Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMurtaza Adam
    Ask Trek AI about this page

    Murtaza Adam — Billing Profile & Reimbursement Data

    NPI 1093004806 · Parker, CO · Retina Specialist (Ophthalmology) Physician

    Customize your policy alerts

    Sign up for Murtaza Adam — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Murtaza Adam is a retina specialist (ophthalmology) physician provider located in Parker, Colorado. This profile covers 24 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMurtaza Adam
    Address11960 Lioness Way Ste 290
    CityParker
    StateCO
    ZIP80134
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 1, 2011

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

    Payer SourceTotal Paid
    Medicare$2.3M
    Medicaid$0

    Key Findings

    This provider is a retina-focused ophthalmologist with a long Medicare billing history, enumerated on 2011-04-01 (~15 years ago). The CPT/HCPCS mix is dominated by intravitreal injection and retina imaging services (notably J0178, J2777, 67028, 92134), indicating a clinical practice centered on medical retina care and frequent in-office injectable therapies rather than broad general ophthalmology or primary care visits.

    Medicare revenue concentration is high: total Medicare revenue reported is $2.3M and the precomputed top 3 Medicare codes by revenue account for 75.7% of that total. The three highest-revenue codes are J0178 (48.3% of Medicare revenue), J2777 (21.7%), and 67028 (5.7%), so anti-VEGF/novel intravitreal biologic administrations and standalone intravitreal injection procedures drive the majority of payer dollars.

    This provider effectively operates as single-payer for the dataset: there is no Medicaid billing on file. The absence of any Medicaid revenue means Medicare constitutes the entire reported public payer revenue base, which limits visibility into Medicaid patient volume and suggests payer mix is heavily Medicare-weighted or that Medicaid-insured patients are not a material group for this NPI.

    On several high-revenue codes the provider’s national standing is around typical to above-typical volume: J0178 ranks #733 of 3204 providers (77th percentile) and J2777 ranks #617 of 2039 providers (70th percentile), both described as typical, unremarkable volumes. These percentiles indicate the provider is an active, consistent participant in intravitreal therapeutic delivery but not a dominant national outlier for those drug codes.

    There are specific statistical outliers and specialty-service signals in the profile. 92134 (retinal computerized diagnostic imaging) is listed as an extreme outlier, at the 98th percentile nationally, indicating unusually high imaging volume relative to peers. Additionally, evaluation/management codes like 92014 and 99204 appear notably above typical national volume (92014 at the 95th percentile; 99204 at the 95th percentile), suggesting substantial office-based follow-up and new patient evaluation activity alongside procedural work.

    The provider performs a mix of procedural retina surgeries at volumes above many peers: 67036 ranks in the 96th percentile (#35 of 832) and 67042 is in the 80th percentile, which together indicate a meaningful surgical retina component (pars plana vitrectomy and membrane peeling procedures) beyond injection-only practice. These surgical codes, while smaller contributors to total revenue, signal capability to manage more complex retinal disease and perform operative interventions.

    Drug billing mix includes both branded biologics and biosimilars/compounded agents: high revenue from J0178 (aflibercept) and significant billing for J2777 (faricimab) plus J3490 and J7999 entries for unclassified or compounded drugs. This pattern is consistent with retina practices that administer a range of intravitreal therapeutics and occasionally bill non-standard or compounded agents.

    Given the revenue and code mix, the practice model appears procedure- and infusion-centric: roughly three-quarters of Medicare dollars come from intravitreal drug administration and related injection procedures, while imaging (92134) and E/M services support pre- and post-procedure management. For payers and network planners, this profile aligns with a specialty retina clinic that provides frequent in-office biologic therapy, high-volume retina imaging, and a non-trivial surgical caseload.

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,630$690$1.1M
    J2777Injection, faricimab‑svoa, 0.1 mg17,460$30$506.3K
    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.1,360$100$132.2K
    J3490Unclassified drugs50$1,780$90.8K
    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…940$90$88.1K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg710$120$84.6K
    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.2,510$30$77.8K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.70$570$39.5K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…40$900$31.6K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg130$220$28.8K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178860740$690$618.3K
    J277713408,910$30$456.1K
    J2781610470$120$79.4K
    Q51281010220$220$76.1K
    670281380670$100$73.3K
    6703633020$1,100$37.3K
    6704263020$1,140$29.6K
    6703921020$1,230$27.2K
    J3490316050$290$23.1K
    J79991850230$70$21.5K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alok BansalCAOphthalmology Physician$3M$4.7M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Omesh GuptaPAOphthalmology Physician$7.1M$80
    Mitchell FinemanPAOphthalmology Physician$7M$0
    Richard KaiserPAOphthalmology Physician$6.6M$0
    Carl RegilloPAOphthalmology Physician$6.5M$0
    Allen HoPAOphthalmology Physician$6.4M$0
    James VanderPAOphthalmology Physician$6.3M$0
    Marc SpirnPAOphthalmology Physician$6.3M$0
    Arunan SivalingamPAOphthalmology Physician$6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Caregivers Village Colorado LLCCOIn Home Supportive Care Agency$0$18.2M
    Shahid JaveryCOInternal Medicine Physician$11.4M$0
    Prk Williams Inc.COIn Home Supportive Care Agency$0$8M
    Metro Community Provider Network IncCOFederally Qualified Health Center (FQHC)$0$3.8M
    Cher, LLCCODiagnostic Radiology Physician$517.7K$456.8K
    Milestone Surgical Center LLCCOAmbulatory Surgical Clinic/Center$431.4K$0
    Carl TubbsCOOphthalmology Physician$378.5K$0
    Carl JohnsonCOOphthalmology Physician$342.7K$0
    Vikas ReddyCOFamily Medicine Physician$328.7K$0
    Wendy ArchuletaCOFamily Nurse Practitioner$289.7K$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. Colorado Distribution
    Murtaza Adam — 4 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado