (faricimab) shows very large claim volume (18.7K claims) and meaningful revenue ($541.1K), its national rank (#575 of 2039, 72th percentile) is characterized as typical and unremarkable relative to peers. In practice this means the provider uses newer anti-VEGF/anti‑angiogenic agents at scale, but that pattern is not uniquely dense versus the national cohort for that specific code.

    Procedure 67028 (intravitreal injection as an isolated or separate procedure) adds $276.4K (2.7K claims) and ranks #140 of 4255 providers nationally (97th percentile), described as "notably above typical national volume." Together with the high J0178 and J2777 activity, this confirms a workflow centered on frequent intravitreal therapeutics rather than primarily surgical retina practice.

    Diagnostic imaging is also a strong relative activity: 92134 produced $103.6K across 3.1K claims and ranks #344 of 26868 providers nationally (99th percentile), labeled an "extreme outlier, far above typical national volume." High OCT/imaging volume supports a practice oriented to ongoing monitoring and frequent follow-up of retinal disease, consistent with chronic intravitreal treatment regimens.

    The provider shows above-typical utilization of compounded and unclassified drug billing: J7999 ($89.1K, rank #37 of 1333, 97th percentile; "notably above typical") and J3490 ($179.8K, rank #1074 of 2838, 62th percentile) together account for a nontrivial share of non‑standard drug revenue. This mix suggests on-site or practice-managed medication compounding/use of miscellaneous drug billing in addition to standard branded injectables, which has implications for procurement, inventory, and drug-cost management.

    Non-procedural office visits and surgical retina services constitute a modest portion of revenue: 99214 generated $85.5K (900 claims, rank #14842 of 479517, 97th percentile — "notably above typical"), while multiple surgical retina codes (e.g., 67042, 67036, 67108) appear at low claim counts and mid-to-lower national percentiles. Overall the pattern is clinical care concentrated on high-frequency intravitreal treatment and imaging with occasional higher-acuity surgical interventions, indicating a medically oriented retina practice rather than a predominantly surgical or general ophthalmology clinic.

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg3,270$690$2.2M
    J2777Injection, faricimab‑svoa, 0.1 mg18,660$30$541.1K
    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.2,660$100$276.4K
    J3490Unclassified drugs80$2,370$179.8K
    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.3,140$30$103.6K
    J2778Injection, ranibizumab, 0.1 mg500$180$90.7K
    J7999Compounded drug, not otherwise classified1,170$80$89.1K
    99214The 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…900$100$85.5K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$920$18.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…250$60$15.9K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178160740$690$618.3K
    J277712408,910$30$456.1K
    J27781520600$180$199.7K
    67028180670$100$73.3K
    67036153020$1,100$37.3K
    67042163020$1,140$29.6K
    67108112020$1,260$26.5K
    J3490176050$290$23.1K
    J7999350230$70$21.5K
    6704171010$1,260$21.4K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ali Torab ParhizIDOphthalmology Physician$4.3M$7.8K
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Brittney StatlerCOOphthalmology Physician$3.7M$0
    John PurvianceWYRadiation Oncology Physician$2.5M$0
    Cary ChisholmTXAnatomic Pathology & Clinical Pathology Physician$2.5M$24.7K
    Matthew AsanoCOOphthalmology Physician$2M$0
    Peter HovlandCOOphthalmology Physician$1.8M$0
    James LevineCORheumatology Physician$1.7M$0
    Nora MuakkassaCOOphthalmology Physician$1.3M$0
    Navid MoradshahiCADiagnostic Radiology Physician$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MosaicCOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$40.1M
    Foothills Gateway Inc.COIn Home Supportive Care Agency$0$34.6M
    Rocky Mountain Clinics LLCCOClinical Medical Laboratory$0$13.1M
    Foothills Gateway, Inc.COCase Manager/Care Coordinator$0$10.8M
    Svc Dental Group, LLCCOPediatric Dentistry$0$8.4M
    Summitstone Health PartnersCOMental Health Clinic/Center (Including Community Mental Health Center)$0$7.4M
    The Residence At Oakridge, LLCCOAssisted Living Facility$0$6.9M
    Fort Collins Radiologic Associates PCCODiagnostic Radiology Physician$0$6.4M
    Reyes CorporationCOCommunity/Behavioral Health Agency$0$5.2M
    Highpointe ServicesCODevelopmentally Disabled Services Day Training Agency$0$5.1M

    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. Colorado Distribution
    Arthur Korotkin — 5 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado