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 New Jersey for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Elizabeth Tegins (NPI 1063674315)

Field	Value
Entity Type	Individual
Organization	Elizabeth Tegins
Address	10 Plum St Ste 600
City	New Brunswick
State	NJ
ZIP	08901
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 27, 2008

Payer Source	Total Paid
Medicare	$2.7M
Medicaid	$0

Key Findings

ELIZABETH TEGINS is an Ophthalmology Physician in NEW BRUNSWICK, NJ with lifetime Medicare revenue of $2.7M and no Medicaid billing on file, making her effectively a Medicare-focused provider; her NPI was enumerated on 2008-06-27 (~18 years ago), indicating roughly 18 years of billing tenure.

Revenue is highly concentrated in intravitreal drug administration: the precomputed top 3 Medicare codes (J0178, J2777, J2778) account for 73.5% of this provider's total Medicare revenue. Those three codes individually account for $1M (J0178, 39.3%), $675.1K (J2777, 25.5%), and $231.6K (J2778, 8.7%) of Medicare revenue, underscoring dependence on a small set of high-cost injectable therapies.

The top codes indicate a medical-retina service line focus: J0178, J2777, and J2778 are intravitreal injections (aflibercept, faricimab, ranibizumab), and 67028 is an isolated intravitreal injection — together these suggest routine, repeated intravitreal therapy administration as a core operational activity. Supporting codes such as 92014 (comprehensive established exam) and 92134 (retinal OCT) further indicate ongoing chronic retinal disease management rather than only occasional surgical work.

On procedural and imaging throughput, the provider is an outlier in exam and diagnostic imaging volumes: 92014 (1.5K claims, $152.9K) ranks in the 98th percentile nationally and is labeled an "extreme outlier," while 92134 (2.3K claims, $80.3K) ranks in the 97th percentile and is also an "extreme outlier." These high ranks for exams and OCT imply unusually large established-patient clinic volume relative to national peers.

Despite injection therapies driving most revenue, competitive standing for those drugs is modest: J0178 ranks #821/3204 (74th percentile), J2777 ranks #432/2039 (79th percentile), and J2778 ranks #357/1208 (71th percentile), each described as "typical, unremarkable volume." In other words, the practice relies on anti-VEGF/related injections for revenue but does not appear to be a top national outlier in injection volumes.

The practice also bills smaller but notable sums for other biologic and biosimilar categories: J3590 (unclassified biologics) generated $139.9K (5.3% of Medicare revenue; 39th percentile) and Q5128 (ranibizumab biosimilar) generated $74.5K (2.8% of Medicare revenue; 31th percentile). These entries indicate supplemental use of unclassified biologics and biosimilars without dominating the revenue mix.

From a payer-mix and operational risk perspective, the absence of Medicaid billing ("none below") combined with Medicare-only revenue of $2.7M means the provider has concentrated exposure to Medicare policy and reimbursement dynamics; any changes to Medicare drug or office-visit reimbursement could disproportionately affect practice revenue.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,500	$690	$1M
J2777	Injection, faricimab‑svoa, 0.1 mg	23,280	$30	$675.1K
J2778	Injection, ranibizumab, 0.1 mg	1,230	$190	$231.6K
92014	An 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…	1,500	$100	$152.9K
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.	1,500	$100	$151.1K
J3590	Unclassified biologics	60	$2,260	$139.9K
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.	2,290	$40	$80.3K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	350	$220	$74.5K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	820	$80	$61.5K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	90	$110	$10.2K

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

Claims Volume vs. New Jersey Distribution

Elizabeth Tegins — 2 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	19	90	880	$690	$693.6K
J2777	7	60	8,820	$30	$319K
J2778	19	40	1,140	$180	$240.8K
J3590	10	20	50	$2,180	$156.6K
Q5128	10	20	650	$210	$139K
67028	23	100	810	$100	$91.1K
92014	44	1,130	160	$100	$34.9K
92012	46	800	140	$70	$18.5K
92235	47	70	60	$120	$17.3K
J7999	36	50	120	$70	$14.1K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
Thomas Buroker	IA	Medical Oncology Physician	$9.4M	$0
Kyle Alliman	IA	Ophthalmology Physician	$8.7M	$0
Alex Kartvelishvili	IA	Ophthalmology Physician	$8.1M	$0
Paul Boeke	IA	Ophthalmology Physician	$7.1M	$0
Shil Patel	VA	Ophthalmology Physician	$6.1M	$0
Rohit Lakhanpal	MD	Retina Specialist (Ophthalmology) Physician	$6.1M	$0
Austin Strohbehn	IA	Retina Specialist (Ophthalmology) Physician	$5.8M	$0
Jeremy Deutsch	KS	Hematology & Oncology Physician	$5.7M	$0
James Pate	NC	Ophthalmology Physician	$5.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Specialized Hospital	NJ	Children's Rehabilitation Hospital	$0	$200M
Robert Wood Johnson University Hospital, Inc	NJ	General Acute Care Hospital	$0	$198.3M
Saint Peter's University Hospital	NJ	General Acute Care Hospital	$0	$185.5M
Diya Care Inc	NJ	Home Health Agency	$0	$139.8M
Golden Path Adult Day Health Care Inc.	NJ	Adult Day Care Clinic/Center	$0	$17.7M
New Brunswick Board Of Education	NJ	Local Education Agency (LEA)	$0	$12.7M
Care We Love, LLC	NJ	Home Health Agency	$0	$11.2M
Damon House Inc.	NJ	Substance Abuse Rehabilitation Facility	$0	$9.8M
Southern Bank Emergency Physicians LLC	NJ	Emergency Medicine Physician	$0	$9.2M
New Brunswick Counseling Center	NJ	Substance Use Disorder Rehabilitation Clinic/Center	$174.7K	$9M

Elizabeth Tegins — 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