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

Why is the Medicaid comparison limited to Alabama 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. Alabama (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.

Tarek Persaud (NPI 1073578589)

Field	Value
Entity Type	Individual
Organization	Tarek Persaud
Address	401 Meridian St N
City	Huntsville
State	AL
ZIP	35801
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	April 18, 2006

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Key Findings

This provider’s Medicare business is material in scale: total Medicare revenue is $1.4M and there is no Medicaid billing on file, making the practice effectively single‑payer with Medicare as the dominant revenue source. The absence of any Medicaid claims suggests payer-concentration risk if Medicare reimbursement or patient mix changes, and limits insight into in-state Medicaid competitiveness because there is no Medicaid activity to benchmark.

Revenue is highly concentrated in a few ophthalmology-specific codes: the precomputed top three Medicare codes account for 77.9% of total Medicare revenue, led by J0178 at $846.1K (60.7% of Medicare revenue), followed by J2777 at $132.2K (9.5%) and 67028 at $107.8K (7.7%). This concentration indicates that a small set of retinal drug injections and an intravitreal injection procedure drive most of the practice’s Medicare dollars.

The code mix and dollar distribution identify this operation as a medical-retina, injection-centric practice supplemented by high-volume diagnostic imaging and routine office visits. High revenue from J0178 (aflibercept) and material billing for J2777 (faricimab) and J9035 (bevacizumab) reflect an emphasis on intravitreal pharmacologic therapy, while 92134 and high E/M volume support an outpatient clinic model with frequent imaging-based follow-up.

Competitive standing is mixed across product lines: J0178 (aflibercept) generates $846.1K and ranks #1066 of 3204 providers nationally (67th percentile; typical, unremarkable volume for this code), indicating a modest, not dominant, national position for that product. By contrast, bevacizumab J9035 shows comparatively strong placement (816 claims, $44.1K revenue) at rank #113 of 1852 providers nationally (94th percentile; typical, unremarkable volume for this code), while J2777 (faricimab) is lower-ranked at #1591 of 2039 (22th percentile; typical, unremarkable volume for this code).

Two utilization measures are statistical outliers relative to national peers and point to very high clinic throughput: 99213 appears with 1.7K claims and $99.7K revenue and is labeled an "extreme outlier" (ranks #1493 of 457151 providers nationally, 100th percentile), and 92134 appears with 2.7K claims and $74.1K revenue and is also an "extreme outlier" (ranks #523 of 26868, 98th percentile). These outlier designations suggest unusually high volumes of established‑patient office visits and retinal imaging for a single-provider practice compared with national benchmarks.

Surgical retina activity exists but is a small share of revenue: codes such as 67041 ($15.3K, 18 claims) and 67108 ($12.7K, 15 claims) contribute modestly to Medicare revenue and rank mid‑pack nationally (67041 rank #203 of 461, 52th percentile; 67108 rank #388 of 706, 38th percentile). This pattern reinforces that the practice’s revenue model is predominantly medical (injections and imaging) rather than surgical retinal procedures.

The provider has long tenure with an NPI enumerated on 2006-04-18 (~20 years ago), indicating an established presence in the market that could support steady referral flows and patient base for retinal disease management. Combined with the injection- and imaging-heavy case mix, the tenure suggests an experienced retina specialist focused on chronic, clinic-based treatment pathways.

Operational and contracting implications: because Medicare accounts for all reported public-payer revenue ($1.4M Medicare; none for Medicaid), the provider’s payer mix is highly concentrated and may affect negotiation leverage differently than multi-payer practices. Payers and provider network analysts should consider that changes in Medicare policy or drug reimbursement (especially for high-share codes like J0178 at $846.1K) would materially impact this practice’s revenue given the 77.9% concentration in the top three codes.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,230	$690	$846.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	4,560	$30	$132.2K
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.	1,300	$80	$107.8K
99213	The 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…	1,690	$60	$99.7K
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.	2,740	$30	$74.1K
J9035	Injection, bevacizumab, 10 mg	820	$50	$44.1K
99214	The 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…	330	$80	$26.6K
99204	The provider sees a new 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 provider…	150	$110	$15.7K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	20	$850	$15.3K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	20	$850	$12.7K

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

Claims Volume vs. Alabama Distribution

Tarek Persaud — 3 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	15	40	920	$690	$706.2K
J2777	19	20	7,140	$30	$267.9K
67028	17	40	990	$90	$82.5K
J9035	8	40	410	$50	$24.5K
67041	4	10	20	$950	$18K
99214	1,551	7,330	120	$80	$16.8K
67108	4	10	20	$970	$15.5K
67036	13	20	20	$690	$12.4K
99213	11	6,470	80	$50	$7.9K
92134	8	410	50	$30	$6.4K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Health Care Authority Of The City Of Huntsville	AL	General Acute Care Hospital	$0	$17.8M
Vikram Saini	AL	Retina Specialist (Ophthalmology) Physician	$3.1M	$0
Leon W. Lewis M.d., P.C.	AL	Obstetrics & Gynecology Physician	$0	$2.6M
Edgar Ready	AL	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Hh Physicians Network	AL	Specialist	$0	$2.4M
Wasim Samara	TX	Ophthalmology Physician	$2.3M	$0
Mathew Sapp	AL	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
Samuel Taylor	AL	Retina Specialist (Ophthalmology) Physician	$1.3M	$0
Gavin Reed	AL	Ophthalmology Physician	$1.1M	$0
Scott Dorin	AL	Retina Specialist (Ophthalmology) Physician	$1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tennessee Valley Neonatology, Inc	AL	Neonatal-Perinatal Medicine Physician	$0	$22.2M
Happi Health	AL	Federally Qualified Health Center (FQHC)	$0	$17.6M
Emergency Physicians Group	AL	Emergency Medicine Physician	$0	$13.5M
Healthgroup Of Alabama	AL	Contractor	$0	$13.4M
The Valley Foundation	AL	Multi-Specialty Clinic/Center	$0	$11.3M
David White	AL	Neurology Physician	$7M	$0
The Children's Hospital Of Alabama	AL	Pediatric Pulmonology Physician	$0	$5.6M
Huntsville Pediatric Associates, LLC	AL	Pediatrics Physician	$0	$4.8M
Dental Associates Of Huntsville, LLC	AL	General Practice Dentistry	$0	$4.7M
Health Group Of Alabama	AL	Contractor	$0	$4.1M

Tarek Persaud — 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