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

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

Deepak Sambhara (NPI 1083024574)

Field	Value
Entity Type	Individual
Organization	Deepak Sambhara
Address	800 N 1st St
City	Wausau
State	WI
ZIP	54403
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 6, 2014

Payer Source	Total Paid
Medicare	$4.3M
Medicaid	$0

Key Findings

Practice appears focused on intravitreal drug therapy and retina care: the top revenue-driving codes are injection and retina procedures (J2777, J0178 and 67028), and high-volume retinal imaging (92134) is also present. The code mix—large volumes of injectable biologics plus procedure codes for isolated intravitreal injection—is consistent with an ophthalmology practice built around frequent office-based drug administration and retinal disease management.

Revenue is highly concentrated in a small set of Medicare codes: the precomputed top 3 Medicare codes by revenue account for 86.5% of this provider's total Medicare revenue, driven by J2777 ($2.4M, 55.3% of Medicare revenue), J0178 ($1.1M, 26.1%), and 67028 ($220.8K, 5.1%). This concentration implies the practice’s financial performance is tightly tied to utilization and reimbursement for a handful of high-value retinal therapies.

This provider is effectively single-payer with respect to public programs: total Medicare revenue is $4.3M while there is no Medicaid billing on file. The absence of Medicaid activity means payer risk and contracting exposure are concentrated in Medicare and commercial payers rather than state Medicaid programs.

J2777 (faricimab) is a major outlier in national context: this provider billed 83.1K claims for J2777 generating $2.4M and ranks #28 of 2039 providers nationally (99th percentile; extreme outlier), indicating nationally exceptional volume for this specific drug. Such an extreme outlier position suggests this provider is a leading national administrator of faricimab by volume rather than a typical local user of the drug.

By contrast, J0178 (aflibercept) and 67028 show different competitive positions: J0178 generated $1.1M and ranks #715 of 3204 providers nationally (78th percentile; typical, unremarkable volume), while 67028 produced $220.8K and ranks #214 of 4255 providers nationally (95th percentile; notably above typical national volume). These ranks show the practice is above-average for procedure-based intravitreal work and uses multiple anti-VEGF agents, but only one drug (J2777) is an extreme-volume outlier.

High-volume evaluation and management and imaging activity supports a systematized follow-up workflow: 99214 appears with 2.3K claims and $215.5K revenue and ranks #777 of 479517 providers nationally (100th percentile; extreme outlier), and 92134 appears with 2.9K claims and $86.9K revenue and ranks #448 of 26868 providers nationally (98th percentile; extreme outlier). These extreme outlier ranks for routine E/M and retinal imaging indicate frequent patient visits and monitoring consistent with ongoing intravitreal therapy regimens.

Provider tenure is established: the NPI was enumerated 2014-05-06 (~12 years ago), signaling an established practice presence. Combined with the high concentration in injectable retinal therapies, the profile suggests a stable specialty practice model where revenue and operational planning should prioritize ophthalmic biologic procurement, injection clinic capacity, and Medicare reimbursement dynamics.

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
J2777	Injection, faricimab‑svoa, 0.1 mg	83,050	$30	$2.4M
J0178	Injection, aflibercept, 1 mg	1,660	$680	$1.1M
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.	2,400	$90	$220.8K
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…	2,290	$90	$215.5K
J3490	Unclassified drugs	50	$1,890	$102.1K
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.	2,900	$30	$86.9K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	480	$120	$57.6K
J2778	Injection, ranibizumab, 0.1 mg	250	$180	$46K
J9035	Injection, bevacizumab, 10 mg	590	$60	$33K
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…	480	$60	$27.6K

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. Wisconsin Distribution

Deepak Sambhara — 6 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	6	60	440	$690	$488.1K
J2777	1	30	7,290	$30	$332K
J2778	7	10	520	$180	$131.2K
J2781	1	10	350	$120	$43.9K
67028	3	110	310	$80	$43.7K
J3490	4	10	30	$260	$22.4K
J9035	12	70	110	$50	$14.5K
92014	562	720	120	$70	$12.9K
99214	2	9,800	80	$70	$9.2K
67228	9	10	30	$240	$7.3K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Sacred Heart Health System, Inc.	FL	General Acute Care Hospital	$0	$38.5M
Aspirus Wausau Hospital, Inc.	WI	General Acute Care Hospital	$0	$16.3M
Aspirus Stevens Point Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$15.6M
Sacred Heart Health System, Inc.	FL	Family Medicine Physician	$0	$12.3M
Aspirus Medford Hospital & Clinics, Inc.	WI	Critical Access Hospital	$0	$11.8M
Primary Connection Health Care, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$11.5M
Aspirus Merrill Hospital & Clinics, Inc.	WI	Critical Access Hospital	$0	$11.1M
Aspirus Riverview Hospital & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.9M
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.	WI	General Acute Care Hospital	$0	$10.2M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Human Services Board Serving North Central Heatlh Care Facility	WI	Multi-Specialty Clinic/Center	$0	$74.1M
Human Services Board Serving North Central Health Care Facility	WI	Multi-Specialty Clinic/Center	$0	$9.4M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$110.8K	$8.7M
Marathon County	WI	Public Health or Welfare Agency	$0	$6M
Arbor Mental Health Center	WI	Clinical Psychologist	$0	$5.2M
Human Services Board Serving North Central Heatlh Care Facility	WI	Multi-Specialty Clinic/Center	$0	$3.2M
Wausau School District	WI	Local Education Agency (LEA)	$0	$2.8M
City Of Wausau	WI	Land Ambulance	$397K	$1.8M
Milwaukee Health Services System, LLC	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.6M
Ec Laser And Surgery Institute Of Wi, LLC	WI	Ambulatory Surgical Clinic/Center	$1.3M	$281.3K

Deepak Sambhara — Billing Profile & Reimbursement Data

Sign up for Deepak Sambhara — Billing Profile & Reimbursement Data policy alerts

Deepak Sambhara — Billing Profile & Reimbursement Data

Sign up for Deepak Sambhara — Billing Profile & Reimbursement Data policy alerts

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