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    OpenPayerNPI Medicare & MedicaidAsheesh Tewari
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    Asheesh Tewari — Billing Profile & Reimbursement Data

    NPI 1043248032 · Dearborn, MI · Retina Specialist (Ophthalmology) Physician

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    Asheesh Tewari is a retina specialist (ophthalmology) physician provider located in Dearborn, Michigan. This profile covers 15 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
    OrganizationAsheesh Tewari
    Address25230 Michigan Ave
    CityDearborn
    StateMI
    ZIP48124
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 29, 2006

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    This provider is a retina specialist with $2.8M in reported lifetime Medicare revenue and no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the available claims data. The absence of Medicaid billing suggests care and revenue streams are concentrated in the Medicare population rather than dual‑payer mix.

    Revenue is highly concentrated in intravitreal drug administration: the precomputed top three Medicare codes account for 83.8% of total Medicare revenue, driven by J0178 ($1.5M, 54.6%), J2777 ($659.5K, 23.7%), and 67028 ($153.1K, 5.5%). This concentration indicates that a large share of billing and reimbursement depends on a small number of high-value injection and injection‑related procedure codes.

    The code mix and top revenue drivers point to an office‑based retina practice model that emphasizes intravitreal biologic therapy and injection procedures. J0178 (aflibercept) and J2777 (faricimab) are the dominant revenue sources and, together with 67028 (isolated intravitreal injection), indicate routine, ongoing management of retinal disease with intravitreal pharmacologic therapy.

    Despite heavy revenue from injectable biologics, the provider’s national competitive standing on those drugs is not dominant: both J0178 and J2777 are described as typical, unremarkable volume relative to peers. In other words, the practice relies on high-revenue drugs but does so at volumes that align with many similar retina providers rather than indicating national market leadership.

    The practice shows exceptionally high diagnostic and examination intensity relative to national peers: 92134 (retinal imaging) is an extreme outlier, far above typical national volume, and 92201 (extended ophthalmoscopy with retinal drawing) is also an extreme outlier, far above typical national volume. This suggests a workflow that pairs frequent intravitreal treatment with high utilization of imaging and detailed retinal examinations for monitoring and documentation.

    Established patient management and visit volume are elevated: 92014 (comprehensive established ophthalmological exam) and 99214 (office E/M for established patient) are both described as notably above typical national volume. These patterns are consistent with sustained follow‑up care and complex medical decision‑making typical of retina disease management.

    Procedural surgery exposure is limited in scale: 67039 (pars plana vitrectomy) appears only 14 times for $10.9K (0.4% of Medicare revenue) and is characterized as typical, unremarkable volume for that code. The low surgical billing share indicates the provider primarily manages retinal disease non‑operatively in the office setting rather than as a high‑volume surgical retina center.

    This NPI has been enumerated since 2006‑06‑29 (~20 years ago), indicating long tenure in Medicare; combined with the high concentration of revenue in a few injection codes and no Medicaid activity, the practice appears experienced but also exposed to payer and drug‑utilization policy changes that affect intravitreal biologic reimbursement.

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,210$690$1.5M
    J2777Injection, faricimab‑svoa, 0.1 mg22,740$30$659.5K
    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.1,680$90$153.1K
    J2778Injection, ranibizumab, 0.1 mg550$180$100.1K
    92014An 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…1,010$90$89.2K
    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.2,830$30$85K
    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…770$100$73.5K
    92201The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…1,430$20$27.1K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg210$120$25.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.140$110$14.7K

    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

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01789110680$690$630.2K
    J27778607,200$30$321K
    J27782950730$180$240.5K
    6702812160440$90$57.6K
    J2781310260$120$31.9K
    6703931020$1,050$24.1K
    J35904680140$80$19.6K
    92014181,080100$80$14.8K
    9921428015,47080$80$11.4K
    92134582060$30$7.1K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Physician GroupMIInternal Medicine Physician$0$87.4M
    University Physician GroupMICounselor$57.7K$1.4M
    Anthony ParendoWIRetina Specialist (Ophthalmology) Physician$1.2M$0
    Patrick MurphyMIOphthalmology Physician$581.3K$0
    Brett MalbinMIOphthalmology Physician$477.6K$0
    Xihui LinMIOphthalmology Physician$376.6K$0
    Darius MehreganMIDermatopathology Physician$351.7K$0
    Rajiv ShahNCOphthalmology Physician$328.3K$0
    Yahya MuradMIGeriatric Medicine (Internal Medicine) Physician$297.7K$0
    Gabriel SosneMIOphthalmology Physician$250.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Oakwood Healthcare, Inc.MIGeneral Acute Care Hospital$0$165.3M
    Services To Enhance PotentialMIDevelopmentally Disabled Services Day Training Agency$0$72.8M
    Oakwood Ambulatory LLCMIInternal Medicine Physician$0$66.9M
    Chitter Chatter P.C.MIBehavior Analyst$0$59.5M
    Emergency Professionals Of Michigan, P.C.MIEmergency Medicine Physician$0$35.2M
    Drs Harris Birkhill Wang Songe & Assoc PCMIDiagnostic Radiology Physician$0$27.8M
    Futures Healthcore, LLCMICommunity Health Clinic/Center$0$15.6M
    First Choice Urgent Care PCMIUrgent Care Clinic/Center$0$13.5M
    David K. Vazquez D.d.s. PlcMIPediatric Dentistry$0$8M
    Dearborn Surgery Center, LLCMIAmbulatory Surgical Clinic/Center$2.3M$0

    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. Michigan Distribution
    Asheesh Tewari — 6 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan