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    OpenPayerNPI Medicare & MedicaidTodd Schneiderman
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    Todd Schneiderman — Billing Profile & Reimbursement Data

    NPI 1033141007 · Silverdale, WA · Ophthalmology Physician

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    Todd Schneiderman is a ophthalmology physician provider located in Silverdale, Washington. 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
    OrganizationTodd Schneiderman
    Address9800 Levin Rd Nw
    CitySilverdale
    StateWA
    ZIP98383
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 7, 2006

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

    Payer SourceTotal Paid
    Medicare$2.3M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only billing entity: lifetime Medicare revenue is $2.3M and there is no Medicaid billing on file. The absence of any Medicaid lines (none below) indicates payer mix is highly concentrated on Medicare, so payer-specific strategies or contract negotiations will focus on Medicare reimbursement dynamics rather than dual-payer management.

    Revenue is highly concentrated in a small set of drug-injection codes: the precomputed top 3 Medicare codes account for 65.4% of total Medicare revenue, with J2777 alone representing $1M (43.3% of Medicare revenue). That concentration signals a service-line focused on high-cost intravitreal drug administration as the primary revenue driver.

    The code mix and volumes point to a retina-focused ophthalmology practice that does substantial intravitreal injections and retinal imaging. High-volume drug codes such as J2777 (faricimab), J0178 (aflibercept), plus notable claims for J2781 (pegcetacoplan) and multiple ranibizumab codes, together with a very large volume of 92134 (retinal imaging), indicate the practice operates as a medical-retina/injection clinic rather than a general comprehensive-only practice.

    92134 (3.1K claims, $31 avg paid/claim, $95.1K revenue) is an extreme outlier nationally (rank #373 of 26868, 99th percentile; extreme outlier) suggesting this provider delivers far more retinal OCT imaging than typical peers. That unusually high imaging throughput complements the high injection volumes and may reflect protocolized follow-up and monitoring for anti-VEGF or other intravitreal therapies.

    Office visit E/M volume is also unusually high: 99213 shows 1.2K claims ($68 avg paid/claim, $83.2K revenue) and is flagged as an extreme outlier (rank #3841 of 457151, 99th percentile; extreme outlier). Elevated E/M and imaging together imply a high-touch ambulatory follow-up model for chronic retinal disease management.

    Competitive standing by code is mixed: the practice ranks relatively high on its largest drug code J2777 (rank #225 of 2039, 89th percentile) but is more modest on J0178 (rank #1908 of 3204, 40th percentile) and J3490 (rank #853 of 2838, 70th percentile), each described as typical, unremarkable volume. In short, the provider is not a dominant national player across all retina drugs but has above-typical presence on select products and exceptionally high throughput on imaging and routine office visits.

    Surgical retina procedures and other OR-level codes appear present but are a small share of revenue: codes such as 67028, 67036, 67108, and 67042 collectively represent single-digit percentages of Medicare revenue and low claim counts. This reinforces that the practice’s commercial footprint is weighted toward outpatient injection and diagnostics rather than frequent complex vitreoretinal surgery.

    Provider tenure is long-standing: the NPI was enumerated 2006-07-07 (~20 years ago), indicating sustained practice activity over two decades. That longevity, combined with concentrated Medicare billing and the high imaging/E/M throughput, suggests an established local retina practice with operational workflows built around chronic intravitreal therapy and monitoring.

    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
    J2777Injection, faricimab‑svoa, 0.1 mg34,620$30$1M
    J0178Injection, aflibercept, 1 mg510$690$348K
    J3490Unclassified drugs90$1,770$164.4K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg980$120$117K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg520$220$114K
    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.1,170$100$112.7K
    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.3,070$30$95.1K
    J2778Injection, ranibizumab, 0.1 mg510$180$89.4K
    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…1,220$70$83.2K
    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…570$90$52.8K

    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
    J2777115012,780$30$599.7K
    J01784590470$680$597.2K
    Q5128710520$220$136.6K
    J27781430510$180$117.1K
    J2781410650$120$88.6K
    6702833110550$90$72.9K
    J3490227070$50$51.2K
    Q5124310220$170$48.7K
    67042364030$1,190$39.2K
    67108112020$1,180$29.6K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David SpinakWAOphthalmology Physician$4.1M$0
    Steve KimWAOphthalmology Physician$3.4M$20
    David SapersteinWAOphthalmology Physician$3.3M$100
    Adrian OmalleyWAOphthalmology Physician$3M$0
    Andrew BarloonWAOphthalmology Physician$2.7M$20
    Charles BirnbachWAOphthalmology Physician$2.4M$0
    Paul GriggsWAOphthalmology Physician$2.2M$0
    Brenda Myers PowellWARetina Specialist (Ophthalmology) Physician$2.2M$0
    Todd KlesertWAOphthalmology Physician$2.1M$0
    Yicheng ChenWAOphthalmology Physician$2M$290

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Commonspirit Washington Community CareWAGeneral Acute Care Hospital$0$66.2M
    Central Kitsap Fire & Rescue 1WALand Ambulance$727.8K$11M
    West Sound Emergency Physicians, PLLCWAEmergency Medicine Physician$0$8.3M
    Franciscan Medical GroupWAInternal Medicine Physician$0$7.7M
    Mark HeinemannWAOrthodontics and Dentofacial Orthopedics Dentistry$0$3.3M
    Easter Seals WashingtonWACommunity/Behavioral Health Agency$0$3.3M
    Salmon Surgery Center LLCWAAmbulatory Surgical Clinic/Center$2.3M$44.3K
    Surgery Center Of Silverdale LLCWAAmbulatory Surgical Clinic/Center$1.5M$0
    Digestive Disease & Endoscopy Center, LLCWAAmbulatory Surgical Clinic/Center$848.9K$376.3K
    Pacific Cataract And Laser Institute, Inc., P.C.WAAmbulatory Surgical Clinic/Center$987.6K$131.3K

    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. Washington Distribution
    Todd Schneiderman — 4 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington