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    OpenPayerNPI Medicare & MedicaidPaul Hahn
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    Paul Hahn — Billing Profile & Reimbursement Data

    NPI 1043360704 · Nanuet, NY · Retina Specialist (Ophthalmology) Physician

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    Paul Hahn is a retina specialist (ophthalmology) physician provider located in Nanuet, New York. This profile covers 18 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
    OrganizationPaul Hahn
    Address25 Smith St Ste 414
    CityNanuet
    StateNY
    ZIP10954
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJanuary 12, 2007

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

    Payer SourceTotal Paid
    Medicare$3.1M
    Medicaid$0

    Key Findings

    This provider is a retina-focused ophthalmology practice with a procedural mix dominated by intravitreal biologic injections and retinal imaging. The top Medicare codes are J0178 (aflibercept injection), J2778/J2777 (ranibizumab and faricimab injections), and high-volume retinal imaging codes (92134), which together indicate the practice primarily delivers physician-administered anti-VEGF and related therapies and follows patients with diagnostic OCT imaging and other retinal exams. The code set and descriptions point to a treatment workflow centered on recurrent office-based injections and monitoring of retinal disease.

    Medicare revenue is concentrated in a very small number of high-value drug and procedure codes: the precomputed top-three codes account for 68.4% of the provider’s total Medicare revenue, and J0178 alone generates $1.4M (45.1% of total Medicare revenue). This concentration implies business and reimbursement risk is tied to continued demand for and reimbursement of intravitreal anti-VEGF agents.

    This provider effectively operates as a single-payer Medicare-dependent practice with $3.1M in lifetime Medicare revenue and no Medicaid billing on file; the absence of Medicaid activity means payer mix lacks state-program diversification and the provider’s revenue profile and patient volume are driven entirely by Medicare.

    Competitive standing on Medicare for key injection and imaging codes is mixed: for J0178 the provider ranks #528 of 3204 (84th percentile), and for J2778 ranks #187 of 1208 (85th percentile), placing them as a solid, above-typical national participant for commonly used anti-VEGF agents rather than a dominant national leader. In contrast, for office-based comprehensive exam 92014 the provider ranks #92 of 35415 (100th percentile) and for OCT 92134 ranks #515 of 26868 (98th percentile), indicating exceptional volume in these services relative to national peers and a strong practice footprint for follow-up and diagnostic management.

    Several CPT/HCPCS entries are statistical outliers in national volume: 92014 is labeled an "extreme outlier, far above typical national volume," 92134 is also an "extreme outlier, far above typical national volume," and 92202 is similarly an "extreme outlier, far above typical national volume." These unusually high volumes for comprehensive exams and extended ophthalmoscopy suggest a large established Medicare patient panel managed longitudinally, with frequent monitoring and documentation of retinal disease.

    The provider has an established NPI with enumeration dating to 2007-01-12 (~19 years ago), indicating long tenure in the Medicare program. This duration supports the observed high cumulative Medicare revenue ($3.1M) and sustained service lines (repeated injections and imaging) rather than a recent escalation in billing.

    Routine ancillary codes and some unclassified drug/biologic codes (J3590, J3490, J7999) show modest contribution to revenue ($95.4K, $86.6K, and $8.9K respectively) and fall in mid-to-lower national percentiles, suggesting occasional or lower-volume use of nonstandard or compounded agents alongside the primary anti-VEGF treatments rather than a core business line.

    Procedure-level economics show different revenue-per-claim profiles: high-cost biologics such as J0178 average $693 paid/claim and drive the largest portion of revenue, whereas imaging and injection procedure codes (e.g., 92014, 67028, 92134) have much lower per-claim payments but high claim counts, reflecting a model that mixes infrequent high-dollar drug reimbursements with frequent, lower-paid visits and diagnostics to manage chronic retinal disease.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,020$690$1.4M
    J2778Injection, ranibizumab, 0.1 mg2,250$190$423K
    J2777Injection, faricimab‑svoa, 0.1 mg10,440$30$302.8K
    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…2,710$110$284.7K
    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.1,820$110$190.9K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg710$220$151.8K
    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.2,760$40$99.2K
    J3590Unclassified biologics40$2,330$95.4K
    J3490Unclassified drugs50$1,770$86.6K
    92202The 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…1,780$10$23.1K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01789230560$690$693K
    J2777251207,740$30$364.9K
    Q51286201,170$220$268.3K
    J2778870510$180$131.6K
    J3590162030$1,430$72.7K
    6702812300400$100$65.9K
    J34906912060$470$50.8K
    9201492,220160$100$29.3K
    920125891,640100$70$17.4K
    922354819060$120$14.1K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Retinal Consultants LLCDEOphthalmology Physician$0$25.2M
    Rohit LakhanpalMDRetina Specialist (Ophthalmology) Physician$6.1M$0
    Vinod VoletiNJRetina Specialist (Ophthalmology) Physician$4.1M$0
    Sumit ShahNJRetina Specialist (Ophthalmology) Physician$4.1M$0
    Newman SundMDOphthalmology Physician$4M$0
    Eric SuanMDOphthalmology Physician$3.8M$0
    Matthew SpeicherMDOphthalmology Physician$3.7M$0
    Howard FineNJRetina Specialist (Ophthalmology) Physician$3.6M$0
    Timothy PolkMDOphthalmology Physician$3.5M$0
    Jonathan PrennerNJRetina Specialist (Ophthalmology) Physician$3.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Rockland Mobile Care, Inc.NYLand Ambulance$748.6K$4.2M
    Harinder GillNYInternal Medicine Physician$216.4K$76.1K
    Jay LevineNYPodiatrist$156K$18.4K
    Bardonia Pharmacy LLCNYCommunity/Retail Pharmacy$118.6K$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. New York Distribution
    Paul Hahn — 5 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York