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 & MedicaidNeal Atebara
    Ask Trek AI about this page

    Neal Atebara — Billing Profile & Reimbursement Data

    NPI 1093828840 · Honolulu, HI · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Neal Atebara — 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.

    Neal Atebara is a ophthalmology physician provider located in Honolulu, Hawaii. This profile covers 11 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 / 8

    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
    OrganizationNeal Atebara
    Address1380 Lusitana St
    CityHonolulu
    StateHI
    ZIP96813
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 16, 2006

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

    Payer SourceTotal Paid
    Medicare$505.8K
    Medicaid$0

    Key Findings

    This provider has generated $505.8K in lifetime Medicare revenue and has no Medicaid billing on file, making its recorded activity effectively single‑payer (Medicare) at the observed scale. The absence of Medicaid billing suggests either a payer mix heavily weighted to Medicare or no participation in state Medicaid programs during the reporting period.

    Revenue is highly concentrated: the precomputed top 3 codes by revenue account for 81.2% of the provider's total Medicare revenue, with J2777 contributing $199.9K (39.5%), 92014 contributing $115K (22.8%), and J0178 contributing $95.5K (18.9%). This concentration indicates a reliance on a very small set of services for the majority of Medicare reimbursements.

    The code mix indicates a practice focused on retinal therapeutic care combined with high-volume established patient management: J2777 and J0178 are intravitreal injections (faricimab and aflibercept) used for retinal disease, while 92014 is a comprehensive established-patient ophthalmology exam. The co-occurrence of therapeutic injections and high-volume established E/M visits is consistent with a clinician who manages chronic retinal conditions and follows patients longitudinally.

    Claim and unit-payment patterns differ sharply between the anti-VEGF products: J2777 shows 7.1K claims at $28 avg paid/claim producing $199.9K in revenue, whereas J0178 shows 138 claims at $692 avg paid/claim producing $95.5K. This combination reflects many low-dollar J2777 transactions and far fewer but higher-dollar J0178 transactions, which materially shapes overall revenue composition without changing the top-line concentration.

    Competitive standing varies by service line: for 92014 the provider ranks #948 of 35415 (97th percentile) and is described as notably above typical national volume, indicating a strong national-level presence for comprehensive established ophthalmology visits. By contrast, J2777 ranks #1261 of 2039 (38th percentile; typical, unremarkable volume) and J0178 ranks #2834 of 3204 (11th percentile; typical, unremarkable volume), so the provider is a modest participant nationally for its injection codes while being comparatively prominent for established-patient exams.

    Diagnostic and ancillary procedures support the retinal-treatment profile: 92134 (retinal imaging) produced $36.8K (7.3% of Medicare revenue) with 1.2K claims and ranks #1906 of 26868 (93th percentile; typical, unremarkable volume), and other codes such as 92202 and 92201 also appear with elevated percentiles. The presence of these imaging and extended ophthalmoscopy codes aligns with active diagnostic follow-up typical of practices delivering intravitreal therapies.

    The provider’s NPI was enumerated on 2006-08-16 (~20 years ago), indicating long tenure in the market; this sustained presence is consistent with the high volume of established-patient visits (92014) and suggests an established referral and follow-up base for ongoing retinal care. Long-standing enrollment may contribute to the concentration of recurring-care codes seen in the Medicare data.

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg7,140$30$199.9K
    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…1,260$90$115K
    J0178Injection, aflibercept, 1 mg140$690$95.5K
    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.1,190$30$36.8K
    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.290$90$24.9K
    92202The 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…860$10$9.4K
    92201The 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…330$20$6.6K
    99204The 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…60$110$6.2K
    J7999Compounded drug, not otherwise classified80$70$5.5K
    92250Code 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,…180$30$4.9K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781220330$680$350.4K
    J27775104,140$30$173.8K
    670281120390$90$44.1K
    920146220120$90$22.5K
    J7999910100$70$12.8K
    921341115060$30$7.2K
    92202520150$10$5.9K
    9920415963030$110$5.3K
    922505018090$30$4.2K
    92201310120$20$3.3K

    Showing 1–10 of 11

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Queens Medical CenterHIGeneral Acute Care Hospital$0$200M
    Straub Clinic & HospitalHIGeneral Acute Care Hospital$0$45.6M
    State Of Hawaii Dept. Of Health Adult Mental Health DivisionHICommunity/Behavioral Health Agency$0$29.3M
    Positive Behavior Supports CorporationHICommunity/Behavioral Health Agency$0$26.4M
    Easter Seals HawaiiHIDevelopmentally Disabled Services Day Training Agency$0$16.8M
    The Emergency Group, Inc.HIEmergency Medicine Physician$0$15M
    Hawaii Dental Group, Inc.HIGeneral Practice Dentistry$0$12.4M
    The Queen's Medical CenterHIGeneral Acute Care Hospital$0$10.3M
    Hawaii Home Care IncHINursing Care Agency$0$9.3M
    Evergreen Adult Day CareHIAdult Day Care Clinic/Center$0$8.9M

    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. Hawaii Distribution
    Neal Atebara — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii