Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sachin Mudvari (NPI 1023221199)

Field	Value
Entity Type	Individual
Organization	Sachin Mudvari
Address	4414 Lake Boone Trl
City	Raleigh
State	NC
ZIP	27607
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	May 7, 2007

Payer Source	Total Paid
Medicare	$3.2M
Medicaid	$0

Key Findings

This provider is operating as a procedure-heavy retina practice concentrated on intravitreal biologic injections and in-office retinal imaging: J0178 (2.8K claims, $689 avg paid/claim, $1.9M revenue) is the dominant revenue source, and additional injection codes J2777 (10.9K claims, $29 avg paid/claim, $316.7K revenue) and J2778 (1.7K claims, $182 avg paid/claim, $312.1K revenue) appear alongside high volumes of imaging and photography codes such as 92134 (1.4K claims, $37K revenue) and 92250 (967 claims, $24.2K revenue), consistent with integrated injection-and-imaging clinic workflows.

Revenue concentration is very high: the precomputed top three Medicare codes account for 80.3% of this provider’s total Medicare revenue, and J0178 alone represents 60.5% of Medicare revenue ($1.9M of $3.2M total), indicating that a single biologic treatment drives the bulk of the practice’s Medicare receipts.

This provider’s payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $3.2M and there is no Medicaid billing on file, so Medicaid does not meaningfully contribute to the practice’s billed volume or revenue base.

On competitive standing, the provider is a major national participant for key retina procedures: J0178 ranks #226 of 3204 providers nationally (93th percentile; notably above typical national volume for this code) and 92250 ranks #270 of 25087 providers nationally (99th percentile; extreme outlier), while other diagnostic and E/M codes like 92134 (94th percentile) and 99213 (96th percentile) also indicate above-typical volumes relative to national peers.

Several injection/drug codes show only typical participation: J2777 ranks #953 of 2039 (53th percentile; typical, unremarkable volume) and J3590 ranks #308 of 631 (51th percentile; typical, unremarkable volume), suggesting that outside of the top aflibercept-driven activity the provider’s drug billing is in line with many peers rather than dominant.

The code mix shows adoption of multiple intravitreal agents and some unclassified biologic billing: in addition to large J0178 volume the provider reports J2777 (faricimab) and J2781 (pegcetacoplan) activity and unclassified codes J3590 and J3490, indicating use of both established and newer/specialty intravitreal therapies in clinical practice.

Operationally, the practice pairs high procedure throughput with office-based evaluation and diagnostics: 67028 (1.8K claims, $160.4K revenue), 92134 (1.4K claims), 92250 (967 claims), and 99213 (603 claims) together indicate frequent same-site injection visits supported by imaging and low-complexity follow-up E/M encounters.

The provider has an established tenure that supports sustained Medicare activity: NPI enumerated on 2007-05-07 (~19 years ago), which aligns with the multi-year build-up of the concentrated injection and imaging revenue profile documented in the Medicare claims data.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,780	$690	$1.9M
J2777	Injection, faricimab‑svoa, 0.1 mg	10,920	$30	$316.7K
J2778	Injection, ranibizumab, 0.1 mg	1,720	$180	$312.1K
J3590	Unclassified biologics	90	$2,690	$239.5K
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.	1,800	$90	$160.4K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	480	$120	$56.2K
J3490	Unclassified drugs	30	$1,980	$49.5K
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.	1,370	$30	$37K
99213	The 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…	600	$60	$33.8K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	970	$30	$24.2K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Sachin Mudvari — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	8	100	950	$690	$881K
J2777	39	70	12,990	$30	$503.7K
J2778	8	50	620	$180	$202.2K
J3590	2	10	30	$2,570	$95K
67028	16	120	780	$90	$80K
J2781	5	10	480	$120	$75.8K
J3490	58	80	50	$450	$24.1K
99214	14,812	18,060	110	$80	$15.1K
J9035	55	90	140	$50	$13.4K
92235	42	70	60	$100	$8.7K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shil Patel	VA	Ophthalmology Physician	$6.1M	$0
James Pate	NC	Ophthalmology Physician	$5.2M	$0
Nitin Gupta	NC	Ophthalmology Physician	$4.7M	$0
John Thordsen	NC	Retina Specialist (Ophthalmology) Physician	$3.5M	$0
Rebecca Manning	NC	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
William Clark	SC	Ophthalmology Physician	$3.3M	$0
Daniel Bennett	NC	Retina Specialist (Ophthalmology) Physician	$3M	$0
Brian Lehpamer	NC	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Elizabeth Tegins	NJ	Ophthalmology Physician	$2.7M	$0
Wasim Samara	TX	Ophthalmology Physician	$2.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Autism Society Of North Carolina, Inc.	NC	Community/Behavioral Health Agency	$0	$95.7M
Rex Hospital Inc.	NC	General Acute Care Hospital	$0	$25.3M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$24.8M
Nc Dept Of Health And Human Service	NC	Clinical Medical Laboratory	$0	$16.4M
Jeffers Mann & Artman Pediatric & Adolesent Medicine PA	NC	Pediatric Adolescent Medicine Physician	$0	$10.9M
Pediatric Therapy Associates	NC	Physical Therapist	$0	$10.2M
Blue Ridge Day Surgery Center, LP	NC	Ambulatory Surgical Clinic/Center	$1.6M	$2.2M
John Denny	NC	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Eugene Milder	NC	Retina Specialist (Ophthalmology) Physician	$2.1M	$0
Raynor Casey	NC	Retina Specialist (Ophthalmology) Physician	$1.9M	$0

Sachin Mudvari — Billing Profile & Reimbursement Data

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Sachin Mudvari — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References