Loading...
NPI 1073657474 · Niles, IL · Retina Specialist (Ophthalmology) Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Rumya Rao is a retina specialist (ophthalmology) physician provider located in Niles, Illinois. This profile covers 10 Medicare and 20 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Rumya Rao |
| Address | 8780 W. Golf Road #304 |
| City | Niles |
| State | IL |
| ZIP | 60714 |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| NPI Enumerated | February 18, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $2M |
| Medicare | $1.7M |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 970 | $690 | $676K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 23,040 | $30 | $668.2K |
| 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… | 1,510 | $90 | $131.2K |
| 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. | 860 | $90 | $80.7K |
| 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. | 1,730 | $30 | $50.3K |
| 92201 | The 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… | 1,230 | $20 | $22.1K |
| 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. | 130 | $100 | $12.8K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 260 | $30 | $6.5K |
| J9035 | Injection, bevacizumab, 10 mg | 50 | $60 | $2.8K |
| 76512 | The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures. | 40 | $40 | $1.3K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 1,240 | $1,020 | $1.3M |
| 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. | 2,670 | $170 | $439.7K |
| 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… | 4,420 | $30 | $128.2K |
| 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. | 6,090 | $20 | $109.6K |
| J9035 | Injection, bevacizumab, 10 mg | 510 | $60 | $30.8K |
| 92201 | The 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… | 3,140 | $10 | $28.2K |
| 92226 | N/A | 1,250 | $20 | $24.9K |
| 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. | 230 | $50 | $10.4K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 300 | $30 | $9.5K |
| 92225 | N/A | 120 | $30 | $3.4K |
Showing 1–10 of 20
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
20 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 3 | 50 | 200 | $1,100 | $391.2K |
| 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. | 14 | 120 | 540 | $160 | $166.3K |
| 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… | 105 | 1,230 | 450 | $40 | $54.1K |
| 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. | 623 | 1,110 | 310 | $50 | $45.3K |
| J9035 | Injection, bevacizumab, 10 mg | 31 | 80 | 290 | $60 | $43.4K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 115 | 310 | 140 | $30 | $25.5K |
| 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. | 8 | 250 | 510 | $20 | $20.1K |
| 92226 | N/A | 13 | 50 | 430 | $20 | $19.5K |
| 92225 | N/A | 17 | 40 | 90 | $30 | $14.6K |
| 92201 | The 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… | 3 | 50 | 110 | $10 | $5K |
Showing 1–10 of 20
Other providers in the same ZIP code as Rumya Rao, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| American Scientific Laboratory Inc | IL | Clinical Medical Laboratory | $482.2K | $24M |
| Ace Medical Supply LLC | IL | Durable Medical Equipment & Medical Supplies | $0 | $10.3M |
| Village Of Niles | IL | Land Ambulance | $595.4K | $8.3M |
| Hannan Lab Inc | IL | Clinical Medical Laboratory | $7.4M | $209.9K |
| Kingsway Home Health Services,inc | IL | Home Health Agency | $0 | $7.3M |
| Spectrum Lab Corp | IL | Clinical Medical Laboratory | $4.8M | $44.6K |
| Matthew Wessel | IL | Retina Specialist (Ophthalmology) Physician | $2.3M | $1.3M |
| Asian Human Services Family Health Center, Inc | IL | Federally Qualified Health Center (FQHC) | $0 | $3.4M |
| John Eklund | IL | Hematology & Oncology Physician | $1.3M | $8.4K |
| Care One Pharmacy Services LLC | IL | Long Term Care Pharmacy | $262.5K | $856.9K |
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.