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    OpenPayerNPI Medicare & MedicaidFaizuddin Khaja
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    Faizuddin Khaja — Billing Profile & Reimbursement Data

    NPI 1043409873 · Cincinnati, OH · Ophthalmology Physician

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    Faizuddin Khaja is a ophthalmology physician provider located in Cincinnati, Ohio. This profile covers 23 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
    OrganizationFaizuddin Khaja
    Address2055 Reading Rd
    CityCincinnati
    StateOH
    ZIP45202
    TaxonomyOphthalmology Physician
    NPI EnumeratedOctober 17, 2007

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Key Findings

    Medicare is the sole payer activity on file: total Medicare revenue is $1.9M and there is no Medicaid billing on file, so the provider functions effectively as a Medicare-focused practice rather than a dual‑payer operation. This single‑payer concentration means analyses of volume and revenue should be interpreted through a Medicare-only lens.

    Revenue is highly concentrated in a small set of drug and injection codes: the precomputed top 3 Medicare codes account for 84.5% of the provider’s Medicare revenue, with J0178 alone representing $1.2M (63.8% of Medicare revenue). This concentration indicates that biologic intravitreal therapy is the primary revenue driver for the practice.

    The procedure mix indicates a retina-focused ophthalmology practice centered on intravitreal injections and retinal diagnostics: high-revenue drug codes J0178 and J2777 and the vitreous injection procedure 67028 are the top revenue contributors, and imaging code 92134 also appears in the top list. Together these codes (drug administration plus retinal imaging and injection procedures) are consistent with a clinic delivering anti‑VEGF/fundus care rather than a high-volume general cataract surgery practice.

    Competitive standing is mixed across specific services: J0178 ranks #643 of 3204 providers nationally (80th percentile) and is labeled typical, unremarkable volume for that code, so the provider is above the median but not a dominant national leader for aflibercept injections. By contrast, retinal imaging 92134 ranks #955 of 26868 providers nationally (96th percentile) and is described as notably above typical national volume, indicating comparatively higher utilization of retinal diagnostic imaging versus peers.

    The provider shows particularly high relative volume for some biologic classifications: J3590 (unclassified biologics) ranks #51 of 631 providers nationally (92th percentile) and is described as notably above typical national volume, suggesting outsized use of non‑specified biologic billing within a narrower peer group. This pattern may reflect frequent use of miscellaneous or evolving injectable therapies alongside the named agents.

    Primary E/M activity is present but not dominant: established‑patient E/M code 99214 accounts for $51.4K (2.7% of Medicare revenue) and ranks #38910 of 479517 providers nationally (92th percentile) with a typical, unremarkable volume label, indicating the practice bills a routine level of office visits in addition to procedure‑centric revenue. New‑patient and high‑level E/M codes appear with low revenue shares, reinforcing the view that procedures and drug administration drive the business model.

    Tenure and billing history support a long‑standing practice presence: the NPI was enumerated 2007-10-17 (~19 years ago), which aligns with sustained Medicare billing and an established pattern of drug and imaging utilization over time. Long tenure combined with concentrated injectable drug revenue suggests an established retina or medical ophthalmology focus rather than a recently pivoted service line.

    Concentration around expensive injectable therapies creates operational sensitivity: with J0178, J2777, and 67028 making up 84.5% of Medicare revenue, the provider’s topline is closely tied to intravitreal drug use and reimbursement levels for those products. Any shifts in utilization patterns, drug pricing, or payer coverage for these specific agents would likely have a material impact on revenue given the narrow revenue base.

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,780$690$1.2M
    J2777Injection, faricimab‑svoa, 0.1 mg9,180$30$266.2K
    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.1,460$90$130.1K
    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.2,090$30$60.7K
    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$51.4K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg290$160$45.6K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…90$410$35.5K
    J3590Unclassified biologics620$50$32K
    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…270$80$21.4K
    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…200$60$12.9K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017824100840$680$729K
    J277736709,480$30$353.3K
    66984394530210$110$92.8K
    6702828150470$90$64K
    J7312920240$160$41.7K
    J359015100200$100$30K
    6682135836050$180$15.8K
    920142791,390100$70$12.9K
    9921482520,010100$70$11.7K
    99490206420100$40$8.1K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tri-state Centers For Sight IncOHOphthalmologic Surgery Clinic/Center$1.9M$559.6K
    Peter BlackburnKYRetina Specialist (Ophthalmology) Physician$1M$251.2K
    Matthew DykhuizenKYOphthalmology Physician$888.4K$3.4K
    Johannes EvansKYOphthalmology Physician$291.9K$588.5K
    Christopher DevineOHOphthalmology Physician$772.3K$0
    Michael DaunOHOphthalmology Physician$760.6K$0
    Midwest Eye Surgery CenterOHOphthalmologic Surgery Clinic/Center$562.4K$47.9K
    Alexander KuleyOHOphthalmology Physician$381.1K$0
    David BlandfordKYOphthalmology Physician$260.1K$58.1K
    William CurtisKYOphthalmology Physician$216.2K$84.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    City Of CincinnatiOHAmbulance$1.4M$15.8M
    City Of CincinnatiOHFederally Qualified Health Center (FQHC)$0$8.3M
    Karla WaldenOHFamily Nurse Practitioner$153.9K$0
    Lisa WilsonOHFamily Nurse Practitioner$78.7K$0
    Logan SiemerOHPhysical Therapist$78.1K$0
    Brian KaminskiOHEmergency Medicine Physician$77.9K$0
    Georgia BaileyOHFamily Nurse Practitioner$12.3K$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. Ohio Distribution
    Faizuddin Khaja — 2 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio